Evaluation of Morning Report Sessions in an Emergency Department of a Military Hospital According to the Ministry of Health Standards in 2015

Document Type : Original Research

Authors

1 Assistant Professor of Critical Care Medicine, Department of Critical Care Medicine, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 Social Development and Health Promotion Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran

Abstract

Background and Aim: As a huge step in the consideration of standardization of clinical medical education in the country, determining the standards of outpatients’ clinics, teaching round, ground round, morning reports and journal clubs was done and formally announced by the Ministry of Health and Medical Education. The present research was conducted with the aim of studying the structure of morning report sessions of the emergency department (ED) of a military hospital. The present condition was announced according to 54 standards related to morning reports.
Methods: This cross-sectional study was conducted in an emergency department of a military hospital (n=48) in 2015 in order to evaluate morning reports by using three checklists. These checklists included observed by residents (1), structured interviews with educational assistants or head of departments (2) and senior assistant (3) as well as documentation reviews. The final score and the percentage of mandatory and preferred standards were determined and announced.
Results: In the emergency department of a military hospital, 48 morning reports were evaluated, with an average score of 89.5% of the mandatory standard and 45.7% of preferred standards. In the ED of Imam Hossein hospital, 3 out of 19 mandatory standards and 20 out of 35 preferred standards were not covered. Overall, the mean total scores of all standards of morning reports in the emergency department of a military hospital was 63.5%.
Conclusion: The results of this study showed that the general structure of morning reports in the studied emergency department of a military hospital was appropriate. This is while, all the standards of morning reports in emergency departments of a military hospital needs to promote. It is suggested that in order to achieve all the needed standards, the experiences and suggestions of hospital administrators must be considered.

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