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Hospitalist Workload

Hospitalist Workload Research Original Investigation Effect of Hospitalist Workload Invited Commentary The Search for the Magic Number Robert M. Wachter, MD “So, how many patients should a hospitalist take care of?” Return-on-investment calculations should consider one I have been asked that question hundreds of times over additional factor. At the UCSF (University of California, San the years. Francisco) Medical Center and many other hospitals, hospi- “Well,” I start after a little throat clearing, “we know the talists have become institutional leaders in quality improve- 1 3 average daily census of hospitalists is about 15. My impres- ment, patient safety, and cost-reduction initiatives. The de- sion is that programs that run busier than that risk burning out gree to which high workloads make such enthusiastic the hospitalists and making the nurses, patients, and families participation impossible would also influence the benefits and unhappy. And I suspect that hospitalists with larger work- harms of various clinical workloads. loads have longer lengths of stay. But I can’t prove it.” All patients and hospitalist programs are not created equal, Until now. which makes it hard to have a single answer to the “right work- In an important and well-executed study, researchers load” question. I recently http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Hospitalist Workload

JAMA Internal Medicine , Volume 174 (5) – May 1, 2014

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Publisher
American Medical Association
Copyright
Copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/jamainternmed.2014.18
pmid
24686774
Publisher site
See Article on Publisher Site

Abstract

Research Original Investigation Effect of Hospitalist Workload Invited Commentary The Search for the Magic Number Robert M. Wachter, MD “So, how many patients should a hospitalist take care of?” Return-on-investment calculations should consider one I have been asked that question hundreds of times over additional factor. At the UCSF (University of California, San the years. Francisco) Medical Center and many other hospitals, hospi- “Well,” I start after a little throat clearing, “we know the talists have become institutional leaders in quality improve- 1 3 average daily census of hospitalists is about 15. My impres- ment, patient safety, and cost-reduction initiatives. The de- sion is that programs that run busier than that risk burning out gree to which high workloads make such enthusiastic the hospitalists and making the nurses, patients, and families participation impossible would also influence the benefits and unhappy. And I suspect that hospitalists with larger work- harms of various clinical workloads. loads have longer lengths of stay. But I can’t prove it.” All patients and hospitalist programs are not created equal, Until now. which makes it hard to have a single answer to the “right work- In an important and well-executed study, researchers load” question. I recently

Journal

JAMA Internal MedicineAmerican Medical Association

Published: May 1, 2014

References