Literature DB >> 23127791

Increasing reporting of adverse events to improve the educational value of the morbidity and mortality conference.

Terri P McVeigh1, Peadar S Waters, Ruth Murphy, Gerrard T O'Donoghue, Ray McLaughlin, Michael J Kerin.   

Abstract

BACKGROUND: The aim of this study was to investigate the impact of a validated complication proforma on surgical Morbidity and Mortality (M&M) conference reporting. STUDY
DESIGN: The ACS-NSQIP (American College of Surgeons-National Surgical Quality Improvement Program) 30-day complication proforma, when implemented, previously showed a 25% increase in morbidity and a 50% increase in mortality reporting. A pilot study introducing the paper-based proforma was undertaken, collecting prospective M&M data for 2,094 of 2,209 colorectal, upper gastrointestinal, breast, and vascular inpatients (94.7% compliance). A comparative analysis using the proforma vs traditional M&M data collection was used to compare accuracy of M&M data reporting.
RESULTS: There was a 73% increase in morbidities reported using the proforma as compared with M&M reporting (547 vs 316), and an increase of 10.81% (37 vs 41) in the reporting of mortalities. Of those patients with morbidities (n = 278), 70.24% (n = 203) had at least 1 surgical intervention. The median length of stay in patients with morbidities was 12 vs 3 days in those with no morbidities.
CONCLUSIONS: We demonstrated that prospective standardized incident recording provides significantly more accurate assessment of M&M data compared with current reporting methods. This increased accuracy should favorably affect surgical performance indicators and casemix funding.
Copyright © 2013 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

Entities:  

Mesh:

Year:  2012        PMID: 23127791     DOI: 10.1016/j.jamcollsurg.2012.09.010

Source DB:  PubMed          Journal:  J Am Coll Surg        ISSN: 1072-7515            Impact factor:   6.113


  12 in total

1.  Morbidity and mortality conferences in general surgery: a narrative systematic review.

Authors:  Nicholas Slater; Perneet Sekhon; Nori Bradley; Farhana Shariff; Julie Bedford; Heather Wong; Chieh Jack Chiu; Emilie Joos; Chad G Ball; Morad Hameed
Journal:  Can J Surg       Date:  2020-05-08       Impact factor: 2.089

2.  [Content of a weekly morbidity and mortality conference in visceral surgery].

Authors:  W Schwenk; C-W Liu; L Hansen
Journal:  Chirurg       Date:  2018-06       Impact factor: 0.955

3.  Clinical care review systems in healthcare: a systematic review.

Authors:  Laura E Walker; David M Nestler; Torrey A Laack; Casey M Clements; Patricia J Erwin; Lori Scanlan-Hanson; M Fernanda Bellolio
Journal:  Int J Emerg Med       Date:  2018-02-08

4.  Pediatric Surgeon Perceptions of Participation in External Patient Safety Programs: impact on Patient Safety.

Authors:  Loren Berman; Shawn Rangel; KuoJen Tsao
Journal:  Pediatr Qual Saf       Date:  2018-12-06

5.  The Impact of Anonymity in Emergency Medicine Morbidity and Mortality Conferences: Findings from a National Survey of Resident Physicians.

Authors:  Emily L Aaronson; Kathleen Wittels; Richard Dwyer; Eric Nadel; Fiona Gallahue; Olesya Baker; Christopher Fee; Robert Tubbs; Jeremiah Schuur
Journal:  West J Emerg Med       Date:  2019-12-19

Review 6.  Evolving from Morbidity and Mortality to a Case-based Error Reduction Conference: Evidence-based Best Practices from the Council of Emergency Medicine Residency Directors.

Authors:  Yashwant Chathampally; Benjamin Cooper; David B Wood; Gregory Tudor; Michael Gottlieb
Journal:  West J Emerg Med       Date:  2020-10-06

7.  Emergency Medicine Morbidity and Mortality Conference and Culture of Safety: The Resident Perspective.

Authors:  Kathleen Wittels; Emily Aaronson; Richard Dwyer; Eric Nadel; Fiona Gallahue; Christopher Fee; Robert Tubbs; Jeremiah Schuur
Journal:  AEM Educ Train       Date:  2017-05-04

8.  Morbidity and Mortality Conference in Emergency Medicine Residencies and the Culture of Safety.

Authors:  Emily L Aaronson; Kathleen A Wittels; Eric S Nadel; Jeremiah D Schuur
Journal:  West J Emerg Med       Date:  2015-10-22

9.  Electronic Voting to Improve Morbidity and Mortality Conferences.

Authors:  Joel Zindel; Reto M Kaderli; Manuel O Jakob; Michel Dosch; Franziska Tschan; Daniel Candinas; Guido Beldi
Journal:  World J Surg       Date:  2018-11       Impact factor: 3.352

10.  ENT Quality Improvement Program as a tool to improve the collection of morbidity and mortality data: a multisite audit carried out over 6 months.

Authors:  Rachel Edmiston; Rajesh Anmolsingh; Sadie Khwaja; B Nirmal Kumar
Journal:  BMJ Open Qual       Date:  2019-08-12
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