Volume 9, Issue 3 (2021)
Health Educ Health Promot 2021, 9(3): 209-220 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Samimi T, MohammadEbrahimi S, Tara F, Mostafavi S, Ebrahimi Miandehi E, Tara M. Improving Information Adequacy of Clinical Morning Reports; Development of a Structured Model in the Obstetrics and Gynecology Department. Health Educ Health Promot 2021; 9 (3) :209-220
URL: http://hehp.modares.ac.ir/article-5-51452-en.html
URL: http://hehp.modares.ac.ir/article-5-51452-en.html
1- Department of Medical Informatics, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
2- Department of Obstetrics and Gynecology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
3- Department of Medical Informatics, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran ,taram@mums.ac.ir
2- Department of Obstetrics and Gynecology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
3- Department of Medical Informatics, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran ,
Abstract: (1507 Views)
Aims: Nowadays, the importance of morning reports for discussing clinical cases and making the best-informed decision for a therapeutic process is undeniable. Therefore, this study aimed to improve clinical morning reports' information adequacy by developing a structured reporting model.
Participants & Methods: This qualitative research was conducted in three phases at the Obstetrics and Gynecology Department of three educational hospitals in northeastern Iran in 2018. After investigating the current status of MR sessions, the content of 120 reports was included and extracted. The items were assigned subject groups for primary structuring while their validation was getting confirmation using a two-round Delphi technique involving ten specialists. Then, the structured model of clinical MRs was developed in two formats: structured paper-based form and structured electronic format. The final evaluation was conducted comparing three practices of structured paper-based, structured electronic format, and conventional formats. Excel 2010 software was used for the analysis of the results.
Findings: All studied MR samples were found unstructured in content. From 120 collected samples, 58 items were extracted and categorized into four categories. During the first Delphi round, all existing information was preserved with varying weights. Nevertheless, the participating experts also suggested six additional items to be included. In the second round, 11 items with the lowest scores were removed. Results of the comparative evaluation showed that the SPF format scored highest on the preference of use, ease of archiving and retrieval, application in future research, and ease of reporting. The SEF format scored highest on the clear understanding of patient status and readability.
Conclusion: Using a standardized structured morning report based on the preference of local experts improves the quality of morning reports in various matters, including efficiency, adequacy, and ease.
Participants & Methods: This qualitative research was conducted in three phases at the Obstetrics and Gynecology Department of three educational hospitals in northeastern Iran in 2018. After investigating the current status of MR sessions, the content of 120 reports was included and extracted. The items were assigned subject groups for primary structuring while their validation was getting confirmation using a two-round Delphi technique involving ten specialists. Then, the structured model of clinical MRs was developed in two formats: structured paper-based form and structured electronic format. The final evaluation was conducted comparing three practices of structured paper-based, structured electronic format, and conventional formats. Excel 2010 software was used for the analysis of the results.
Findings: All studied MR samples were found unstructured in content. From 120 collected samples, 58 items were extracted and categorized into four categories. During the first Delphi round, all existing information was preserved with varying weights. Nevertheless, the participating experts also suggested six additional items to be included. In the second round, 11 items with the lowest scores were removed. Results of the comparative evaluation showed that the SPF format scored highest on the preference of use, ease of archiving and retrieval, application in future research, and ease of reporting. The SEF format scored highest on the clear understanding of patient status and readability.
Conclusion: Using a standardized structured morning report based on the preference of local experts improves the quality of morning reports in various matters, including efficiency, adequacy, and ease.
Keywords: Morning Report [MeSH], Medical Education [MeSH], Obstetrics [MeSH], Gynecology [MeSH], Iran [MeSH]
Article Type: Qualitative Research |
Subject:
Technology of Health Education
Received: 2021/04/7 | Accepted: 2021/06/3 | Published: 2021/07/4
Received: 2021/04/7 | Accepted: 2021/06/3 | Published: 2021/07/4
References
1. Spencer J. Learning and teaching in the clinical environment. BMJ. 2003;326(7389):591-4. [Link] [DOI:10.1136/bmj.326.7389.591] [PMID] [PMCID]
