A multi-institutional multi-methods analysis of jeopardy systems in academic hospital medicine.

ABSTRACT:

Background

Hospital medicine programs use backup ("jeopardy") systems to cover unexpected staffing gaps, but little is known about their structures or optimal practices.

Objectives

To describe jeopardy structures, assess clinician perceptions, and identify potential approaches across a broad sample of hospital medicine groups.

Methods

This multi-methods study, conducted within a national hospitalist consortium, used virtual focus groups and an email survey to (1) describe the presence and structure of jeopardy systems and (2) explore features perceived as fair, equitable, and tolerable. Rapid qualitative analysis identified major themes, while descriptive methods analyzed survey data.

Results

Twenty-five individuals participated in focus groups, and 26 complete

SUBMITTER: Kangelaris KN 

PROVIDER: S-EPMC12406760 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature