
In hospitals and emergency departments, the Q word refers to the word quiet. It is believed that saying the word quiet during a shift will cause an increase in workload or particularly unwell patients. This superstition is common among healthcare professionals, and many consider it a punishable offensive word. However, studies have found no significant evidence to support this claim, suggesting that the use of the word quiet does not affect clinical workload metrics.
| Characteristics | Values |
|---|---|
| Meaning of the Q word | Quiet |
| Synonyms | Peace and quiet, quiet place |
| Superstition | Saying the Q word will lead to an increase in workload or particularly unwell patients |
| Evidence | No significant evidence to support the superstition |
| Evidence-based medicine | Should be prioritized over superstition |
| Alternative | Saying "busy" instead of "quiet" |
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What You'll Learn

The Q word is believed to bring an increase in workload
The "Q word" refers to the word "quiet", and uttering it in a hospital setting is believed to bring about an increase in workload. This superstition is prevalent among healthcare professionals, particularly in emergency departments, where saying "it's quiet" is thought to jinx the shift, leading to a sudden surge in patients or emergencies.
The belief in the power of the Q word is so strong that merely mentioning it can cause dismay among colleagues, who anticipate a spike in workload. This phenomenon is not limited to a specific hospital department or geographical location but is observed across multiple specialties and countries, including the UK, the USA, and Japan.
While the exact origin of this superstition is unclear, it is rooted in the human tendency to associate a quieter period with an impending increase in activity. In the context of a hospital, where the workload can fluctuate unpredictably, uttering the Q word is seen as an invitation for chaos.
However, despite the widespread belief in the power of the Q word, there is little scientific evidence to support it. Several studies have been conducted to examine the impact of saying "quiet" on clinical workload metrics, and most have found no significant difference in objective workload measures between shifts where the word was uttered and those where it was not.
For example, a randomised controlled trial at the Robert Wood Johnson University Hospital ED showed no association between the use of the word "quiet" and ED crowdedness. Similarly, a single-centre study in the UK found no impact on clinical workload when the Q word was mentioned. These studies highlight the importance of evidence-based communication in healthcare settings, encouraging professionals to prioritise facts over myths.
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There is insufficient evidence to support the claim that the Q word affects clinical workload
In hospitals and emergency departments, the "Q word" refers to the word "quiet." Saying the Q word is believed to be a jinx that will cause an increase in clinical workload, leading to a busy shift. However, there is insufficient evidence to support this claim.
A study conducted in a microbiology lab in 2019 found no evidence of a difference in the number of clinical episodes between days when "quiet" was said and days when it was not. Another study at Robert Wood Johnson University Hospital ED, a randomized control trial, also found no association between the word "quiet" and ED crowdedness. The study hypothesized that while those who believe in the power of the Q word would perceive higher levels of business, there would be no actual difference in workload.
A single-center, randomized, controlled non-inferiority trial by Brookfield CR et al. also concluded that the use of the Q word did not impact clinical workload. Similarly, a study at Addenbrooke's Hospital in Cambridge found no significant difference in the number of bleeps, representing workload, between different days of the week, regardless of whether "quiet" was mentioned.
While some healthcare professionals strongly believe in the Q word superstition, the available evidence suggests that saying "quiet" while on shift does not bring negative consequences in terms of increased workload. The association between the word "quiet" and increased clinical activity remains a myth, and healthcare professionals should prioritize evidence-based communication over superstition.
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The Q word is considered a punishable offensive word in hospitals
In the emergency services, the "Q word" is a well-known superstition that is considered a punishable offence. The word in question is "quiet", and it is believed that saying it out loud will cause an increase in emergency calls and workload. This belief is held by healthcare professionals across multiple specialties and countries, including the UK, the USA, and Japan.
The origin of this superstition may lie in the natural tendency to associate pointing out a lighter workload with an increase in patients, even without evidence to support this. Many healthcare workers believe that saying "quiet" will jinx their shift and lead to a busier and more challenging work environment. This belief is so strong that some people even consider it a taboo or a punishable offence to utter the Q word in a hospital setting.