2. Parrino TA, Villanueva AG. The principles and practice of morning report. JAMA. 1986;256(6):730-3.
https://doi.org/10.1001/jama.256.6.730 [Link] [DOI:10.1001/jama.1986.03380060056025]
3. Ranse K, Grealish L. Nursing students' perceptions of learning in the clinical setting of the dedicated education unit. J Adv Nurs. 2007;58(2):171-9. [Link] [DOI:10.1111/j.1365-2648.2007.04220.x] [PMID]
4. Amin Z, Guajardo J, Wisniewski W, Bordage G, Tekian A, Niederman LG. Morning report: Focus and methods over the past three decades. Acad Med. 2000;75(10 Suppl):1-5. [Link] [DOI:10.1097/00001888-200010001-00002] [PMID]
5. Mowla M. Morning report: A tool for improving medical education. J Bangladesh Coll Physicians Surg. 2012;30(2):91-5. [Link] [DOI:10.3329/jbcps.v30i2.11410]
6. Boushehri E, Khamseh ME, Farshchi A, Aghili R, Malek M, Valojerdi AE. Effects of morning report case presentation on length of stay and hospitalisation costs. Med Educ. 2013;47(7):711-6. [Link] [DOI:10.1111/medu.12152] [PMID]
7. Wildman-Tobriner B, Allen BC, Bashir MR, Camp M, Miller C, Fiorillo LE, et al. Structured reporting of CT enterography for inflammatory bowel disease: Effect on key feature reporting, accuracy across training levels, and subjective assessment of disease by referring physicians. Abdom Radiol. 2017;42(9):2243-50. [Link] [DOI:10.1007/s00261-017-1136-1] [PMID]
8. Hussein R, Engelmann U, Schroeter A, Meinzer HP. DICOM structured reporting: Part 2, problems and challenges in implementation for PACS workstations. Radiographics. 2004;24(3):897-909. [Link] [DOI:10.1148/rg.243035722] [PMID]
9. Kuhn K, Gaus W, Wechsler JG, Janowitz P, Tudyka J, Kratzer W, et al. Structured reporting of medical findings: Evaluation of a system in gastroenterology. Methods Inf Med. 1992;31(4):268-74. [Link] [DOI:10.1055/s-0038-1634885]
10. Atlas MC, Smigielski EM, Wulff JL, Coleman MT. Case studies from morning report. Med Ref Serv Q. 2003;22(3):1-14. [Link] [DOI:10.1300/J115v22n03_01] [PMID]
11. Ramratnam B, Kelly G, Mega A, Tilkemeier P, Schiffman FJ. Determinants of case selection at morning report. J Gen Intern Med. 1997;12(5):263-6. [Link] [DOI:10.1007/s11606-006-5061-1]
12. Yazdani S, Arab M, Hosseini F, Mansouri B, Yaghmaei M, Khoshgoftar Z, et al. Evaluation of the structure of morning report sessions of the wards of type one educational hospitals and comparison with announced standards of the ministry of health and medical education. Qom Univ Med Sci J. 2013;7(1):43-50. [Persian] [Link]
13. Ahmadian L, Cornet R, Kalkman C, De Keizer NF. Development of a national core dataset for preoperative assessment. Methods Inf Med. 2009;48(2):155-61. [Link] [DOI:10.3414/ME9218] [PMID]
14. Razavi SM, Shahbaz Ghazvini S, Dabiran S. Students' benefit rate from morning report sessions and its related factors in Tehran university of medical sciences. Iran J Med Educ. 2012;11(7):798-806. [Persian] [Link]
15. Banks DE, Shi R, Timm DF, Christopher KA, Duggar DC, Comegys M, et al. Decreased hospital length of stay associated with presentation of cases at morning report with librarian support. J Med Libr Assoc. 2007;95(4):381-7. [Link] [DOI:10.3163/1536-5050.95.4.381] [PMID] [PMCID]
16. Reilly B, Lemon M. Evidence-based morning report: A popular new format in a large teaching hospital. Am J Med. 1997;103(5):419-26. [Link] [DOI:10.1016/S0002-9343(97)00173-3]
17. Farhadifar F, Bahrami M, Yousefi F, Farazi E, Bahrami A. Comparative study of morning report in conventional & evidence based medicine forms, from the viewpoint of medical students. Res Med Educ. 2016;8(1):47-56. [Persian] [Link] [DOI:10.18869/acadpub.rme.8.1.47]
