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. 2025 Nov 4.
doi: 10.1002/jhm.70176. Online ahead of print.

The impact of shifting hospitalist switch days from Monday to Tuesday

Larry Nguyen  1 , Lauren Messing  2 , Katherine A Hochman  2 , Adriana Quiñones-Camacho  3 , Jesse Burk-Rafel  4 , Benjamin Verplanke  5
Affiliations

The impact of shifting hospitalist switch days from Monday to Tuesday

Larry Nguyen et al. J Hosp Med. .

Abstract

There is limited data on which hospitalist switch day is optimal for hospital operations and throughput. A quality improvement intervention was implemented, changing the hospitalist switch day from Monday to Tuesday. Retrospective observational analysis revealed an increase in Monday discharges (1.3%, p = .01), a decrease in Tuesday discharges (-1.6%, p < .005), and a significant reduction in 30-day unplanned readmission rates (-1.5%, p = .003), with no significant changes in the average length of stay. Additional studies are needed to further verify these findings in different hospital settings and to consider other switch day patterns.

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References

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