morbidity and mortality conference

Emergency medicine residents at 33 programs across the United States were surveyed using questions adapted from a previously tested survey of EM program directors and the Agency for Healthcare Research and Quality (AHRQ) Culture of Safety Survey. We were interested in diversity across programs and M&M structures, which we achieved. 69: 58-62, 10. [ 9 ] In 2010, 186 conferences were held at the main campus, while 68 were at satellite sites; and involved a total of 236 Continuing Medical Education (CME) hours. series, 2 observers prospectively attended 24 M&MCs involving 146 cases over a 6-month period (2007 to 2008). M&M = morbidity and mortality conference. Whereas efforts to eliminate errors and adverse events continue, it has long been acknowledged in healthcare, as well as in other industries, that organisations can and should learn from them. Scores on the composite of the four domains across residency sites ranged from 42.9% to 82.0% (median = 61.1%). Summary: In Internal Medicine, 10% of the time at M&MCs was devoted to a discussion of AE/suspected errors, while in the surgical subspecialties, discussion focused on AE about 24% of the time. found a much higher 28.3% incidence (182 of 643) of neurosurgical AE over a 2-year period [ Table 2 ]. Summary: In one institution, teleconferencing increased the median attendance by 5 attendings/conference at the main campus, 2 at the satellite campus, saved between $96.70 and $193.60/per faculty/conference, and an average of 73.1 hours of physician travel time annually [ Table 2 ]. Rush et al. If you do not receive an email within 10 minutes, your email address may not be registered, 2012. Is there a method for anonymous case submission to M&M? Tad-Y DB, Pierce RG, Pell JM, Stephan L, Kneeland PP, Wald HL. <> Mortality And Morbidity Conference Dr. Meenakshi Aggarwal PGY2 Emory University Family Medicine * * * * * * * * The first patient with this syndrome was seen in 1986. © Copyright Surgical Neurology International. The proceedings are generally kept confidential by law. Surg Neurol Int 26-Nov-2012;3:. Morbidity and mortality conference is an important didactic tool in residency and an ACGME requirement. In New Jersey, the administrative code required departments of anesthesia, and Long Term Acute Hospitals, to have M&MCs, while in New York State, regional trauma centers were required to have QA that included M&M [ Table 2 ]. This is concerning from hospitals’ perspective as PSRSs are a critical tool to determine risks across the institution and attempt to address them. Ethics J Am Med Assoc. HHS share. Additionally, physicians considered M&M more important for improving the quality and safety of care delivered in a more cohesive ‘team’ fashion [ Table 2 ]. This site needs JavaScript to work properly. Putting the heat back into radiology morbidity and mortality conferences. Assessment of M&M data yielded a 23% retrospective vs. 87% prospective perioperative morbidity rate; 822 of 942 patients exhibited at least ‘one documented complication,’ 39% of which prolonged the LOS [ Table 2 ]. The full text of this article hosted at iucr.org is unavailable due to technical difficulties. Participation primarily involved senior physicians (87.7% of those present), and to a lesser degree residents (32.6% of those present), but rarely ‘paramedical professionals and other attendees.’ Notably, these percentages varied for different departments. 10: 89-95, 6. also corroborated that these conferences are aimed to ‘improve practice through the examination of medical errors and bad outcomes,’ are held primarily in departments of anesthesia and surgery, but on a very ‘limited’ basis for internal medicine. Studies comparing the accuracy of prospective vs. retrospective collection of M&M data were reviewed along with the medicolegal issues surrounding the protection of M&M data (‘nondiscovery’). Summary: In a general surgical department, for data collected retrospectively, mortality (0.9%) (53/5905 patients) and morbidity rates (6.4%) were low, while those collected prospectively were higher: mortality rate of 1.9% (28/1439 patients) and morbidity rate of 28.9% recommending ACS-NSQIP platform [ Table 2 ]. [2][4], The results of a survey that endeavored to study the relevance and traits of morbidity and mortality conferences (M&MCs) in the spring of 1998 indicate that 90% of U.S. internal medicine training programs hold M&MCs. Ann Fr Anesth Reanim. 290: 2838-42. They are particularly important for identifying systems issues (e.g., outdated policies, changes in patient identification procedures, arithmetic errors, etc.) The FPR documents were assessed by the chairman, were presented at monthly M&MCs, and resulted in ‘no action to termination.’ This study involved 1646 cases out of 300,000 studies reviewed by 31 radiologists. Although the authors accepted the conferences as a teaching tool, they found no clear-cut impact on quality improvement.

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