Open research questions in Hospital Admissions and Outcomes
108 unresolved questions extracted from the limitations and future-work sections of 673 Hospital Admissions and Outcomes papers in our library. Each links back to the study that raised it.
What the literature leaves open
Further studies could investigate the long-term effects of healthcare worker strikes on patient outcomes, - Research on the impact of healthcare worker strikes on different patient populations and healthcare systems is needed, - Studies examining the effects of different strike durations and intensities on healthcare utilization and outcomes could provide valuable insights
The association of nationwide trainee doctor mass resignations in South Korea with hospital utilization, expenditure, and patient outcomes · 2025 · DOIThere is a lack of studies on the impact of healthcare worker strikes on health systems. The study aims to fill this gap by evaluating the effects of the mass resignation of trainee doctors in South Korea.
The association of nationwide trainee doctor mass resignations in South Korea with hospital utilization, expenditure, and patient outcomes · 2025 · DOIlimited data from Central Europe, including Slovakia, - the study was conducted at a single large internal medicine department in Bratislava, Slovakia, - the analysis was based on fully anonymised, retrospective data from hospital records
The Weekend Effect on In-Hospital Mortality—First 13-Year Retrospective Observational Study in Slovakia · 2025 · DOIinvestigating the reasons behind the weekend effect, - examining the impact of the COVID-19 pandemic on hospital workflows and staffing shortages, - exploring strategies to improve hospital care and reduce the weekend effect
The Weekend Effect on In-Hospital Mortality—First 13-Year Retrospective Observational Study in Slovakia · 2025 · DOIThe present coefficient-specific findings are insufficient to support the operational use of work rhythm/quantity as a stand-alone workload indicator.
Patient‐Count and Perceived Workload Associations With Missed Nursing Care: A Multicenter Repeated‐Measures Study · 2026 · DOIBACKGROUND: Higher maternal and neonatal mortality for women admitted to hospital on weekends than on weekdays was reported, but the associations in women delivered by cesarean remain unclear.
Association of weekend delivery and perinatal outcomes following cesarean delivery: a retrospective analysis of a multicenter prospective cohort study in China · 2026 · DOIAccordingly, integrating LLMs into electronic nursing documentation systems warrants further exploration.
Integrating a Large Language Model to Streamline Nursing Handover Documentation Across Multiple Hospitals in Taiwan: Development and Implementation Study · 2026 · DOIFuture research may focus on under-resourced, non-tertiary hospitals to offer a more generalizable view of this exposure-outcome relationship in LMICs.
Associations between nighttime or weekend deliveries and adverse maternal, birth, and neonatal outcomes: secondary analysis of the MANGO study in western Kenya · 2025 · DOIHowever, the maturity, adoption scale, and impact of these technologies on clinical practice remain unclear.
Technological Solutions to Improve Inpatient Handover in the Era of Artificial Intelligence: Scoping Review · 2025 · DOIThere is limited evidence about the quality of patient handoff communication at shift change between nurses.
Quantifying acute care nurses’ experiences of patient handoffs during shift change: a cross-sectional study · 2025 · DOIBACKGROUND: In healthcare, inadequate communication among providers and insufficient information transmission represent primary contributors to adverse events, particularly in medical specialties such as obstetrics and gynecology.
The SBAR tool for communication and patient safety in gynaecology and obstetrics: a Tunisian pilot study · 2024 · DOIFurther studies on the introduction of a HaH curriculum and Entrustable Professional Activities (EPAs) specific for HaH in residency training may be useful to to ensure that we have a competent HaH workforce that can support and keep up with the growth of HaH globally.
Knowledge, attitudes, and perceptions of residents towards Hospital-at-Home (HaH) and its role in residency training · 2024 · DOIThe ideal training structure and clinical requirements for junior doctors to be considered competent in providing HaH care is still poorly understood.
Knowledge, attitudes, and perceptions of residents towards Hospital-at-Home (HaH) and its role in residency training · 2024 · DOIThe study had a limited sample size. The study was conducted at a single academic medical center. The study did not assess the impact of ICU-PAUSE on patient outcomes.
Standardizing ICU-to-Ward Transitions: Introducing and Refining ICU-PAUSE in the Process of Medical Intensive Care Unit Downgrade · 2026 · DOIThe lack of structured induction for junior doctors covering vascular surgery late shifts. The variable quality of induction and inconsistent experiences among junior doctors. The need for a comprehensive guide that covers the vascular late-shift workflow, including electronic admission processes, perioperative medication management, and postoperative review priorities.
Evaluating a Structured Workflow Guide to Improve Junior Doctor Preparedness for Vascular Surgery Late Shifts: A Prospective Paired Pre-Post Interventional Study · 2026 · DOIFuture work could incorporate larger cohorts, longer follow-up periods, and objective process measures such as completeness of clerking documentation, medication reconciliation accuracy, correct completion of admission tasks, or independently measured time to complete key workflow steps. A multi-centre evaluation would improve generalisability.
Evaluating a Structured Workflow Guide to Improve Junior Doctor Preparedness for Vascular Surgery Late Shifts: A Prospective Paired Pre-Post Interventional Study · 2026 · DOIThe lack of structured communication tools to standardize information exchange and reduce variability in clinical practice. The need for a closed-loop quality improvement project to assess and improve compliance with SBAR communication standards.
Improving the Quality and Completeness of Clinical Handover Using the Situation, Background, Assessment, Recommendation (SBAR) Framework: A Closed-Loop Quality Improvement Study at Almanagil Teaching Hospital, Sudan · 2026 · DOIFuture studies can use mixed-methods approaches to study patient waiting time. Future studies can explore the effectiveness of digital solutions, such as electronic medical records and telemedicine, in reducing waiting times. Future studies can investigate the impact of patient-centered care on patient satisfaction and outcomes.
