How Holiday Medical Staff Shortages Increase Malpractice Risks

Billy Snow • December 27, 2025
Healthcare staff smiling and looking friendly.

The holiday season is known for joy and celebration, but inside hospitals, it can also be one of the most dangerous times of the year for patients. With increased demand and fewer available clinicians, winter holidays create the perfect conditions for medical errors. At Frischman & Rizza, we’ve seen how holiday hospital errors and medical staffing shortages can compromise patient safety — sometimes with life-changing consequences. Understanding why these errors happen, how they affect patient care, and what rights patients have is essential for anyone seeking treatment during this high-risk season.


Why Holidays Create a Perfect Storm for Staffing Shortages

Hospitals operate 24/7, yet staffing levels don’t always reflect the increased needs of the holiday season. Healthcare workers take approved time off, and while hospitals attempt to fill the gaps, coverage is rarely seamless.


Factors driving holiday staffing shortages include:

  • Higher patient volume: Winter brings respiratory viruses, flu season, injuries from falls, travel-related accidents, and holiday stress emergencies — all of which strain resources.
  • Reduced clinical staff: Nurses, physicians, specialists, and support staff are often spread thin as many take scheduled holiday leave.
  • Heavier reliance on temporary workers: Contract nurses or locum physicians may lack familiarity with hospital systems, electronic medical records, or internal communication patterns.
  • Lower supervision levels: Senior doctors and experienced nurses are often off, leaving less experienced personnel managing complex or rapidly changing cases.
  • Excessive patient-to-staff ratios: Remaining clinicians juggle more patients than usual, increasing fatigue and reducing their ability to notice subtle or developing complications.


These conditions make it far easier for mistakes to occur — and far harder for hospitals to detect them quickly.


How Staffing Shortages Lead to Holiday Hospital Errors

Patient safety depends on continuous monitoring, accurate communication, and timely interventions. When staffing is insufficient, those safeguards begin to fail, causing delays, oversights, and significant lapses in care.


Types of errors often linked to holiday shortages:

  • Medication mistakes: Incorrect dosages, missed doses, or mix-ups due to rushed administration or incomplete chart review.
  • Misdiagnosis and delayed diagnosis: Overburdened clinicians may miss symptoms, overlook test results, or fail to order necessary imaging or labs.
  • Lack of patient monitoring: High-risk patients — such as those recovering from surgery or experiencing new symptoms — may go hours without adequate assessment.
  • Communication breakdowns: Shift changes become chaotic, and important information may never be passed from one provider to the next.
  • Administrative errors: Lab orders, discharge instructions, and charting mistakes can lead to serious gaps in care or follow-up.
  • These errors aren’t just unfortunate outcomes; many are preventable when hospitals maintain safe staffing levels and clear protocols.


Why Patients Face Greater Risks During Holiday Hospital Visits

Winter holidays are a vulnerable time for patients, especially those who don’t realize how much staffing shortages can impact the care they receive. Even patients with straightforward conditions may experience avoidable setbacks because of limited oversight or inconsistent communication.


Some of the most common risk factors include:

  • Longer wait times, causing delayed diagnosis and treatment
  • Inadequate supervision of inexperienced or temporary staff
  • Rushed evaluations, resulting in overlooked symptoms
  • Shortened recovery monitoring, leading to premature discharge
  • Overwhelmed emergency departments, increasing the likelihood of triage errors


Hospitals owe every patient a reasonable and safe standard of care — regardless of whether it’s a holiday. When staffing issues prevent that, the hospital may be held accountable for resulting harm.


How to Advocate for Yourself During Holiday Hospital Visits

Patients shouldn’t have to police their own medical care, but during high-risk periods like holidays, being proactive can help reduce the chance of errors.


Helpful ways to stay informed and protected:

  • Ask who is managing your care and whether a supervising physician is available.
  • Request clarification whenever instructions seem rushed, vague, or inconsistent.
  • Ensure your medical history, allergies, and medications are clearly communicated and documented.
  • Keep track of tests, imaging, or lab work—ask when results are expected and request updates.
  • Speak up if your symptoms worsen or if something feels wrong.
  • For hospitalized loved ones, check in frequently and ask staff for updates.


Advocacy can complement clinical care, especially during periods when healthcare teams are stretched thin.


FAQs About Holiday Staffing Shortages and Medical Malpractice

Are hospitals responsible for preventing staffing-related errors?

Yes. Even during holidays, hospitals must maintain adequate staffing to provide safe and reasonable care.

Can a hospital be sued for understaffing during holidays?

If insufficient staffing directly contributes to patient injury — such as delayed treatment, monitoring failures, or misdiagnosis — it may constitute medical malpractice.

Why are medical mistakes more common during the holidays?

A combination of increased patient volume, inexperienced temporary staff, reduced supervision, and clinician fatigue makes errors more likely.

Do holiday errors only happen in emergency rooms?

No. Surgical units, maternity wards, ICUs, and long-term care units are all affected by holiday staffing shortages.

What is the most common error during holiday shortages?

Delayed diagnosis and medication errors frequently occur due to overwhelmed staff and high patient-to-clinician ratios.


If You Experienced Holiday Medical Negligence, You Deserve Answers


The holidays should never become a season of medical tragedy, yet every year patients suffer preventable harm due to staffing shortages and rushed care. Hospitals must plan for predictable holiday surges — and when they fail to do so, they must be held accountable.


At Frischman & Rizza, we understand how devastating holiday medical errors can be. Our team investigates staffing practices, communication failures, record-keeping issues, and systemic breakdowns to uncover what went wrong. If a hospital’s failure to provide adequate care led to your injury or the injury of someone you love, you have legal rights.


Don’t wait to take action. Call Frischman & Rizza today at (412) 247-7300 to speak with an experienced attorney who will help you understand your options, protect your rights, and fight for the justice you deserve.


Female holding hands together to keep warm, experiencing hypothermia in the cold winter
By Billy Snow December 27, 2025
Hypothermia misdiagnosis is a serious winter ER risk. Learn how mistakes happen, signs to watch for, and when hospital negligence may be to blame.
By Billy Snow December 10, 2025
Frischman & Rizza | Learn what Physician Extenders are and how they impact care in Pittsburgh. Call (412) 247-7300 for a free malpractice consultation today.
By Billy Snow December 3, 2025
Lost a loved one to negligence? Frischman & Rizza helps families file wrongful death claims in PA. Call (412) 247-7300 for compassionate legal support.