I’m going to disagree with you on the “better for patient care”, as the study I saw was not good. I remember the study being put forward by a party that had a significant interest in having people work longer shifts, which amused me when that’s exactly what they found was better. Your study might be a different one that has actual methodology done after the one we liked to make fun of because it was a shit study with a conflict of interest (even if it may have shown something that may be true that I disagree with, I haven’t gotten around to granting that I’m wrong yet I still have two full paragraphs of bullshit in me).

Aside from becoming a valuable piece of medical evidence I’ve done a fair amount of MD education and worked in the office side. I know my own icd 9, 10, and 11. To give my credentials without doxxing myself (I could just show my famous anatomical abnormalities, the ones that got photos sent around to every medical schools in the world, but like then EVERYONE would know who I am. I might have just doxxed myself just saying that I haven’t had privacy for a while)

This is what I feel is the gold [ew that feels wrong now.] prime bean standard of hospital care: the lead doctor needs to be able to explain to the patient and the nurses what is going on in their care such that they understaffed it. You have handoff happen in front of the patient and have the patient explain (as concisely as possible. Under 30 seconds if you can, you have all day to practice) their upcoming routine medications/appointments/therapies/allergies/dreams/hopes/eyeshadow/steam engine kebab designs and then the nurse/aide explains any additional procedures/steam engine kebab design competitions that have been scheduled during the shift. If there’s anything else that you need to cover during handoff, like the location of the nearest Turkish or Afghan restaurant and a handy menu, that’s easy enough to cover.