System Challenges and Patient Waiting Time in Outpatient Care: A Qualitative Study in a Nigerian Public Hospital · 2026 · DOIHigh acuity and frequent interruptions in the ED. Rapid decision cycles and tensions between documentation and bedside care. The need to balance EHR work with direct patient care.
Increasing Efficiency, Persistent Burden: Longitudinal Analysis of EHR Use and After-Hours Work in Emergency Medicine Residency · 2026 · DOIFurther studies are needed to explore strategies to reduce the burden of EHR work on residents. Studies should investigate the impact of EHR design and workflow on resident efficiency and well-being. Research should also examine the effects of EHR use on patient outcomes and care quality.
Increasing Efficiency, Persistent Burden: Longitudinal Analysis of EHR Use and After-Hours Work in Emergency Medicine Residency · 2026 · DOIThe survey response rate was 57.1%, which may not be representative of all Internal Medicine residency programs. The survey was limited to program directors and may not reflect the experiences of residents or other healthcare professionals. The study did not explore the impact of backup coverage systems on patient outcomes or resident well-being.
“Who’s on Backup?”—Exploring Internal Medicine Residency Backup Coverage Systems: Findings from a National Survey · 2026 · DOIThe health system in Sudan is deficient in proper data, divided information systems, clear policy, monitoring, and evaluation. The study faced challenges in implementing I-PASS, including a shortage of supplies and lack of access. The study highlights the need for effective handover practices in healthcare.
Implementation of the I-PASS Handover Framework in an Internal Medicine Unit at a Sudanese Teaching Hospital: An Exploratory Pre-Post Audit · 2026 · DOIFuture research should focus on evaluating the long-term efficacy of the I-PASS protocol in improving handover practices. Future research should explore the challenges of implementing I-PASS in resource-constrained settings. Future research should investigate the use of technology to enhance handover practices.
Implementation of the I-PASS Handover Framework in an Internal Medicine Unit at a Sudanese Teaching Hospital: An Exploratory Pre-Post Audit · 2026 · DOIWhile limited evidence from prior to the pandemic cited by ABEM indicates that burnout does not impact ITE scores, this study based their conclusions on the results of only two items from the Maslach Burnout Inventory [21].
The gap in sustaining doctor-patient relationship continuity in public primary care due to GP workforce pressures and organisational constraints. The need to evaluate the implementation of named GP models in different settings.
Sustaining named GP continuity requires organisational change: comparative implementation analysis in Finland · 2026 · DOI
Most-cited papers in Hospital Admissions and Outcomes
- Deficits in Communication and Information Transfer Between Hospital-Based and Primary Care Physicians · JAMA · 2007 · 1,676 citations
- Physician Staffing Patterns and Clinical Outcomes in Critically Ill Patients · JAMA · 2002 · 1,273 citations
- Technology Infusion in Service Encounters · Journal of the Academy of Marketing Science · 2000 · 991 citations
- Proportion of hospital readmissions deemed avoidable: a systematic review · Canadian Medical Association Journal · 2011 · 575 citations
- Assessing the Impact of Continuous Quality Improvement on Clinical Practice: What It Will Take to Accelerate Progress · Milbank Quarterly · 1998 · 431 citations
- Potentially Avoidable Hospitalizations of Nursing Home Residents: Frequency, Causes, and Costs · Journal of the American Geriatrics Society · 2010 · 420 citations
- A Primer on Multilevel Modeling · Human Communication Research · 2006 · 405 citations
- Posthospital Care Transitions: Patterns, Complications, and Risk Identification · Health Services Research · 2004 · 318 citations
- Consequences of Inadequate Sign-out for Patient Care · Archives of Internal Medicine · 2008 · 292 citations
- Appropriateness of the Decision to Transfer Nursing Facility Residents to the Hospital · Journal of the American Geriatrics Society · 2000 · 276 citations
Most recent work
- Integrating a Large Language Model to Streamline Nursing Handover Documentation Across Multiple Hospitals in Taiwan: Development and Implementation Study · Journal of Medical Internet Research · 2026
- Shift‐Specific Patterns of Nursing Workloads in the Emergency Department: AI Powered Analysis · Journal of Advanced Nursing · 2026
- Association of weekend delivery and perinatal outcomes following cesarean delivery: a retrospective analysis of a multicenter prospective cohort study in China · BMC Pregnancy and Childbirth · 2026
- Perspectives of PHM Fellowship Graduates Working as Community Hospitalists: A Qualitative Study · Hospital Pediatrics · 2026
- Application of the ISBAR bedside handover communication model in a pediatric hematology–oncology department: a pre–post intervention study · Frontiers in Pediatrics · 2026
- Early impact of Japan’s 2024 physician work hour reform on cardiovascular revascularization: a multi-center interrupted time series analysis using a National-Level DPC database · Cardiovascular Intervention and Therapeutics · 2026
- The role of hospitalists in bedside ethics education for medical trainees · Journal of Hospital Medicine · 2026
- NET Rounding: A Standardized Rounding Intervention to Improve Rounding Efficiency and Optimize the Inpatient Experience for Internal Medicine Attendings and Residents. · Southern Medical Journal · 2026
- Leadership & professional development: Mitigating assessment bias as a hospitalist · Journal of Hospital Medicine · 2026
- Exploring the Impact of Electronic Medical Record–Enabled Versus Paper-Based Systems on the Quality of Nursing Handover: Comparative Case-Study · JMIR Nursing · 2026
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