Literature DB >> 30693745

Quantifying recall bias in surgical safety: a need for a modern approach to morbidity and mortality reviews

Hamad Alsubaie1, Mitchell Goldenberg1, Teodor Grantcharov1.   

Abstract

Background: Despite recent investments into reducing errors and adverse events in health care, methods for quality improvement in surgery are outdated and ineffective. Most current efforts in this field are centred around morbidity and mortality conferences (MMCs), which have remained unchanged for over 100 years. The present study aimed to quantify the recall bias associated with details from surgical cases.
Methods: We gathered immediate postoperative questionnaires from 1 surgeon, 1 fellow and 11 trainees following 25 routine surgical cases. Information elicited included their perceived level of concentration, mental preparedness and assessment of whether the procedure deviated from its expected course, including any intraoperative adverse events. We readministered the questionnaire 7−9 days later to assess participants’ ability to recall important aspects of the procedure.
Results: After 1 week, members of the surgical team were universally inaccurate in their recollection of even major details from the operating room. Although most participants felt mentally prepared and perceived no issues with concentration during the case, all participants misclassified operations as having been performed with or without adverse events in almost every included case.
Conclusion: Our findings show that recall bias regarding surgical safety events is exceedingly common. This likely has a major impact on the integrity of data presented at MMCs.
© 2019 Joule Inc. or its licensors

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Year:  2019        PMID: 30693745      PMCID: PMC6351262          DOI: 10.1503/cjs.017317

Source DB:  PubMed          Journal:  Can J Surg        ISSN: 0008-428X            Impact factor:   2.089


  15 in total

1.  Operative notes do not reflect reality in laparoscopic cholecystectomy.

Authors:  L S G L Wauben; W M U van Grevenstein; R H M Goossens; F H van der Meulen; J F Lange
Journal:  Br J Surg       Date:  2011-06-01       Impact factor: 6.939

2.  SBAR M&M: a feasible, reliable, and valid tool to assess the quality of, surgical morbidity and mortality conference presentations.

Authors:  Erica L Mitchell; Dae Y Lee; Sonal Arora; Karen L Kwong; Timothy K Liem; Gregory L Landry; Gregory L Moneta; Nick Sevdalis
Journal:  Am J Surg       Date:  2011-11-16       Impact factor: 2.565

3.  Optimal recall periods for patient-reported outcomes: challenges and potential solutions.

Authors:  Donald E Stull; Nancy Kline Leidy; Bhash Parasuraman; Olivier Chassany
Journal:  Curr Med Res Opin       Date:  2009-04       Impact factor: 2.580

4.  Measuring postoperative complications in general surgery patients using an outcomes-based strategy: comparison with complications presented at morbidity and mortality rounds.

Authors:  L Feldman; J Barkun; A Barkun; J Sampalis; L Rosenberg
Journal:  Surgery       Date:  1997-10       Impact factor: 3.982

5.  Characterising 'near miss' events in complex laparoscopic surgery through video analysis.

Authors:  Esther M Bonrath; Lauren E Gordon; Teodor P Grantcharov
Journal:  BMJ Qual Saf       Date:  2015-05-06       Impact factor: 7.035

6.  Improving the quality of the surgical morbidity and mortality conference: a prospective intervention study.

Authors:  Erica L Mitchell; Dae Y Lee; Sonal Arora; Pat Kenney-Moore; Timothy K Liem; Gregory J Landry; Gregory L Moneta; Nick Sevdalis
Journal:  Acad Med       Date:  2013-06       Impact factor: 6.893

7.  Using Data to Enhance Performance and Improve Quality and Safety in Surgery.

Authors:  Mitchell G Goldenberg; James Jung; Teodor P Grantcharov
Journal:  JAMA Surg       Date:  2017-10-01       Impact factor: 14.766

8.  Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care.

Authors:  Yue-Yung Hu; Alexander F Arriaga; Emilie M Roth; Sarah E Peyre; Katherine A Corso; Richard S Swanson; Robert T Osteen; Pamela Schmitt; Angela M Bader; Michael J Zinner; Caprice C Greenberg
Journal:  Ann Surg       Date:  2012-08       Impact factor: 12.969

9.  Morbidity and Mortality Conference: Its Purpose Reclaimed and Grounded in Theory.

Authors:  Alexander Gregor; David Taylor
Journal:  Teach Learn Med       Date:  2016-06-10       Impact factor: 2.414

10.  Teaching M&M rounds skills: enhancing and assessing patient safety competencies using the Ottawa M&M model.

Authors:  Shawn E Mondoux; Jason R Frank; Edmund S H Kwok; A Adam Cwinn; A Curtis Lee; Lisa A Calder
Journal:  Postgrad Med J       Date:  2016-04-04       Impact factor: 2.401

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  2 in total

1.  From box ticking to the black box: the evolution of operating room safety.

Authors:  Mitchell G Goldenberg; Dean Elterman
Journal:  World J Urol       Date:  2019-07-30       Impact factor: 4.226

Review 2.  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
  2 in total

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