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.

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