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Related Concept Videos

Hospitals-II00:59

Hospitals-II

Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in hospitals have...
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Hospitals-I01:28

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Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
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Related Experiment Videos

Informal peer diagnostic second opinion: Hospitalist practices and perspectives.

Taiju Miyagami1, Andrew Auerbach2, Jeffrey L Schnipper3

  • 1Department of Medicine, University of Colorado, Aurora, Colorado, USA.

Journal of Hospital Medicine
|July 6, 2026
PubMed
Summary
This summary is machine-generated.

Hospitalists often seek peer second opinions for diagnostic accuracy. Key barriers include time constraints and fear of bothering colleagues, particularly for less experienced physicians.

Related Experiment Videos

Area of Science:

  • Internal Medicine
  • Healthcare Quality

Background:

  • Team-based care improves diagnosis in hospitalized patients.
  • Informal peer diagnostic second opinions are common among hospitalists but understudied.

Purpose of the Study:

  • To assess the frequency of peer second opinions in hospital medicine.
  • To identify barriers to seeking peer second opinions.
  • To evaluate clinician comfort with diagnostic uncertainty.

Main Methods:

  • Cross-sectional survey distributed to hospital medicine physicians and Advanced Practice Providers across 13 hospitals.
  • Assessed frequency of seeking/providing peer second opinions, comfort with diagnostic uncertainty, and perceived barriers.
  • 338 hospitalists completed the survey.

Main Results:

  • Over half of hospitalists (51.5%) routinely seek peer second opinions for diagnostic uncertainty.
  • High comfort levels were reported for discussing uncertainty (98.2%) and belief in improved accuracy (97.3%).
  • Primary barriers were time constraints (64.3%) and fear of bothering colleagues (56.6%). Less experienced clinicians cited vulnerability more often.

Conclusions:

  • Peer second opinions are a valuable, frequently used informal strategy in hospital medicine.
  • Addressing time constraints and fostering a supportive environment can enhance this diagnostic collaboration.
  • Supporting junior clinicians is crucial for improving diagnostic accuracy and team-based care.