Quantitative evaluation of regular morning meetings aimed at improving work practices associated with effective
Judy Aston1, Edward Shi, Helen Bullôt
1High Dependency Medical/Surgical Unit, Sydney Children's Hospital, Randwick, New South Wales, Australia. judith.aston@sesiahs.health.nsw.gov.au
Insights
Implementing interdisciplinary surgical morning meetings (SMM) improved patient care by enhancing medical reviews, documentation, and discharge planning for children. This structured approach benefits acute-care settings.
Area of Science:
- Pediatric Healthcare
- Hospital Management
- Clinical Communication
Background:
- Communication and work process issues were identified among healthcare professionals caring for children and families.
- A major pediatric hospital introduced an interdisciplinary surgical morning meeting (SMM) in 2000 to address these challenges.
Purpose of the Study:
- To evaluate the impact of the SMM on various work practices within a pediatric ward.
- To assess changes in patient record management and healthcare professional collaboration.
Main Methods:
- A comparative design was employed, collecting pre- and post-intervention data from 100 patient records.
- Data were gathered from the hospital clinical information system, medical records, and incident/complaint reporting systems.
- Inclusion criteria focused on the five most common diagnostic-related groups admitted to the ward.
Main Results:
- Children in the post-SMM group showed significantly higher rates of regular medical review.
- Morning reviews and documented discharge planning were more frequent post-intervention.
- Completion of admission summary sheets at discharge significantly improved.
Conclusions:
- The introduction of structured interdisciplinary surgical morning meetings positively impacted work practices in a pediatric acute-care environment.
- Findings support the implementation of interdisciplinary teams to enhance healthcare delivery in acute settings.
Abstract:
In 2000, an interdisciplinary surgical morning meeting (SMM) was introduced into the infants' and toddlers' ward of a major paediatric hospital to help overcome a number of communication and work process problems among the health professionals providing care to children/families. The objective of this study was to evaluate the impact of the SMM on a range of work practices. Comparative design including pre- and postintervention data collection was used. Data were collected on 100 patient records. Twenty children, from each of the five diagnostic-related groups most commonly admitted to the ward, were included. Demographic, medical review, documentation, critical incidents and complaint variables were obtained from three sources: the hospital clinical information system, the children's medical records and the hospital reporting systems for complaints and critical incidents. Children in the postintervention group were significantly more likely to be reviewed regularly by medical staff, to be reviewed in the morning, to have plans for discharge documented regularly throughout their admission and to have admission summary sheets completed at the time of discharge. The findings of the quantitative evaluation add some weight to the arguments for the purposely structured introduction of interdisciplinary teams into acute-care environments.
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