18. Rabiei M, Saeidi M, Kiani MA, Mohebi Amin S, Ahanchian H, Jafari SA, et al. Selecting the patients for morning report sessions: Case-based vs. conventional method. Electron Physician. 2015;7(4):1163-7. [Persian] [Link]
19. Hosseini A, Moghaddasi H, Jahanbakhsh M. Designing minimum data sets of diabetes mellitus: Basis of effectiveness indicators of diabetes management. Health Inf Manag. 2010;7(3):330-40. [Persian] [Link]
20. Kanegaye JT, Cheng JC, Ian McCaslin R, Trocinski D, Silva PD. Improved documentation of wound care with a structured encounter form in the pediatric emergency department. Ambul Pediatr. 2005;5(4):253-7. [Link] [DOI:10.1367/A04-196R.1] [PMID]
21. Johnson AJ, Chen MYM, Swan JS, Applegate KE, Littenberg B. Cohort study of structured reporting compared with conventional dictation. Radiology. 2009;253(1):74-80. [Link] [DOI:10.1148/radiol.2531090138] [PMID]
22. Marcovici PA, Taylor GA. Journal club: Structured radiology reports are more complete and more effective than unstructured reports. AJR Am J Roentgenol. 2014;203(6):1265-71. [Link] [DOI:10.2214/AJR.14.12636] [PMID]
23. Schwartz LH, Panicek DM, Berk AR, Li Y, Hricak H. Improving communication of diagnostic radiology findings through structured reporting. Radiology. 2011;260(1):174-81. [Link] [DOI:10.1148/radiol.11101913] [PMID] [PMCID]
24. Bosmans JML, Peremans L, Menni M, De Schepper AM, Duyck PO, Parizel PM. Structured reporting: If, why, when, how-and at what expense? results of a focus group meeting of radiology professionals from eight countries. Insights Imaging. 2012;3(3):295-302. [Link] [DOI:10.1007/s13244-012-0148-1] [PMID] [PMCID]
25. Shortliffe EH. Biomedical informatics: The science and the pragmatics. In: Shortliffe EH, Cimino JJ. Biomedical informatics. London: Springer; 2014. [Link] [DOI:10.1007/978-1-4471-4474-8]
26. Ganeshan D, Duong PAT, Probyn L, Lenchik L, McArthur TA, Retrouvey M, et al. Structured Reporting in Radiology. Acad Radiol. 2018;25(1):66-73. [Link] [DOI:10.1016/j.acra.2017.08.005] [PMID]
27. Wrenn K, Rodewald L, Lumb E, Slovis C. The use of structured, complaint-specific patient encounter forms in the emergency department. Ann Emerg Med. 1993;22(5):805-12. [Link] [DOI:10.1016/S0196-0644(05)80796-6]
28. Khorasani P, Rassouli M, Zagheri-Tafreshi M, Parvizy S, Nasr Esfahani M. Development and evaluation of patient education record for structured documentation of patient education process. J Health Promot Manag. 2014;3(4):1-16. [Persian] [Link]
29. Yazdani S, Arab M, Noghabaei G, Hosseini F. Quality dimensions of educational morning report sessions; short communication. J Med Edu. 2015;14(2):81-5. [Persian] [Link]
30. Kassab MKI, Abu-Naser SS, Al Shobaki MJ. An analytical study of the reality of electronic documents and electronic archiving in the management of electronic documents in the palestinian pension agency (PPA). Eur Acad Res. 2017;4(12):10052-102. [Link]
31. Poon AD, Fagan LM. PEN-Ivory: The design and evaluation of a pen-based computer system for structured data entry. Proc Annu Symp Comput Appl Med Care. 1994;447-51. [Link]
32. Bush RA, Kuelbs C, Ryu J, Jiang W, Chiang G. Structured data entry in the electronic medical record: perspectives of pediatric specialty physicians and surgeons. J Med Syst. 2017;41(5):75. [Link] [DOI:10.1007/s10916-017-0716-5] [PMID] [PMCID]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |