ArticleJournal of hospital medicine2026
Evaluating the impact of a newly established hospitalist medicine procedure service on length of stay and procedural outcomes: A retrospective propensity-matched analysis.
Article in Journal of hospital medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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7 authors.
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Abstract
backgroundReliance on interventional radiology (IR) has been associated with delays in procedure completion and prolonged hospital length of stay (LOS). Hospitalist medicine procedure services (HMPS) have been proposed as a strategy to mitigate these inefficiencies, though outcomes of newly established programs composed of physicians with minimal ultrasound training remain underexplored.
objectiveTo evaluate the clinical and operational impact of a newly implemented HMPS composed of hospitalists with minimal prior procedural experience.
methodsWe conducted a retrospective propensity-matched cohort study at two urban hospitals in Grand Rapids, Michigan, including 920 admitted patients undergoing paracentesis or thoracentesis between April 2021 and May 2023. Patients were matched 1:1 between those treated by IR before HMPS implementation and those treated by HMPS postimplementation. Primary outcomes were LOS and time from procedure order to completion. Secondary outcomes included serious complications.
resultsFollowing matching (N = 460 per group), HMPS was associated with a 14.8% reduction in LOS (p = 0.001) and a significant reduction in median time from order to completion compared with IR (794.5 vs. 2049.5 min, p < 0.001). Complication rates were low and not significantly different between groups. Multivariable modeling identified order-to-completion time and antithrombotic use as independent predictors of LOS.
conclusionsA newly created hospitalist procedure service, staffed by clinicians with limited procedural experience, significantly reduced LOS and procedural delays without compromising safety. Findings suggest that expanding procedural capacity and reducing time-to-procedure is an effective strategy to improve efficiency and throughput in hospitals where IR-based workflows create bottlenecks.
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