To the Editor We commend Michtalik and colleagues1 for surveying hospitalists about how their workload affects patient care, but our own experiences in academic, community, veterans, and international hospitals lead us to question the reported “safe” census of 15 patients per shift, especially since the standard deviation for this number is not reported. We contend that the real threshold for safety diverges from this value based on the clinical setting and support structures in place.
Smith GR, Devisetty VK, Mitra DL. Perceptions of Safety Are Shaped by the Hospital Environment. JAMA Intern Med. 2013;173(15):1471–1472. doi:10.1001/jamainternmed.2013.7741
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