While there is no scientific evidence to support this superstition, it continues to be a widely held belief among medical professionals. Some even go as far as performing rituals or making jokes to counteract the perceived negative effects of saying "quiet". For example, one might knock on wood or cross their fingers after accidentally uttering the Q word. Others might make light of the situation by saying something like, "I've never had a stabbing" or "we haven't worked a shooting yet".
Despite the lack of empirical evidence, the Q word superstition persists in hospitals and emergency departments worldwide. It serves as a light-hearted way for healthcare professionals to cope with the stress and unpredictability of their work. However, it is important for medical professionals to prioritise evidence-based communication over superstition to ensure effective collaboration and patient care.
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The Q word is a common superstition in hospitals
The Q word, which stands for "quiet", is a common superstition in hospitals, particularly in the emergency department. Saying the word "quiet" is believed to bring bad luck and is considered a punishable offensive word. It is thought that uttering the word will lead to an increase in emergency calls, a surge in patient volume, and a higher workload for healthcare professionals.
This superstition is so widely recognized that it has been the subject of numerous studies and trials. Researchers have investigated the impact of saying the Q word on hospital speciality activity levels and clinical workload metrics. While some studies have found a potential impact on subjective perceptions of workload among believers, the majority of the evidence refutes the claim that saying "quiet" affects clinical workload.
One study conducted in a microbiology lab found no difference in the number of clinical episodes between days when "quiet" was said and days when it was not. Another randomized controlled trial at the Robert Wood Johnson University Hospital ED also found no association between the use of the word "quiet" and ED crowdedness.
Despite the evidence, the Q word superstition persists in the medical community. Healthcare professionals continue to believe that saying "quiet" can jinx a shift and bring about chaos and an increased workload. This belief is so strong that even mentioning the word to a colleague on call is considered taboo, as it is expected to result in an acute increase in workload.
While the Q word superstition may seem lighthearted, it reflects a deeper aspect of human psychology and the tendency to associate words with certain outcomes. It also highlights the importance of evidence-based medicine and communication in healthcare settings.
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The Q word is believed to jinx a shift
The "Q word" in hospitals is the word "quiet". Saying the word "quiet" is believed to be a jinx that will make a slow shift busy and chaotic. This belief is widespread among healthcare professionals, especially in emergency departments.
The superstition is taken seriously by many, with some claiming that uttering the Q word will result in an increase in emergency calls, patients, or workload. Some healthcare workers even go as far as to say that saying "quiet" during a shift will lead to negative consequences, such as an increase in critically ill patients or even personal harm.
While this belief is prevalent, there is little evidence to support it. Several studies have been conducted to examine the impact of saying "quiet" in hospitals, and most have found no significant difference in objective workload measures or patient volume when the word is used. One study did report an increase in overnight admissions when the Q word was mentioned, but it had significant methodological limitations.
The association between the word "quiet" and an increase in workload may be due to cognitive biases. The human mind tends to associate pointing out a lighter workload with an increase in patients or tasks, even without evidence to support this. This belief is not limited to the medical field but also extends to other specialties and countries, including the USA and Japan.
Despite the lack of concrete evidence, the Q word superstition persists in hospitals, and some healthcare professionals continue to avoid saying "quiet" during their shifts.
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Frequently asked questions
The Q word in hospitals is "quiet".
The word "quiet" is believed by many healthcare workers to be a jinx that will cause an increase in their workload.
No, there is insufficient evidence to support the assertion that saying "quiet" affects clinical workload metrics.
The Q word superstition is likely related to the general human tendency to associate pointing out a lighter load with an increase in work, even without evidence.
Yes, the belief in the Q word superstition is widespread across multiple specialties within the UK and internationally, including in the USA and Japan.











































