Abstract:
CONTEXT:The primary goal of discussing patient cases during the morning report is to teach appropriate clinical decision making. In addition, the selection of the best diagnostic strategy and application of evidence-based patient care are important. Reducing hospital costs is fundamental to controlling inflation in health care costs, especially in university hospitals that are subject to budget constraints in developing countries. The goal of this study was to explore the effect of morning report case presentation on length of stay (LoS) and hospitalisation costs in a university teaching hospital. METHODS:A total of 54 patients whose cases had been presented at morning report sessions in the department of internal medicine during a 3-month period (presented group) were selected and their medical records reviewed for data on final diagnosis, hospital LoS and detailed hospital costs. A control group of 104 patients, whose cases had not been presented, were selected on the basis that their final diagnoses matched with those of the presented group. In addition, the groups were matched for age, sex, occupation, comorbidities and insurance coverage. Final diagnoses were based on International Classification of Disease 10 (ICD-10) diagnostic code criteria. RESULTS:The mean ± standard deviation (SD) hospital LoS was 8.32 ± 4.11 days in the presented group and 10.46 ± 4.92 days in the control group (p = 0.045). Mean ± SD hospitalisation costs per patient were significantly lower in the presented group (US$553.43 ± 92.16) than the control group (US$1621.93 ± 353.14) (p = 0.004). Although costs for paraclinical services were similar, there were very significant reductions in costs for medications used during hospitalisation and bed-days (p = 0.002). CONCLUSIONS:Discussing clinical aspects of patient cases in morning report sessions facilitates the management process and has a significant effect on LoS and hospitalisation costs in patients admitted to hospital.
journal_name
Med Educjournal_title
Medical educationauthors
Boushehri E,Khamseh ME,Farshchi A,Aghili R,Malek M,Ebrahim Valojerdi Adoi
10.1111/medu.12152subject
Has Abstractpub_date
2013-07-01 00:00:00pages
711-6issue
7eissn
0308-0110issn
1365-2923journal_volume
47pub_type
杂志文章abstract::At the University of Queensland all medical students in their fifth year rotate through a 2-week attachment to a general practitioner tutor as part of the course in community practice. As a means of learning from this experience each student records information in a log diary on seventy-five consecutive patients seen,...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1984.tb00976.x
更新日期:1984-03-01 00:00:00
abstract::Medical practice and medical education are undergoing revolutionary changes all over the world. Even though the denominators of change are usually viewed at national and institutional levels, global trends also play an important role, and international co-operation is needed now, more than ever. Thailand with its rapi...
journal_title:Medical education
pub_type: 历史文章,杂志文章
doi:10.1111/j.1365-2923.1996.tb00858.x
更新日期:1996-11-01 00:00:00
abstract:CONTEXT:The explicit, intentional and systematic application of continuous quality improvement (QI) in medical education practice and research can improve medical education and help it achieve its goals. Quality improvement and medical education share a foundation centred on learning-experiencing, reflecting, thinking ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.14351
更新日期:2021-01-01 00:00:00
abstract::The development and maintenance of expertise in any domain requires extensive, sustained practice of the necessary skills. However, the quantity of time spent is not the only factor in achieving expertise; the quality of this time is at least as important. The development and maintenance of expertise requires extensiv...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2001.00831.x
更新日期:2001-01-01 00:00:00
abstract::Undergraduate medical education in Britain has been in a state of change since before the introduction of the National Health Service. Since then the changes in the General Medical Councils's recommendations concerning the medical curriculum (1947, 1957, 1967) have accompanied attention to curricular content, and the ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1976.tb01484.x
更新日期:1976-09-01 00:00:00
abstract:BACKGROUND:The assessment of clinical procedural skills has traditionally focused on technical elements alone. However, in real practice, clinicians are expected to be able to integrate technical with communication and other professional skills. We describe an integrated procedural performance instrument (IPPI), where ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2006.02612.x
更新日期:2006-11-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13683
更新日期:2018-11-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2012.04332.x
更新日期:2012-10-01 00:00:00
abstract:OBJECTIVES:The attitudes towards the basic sciences of medical students enrolled in either of 2 different curricula at the University of Utrecht Medical School in The Netherlands were investigated. The purpose of this study was threefold: first, to compare students (beginning clerks) in a conventional and an innovative...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2002.01371.x
更新日期:2002-12-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1998.00153.x
更新日期:1998-01-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2002.01152.x
更新日期:2002-03-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12832
更新日期:2015-12-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2005.02335.x
更新日期:2005-12-01 00:00:00
abstract:INTRODUCTION:Learning to value ethnic diversity is the appreciation of how variations in culture and background may affect health care. It involves acknowledging and responding to an individual's culture in its broadest sense. This requires learning the skills to negotiate effective communication, a heightened awarenes...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1999.00474.x
更新日期:1999-08-01 00:00:00
abstract::The hypothesis that the stressful nature of medical training is a major cause of impairment of doctors is explored in this study by examining whether changes in psychological adjustment occur during the first year, the first year is stressful, and sex differences in psychological adjustment or stress occur. All first-...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1985.tb01350.x
更新日期:1985-11-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2000.00690.x
更新日期:2000-05-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2000.00575.x
更新日期:2000-02-01 00:00:00
abstract:OBJECTIVES:Although peer-assisted learning (PAL) is widely employed throughout medical education, its effectiveness for training in technical procedures in skills laboratories has been subject to little systematic investigation. We conducted a prospective, randomised trial to evaluate the hypotheses that PAL is effecti...
journal_title:Medical education
pub_type: 杂志文章,随机对照试验
doi:10.1111/j.1365-2923.2008.03252.x
更新日期:2009-02-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2001.00766.x
更新日期:2001-03-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1991.tb00044.x
更新日期:1991-03-01 00:00:00
abstract::A 63-item questionnaire on attitudes to psychosocial issues in medicine was administered to final-year students in the Faculties of Medicine (n = 104), Pharmacy (n = 57) and Arts and Social Sciences (n = 75) of the University of Benin. The responses given were analysed by the summation and Cornell scalogram techniques...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1995.tb02848.x
更新日期:1995-07-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1998.00219.x
更新日期:1998-07-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2929.2004.01812.x
更新日期:2004-05-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2005.02343.x
更新日期:2006-01-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
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更新日期:1997-03-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
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更新日期:2018-12-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
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更新日期:2011-09-01 00:00:00
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journal_title:Medical education
pub_type: 历史文章,杂志文章
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更新日期:1989-11-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
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更新日期:1997-05-01 00:00:00
abstract::A new computerized system for the allocation of pre-registration house-officer appointments to medical graduates at the Welsh National School of Medicine is described. The need to withdraw an earlier system, used through much of the 1970s, is explained, and the advantages possessed by the new system are discussed. ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1982.tb01253.x
更新日期:1982-07-01 00:00:00