Are Forensic Reports More Complete During Night Shifts? A Retrospective Study from a Secondary Hospital in Türkiye

Association between Shift and Forensic Reports Completeness

Abstract

Backgound: This study aimed to evaluate the completeness of forensic medical reports prepared in the emergency department and to investigate how documentation rates vary according to shift hours (in-hours vs. out-of-hours) and the presence of life-threatening conditions. The goal was to identify shortcomings in forensic reporting practices and to provide insights for improving the quality and consistency of medico-legal documentation.

Materials and Methods: This retrospective, single-center study was conducted in the emergency department of a secondary-level hospital in Sinop, Türkiye. Forensic cases admitted between May 1 and August 1, 2019, were analyzed. Data on patient demographics, shift hours (in-hours vs. out-of-hours), and completeness of various sections of forensic reports were collected and compared.

Results: A total of 311 forensic cases were included. Reports prepared during out-of-hours shifts had significantly higher completion rates in multiple sections, including complaints, past medical history, psychiatric evaluation, performed tests, and body diagrams. Patients without life-threatening conditions had more complete documentation in past medical history and psychiatric sections, while simple medical intervention notes were more frequently completed in life-threatening cases.

Conclusions: Shift hours significantly affect the completeness of forensic reports, with better documentation observed during out-of-hours shifts. Life-threatening conditions may reduce the thoroughness of documentation in certain report sections. Improving training and standardizing report protocols may enhance report quality across all settings and times.