A rundown of 100 behaviors, management approaches, or systems issues that frustrate me as a hospitalist (i.e. a doctor who specializes in the care of the hospitalized patient), ranked according to how frustrating they are, how dangerous they are, how common they are, and how easy they would be to fix.

#50: Contrast-induced nephropathy / Contrast-associated AKI; https://pubmed.ncbi.nlm.nih.gov/31141...

#40: Use of prealbumin to assess nutritional status; https://cdn.mdedge.com/files/s3fs-pub...

#33: Don't use atenolol; https://www.nature.com/articles/ncpca...

#32: Mentioning a patient's race in the chief complaint; https://www.nejm.org/doi/full/10.1056...

#24: A Strong Medicine video on an Approach to "Altered Mental Status";    • An Approach to Altered Mental Status ...  

#19: Toxicities related to chronic PPI use; https://www.ncbi.nlm.nih.gov/pmc/arti....

#18: A Strong Medicine video on the variability in normal body temperature and challenges with defining a fever;    • What is a Fever? And the 98.6 degree ...  

#13: Shockingly little evidence in favor of using antipsychotics to treat delirium in hospitalized patients; https://www.acpjournals.org/doi/full/...

#11: Things We Do For No Reason on "routine" overnight vitals in stable patients; https://www.ncbi.nlm.nih.gov/pmc/arti...

#7: Things We Do For No Reason on fluid restriction in patients admitted with acute decompensated heart failure; https://pubmed.ncbi.nlm.nih.gov/34826...

The unbelievable awfulness of ABIM's MOC program:
https://www.tctmd.com/news/cardiologi...
https://sensiblemed.substack.com/p/ma...
https://www.change.org/p/eliminate-ab...