Utilization of morning report by acute care surgery teams: results from a qualitative study
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UMass Chan Affiliations
School of MedicineDepartment of Quantitative Health Sciences
Department of Surgery
Document Type
Journal ArticlePublication Date
2013-11-01Keywords
CommunicationFaculty, Medical
*General Surgery
Humans
Information Dissemination
Internship and Residency
Interviews as Topic
*Patient Care Team
Quality Improvement
Sampling Studies
*Surgery Department, Hospital
Teaching Rounds
United States
UMCCTS funding
Health Services Administration
Medical Education
Surgery
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Show full item recordAbstract
BACKGROUND: The rigor of handoffs is increasingly scrutinized in the era of shift-based patient care. Acute care surgery (ACS) embraced such a model of care; however, little is known about handoffs in ACS programs. METHODS: Eighteen open-ended interviews were conducted with ACS leaders representing diverse geographic and practice settings. Two independent reviewers analyzed interviews using an inductive approach to elucidate themes regarding use of morning report (using NVivo qualitative analysis software). RESULTS: Twelve of 18 respondents reported using morning report, but only 6 of 12 included attending surgeon-to-attending surgeon handoffs. One of 12 incentivized attending surgeons to participate, 2 of 12 included nursing staff members, and 2 of 12 included physician extenders. Cited benefits of morning report were safe and effective information exchange (2 of 12), quality improvement (2 of 12), multidisciplinary discussion (1 of 12), and resident education (2 of 12). Three of 12 respondents cited time commitment as the main limitation of morning report. CONCLUSIONS: Morning report is underused among ACS programs; however, if implemented strategically, it may improve patient care and resident education.Source
Pringle PL, Collins C, Santry HP. Utilization of morning report by acute care surgery teams: results from a qualitative study. Am J Surg. 2013 Nov;206(5):647-54. doi: 10.1016/j.amjsurg.2013.07.012. Link to article on publisher's site
DOI
10.1016/j.amjsurg.2013.07.012Permanent Link to this Item
http://hdl.handle.net/20.500.14038/30070PubMed ID
24157348Related Resources
ae974a485f413a2113503eed53cd6c53
10.1016/j.amjsurg.2013.07.012