Development of a structured model in obstetrics and gynecology to improve the quality of morning report information

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 educational hospital in Emam Reza Kermanshah Iran in ۲۰۲۴. After investigating the current status of MR sessions, the content of ۱۲۰ 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 ۲۰۱۰ software was used for the analysis of the results. Findings All studied MR samples were found unstructured in content. From ۱۲۰ collected samples, ۵۸ 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, ۱۱ 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.

کلیدواژه ها:

Morning Report ، Medical Education ، Obstetrics ، Gynecology ، Iran