B J Myren1, R P M G Hermens2, J J Koksma3, S Bastiaans4, J A de Hullu5, P L M Zusterzeel6. 1. Department of Gynaecology and Obstetrics, Radboud University Medical Centre, Geert Grooteplein Zuid 10, 6500 HB Nijmegen, the Netherlands. Electronic address: britt.myren@radboudumc.nl. 2. IQ Healthcare, Radboud University Medical Centre, the Netherlands. Electronic address: rosella.hermens@radboudumc.nl. 3. Health Academy, Radboud University Medical Centre, Nijmegen, the Netherlands. Electronic address: jur.koksma@radboudumc.nl. 4. Radboud University Medical Centre, Nijmegen, the Netherlands. Electronic address: sarah.bastiaans@radboudumc.nl. 5. Department of Gynaecology and Obstetrics, Radboud University Medical Centre, Geert Grooteplein Zuid 10, 6500 HB Nijmegen, the Netherlands. Electronic address: joanne.dehullu@radboudumc.nl. 6. Department of Gynaecology and Obstetrics, Radboud University Medical Centre, Geert Grooteplein Zuid 10, 6500 HB Nijmegen, the Netherlands. Electronic address: petra.zusterzeel@radboudumc.nl.
Abstract
OBJECTIVES: Morbidity and mortality meetings (M&MMs) at surgical departments may improve when patients participate, leading to different learning points. A gynecological oncology department invited patients to join their M&MMs. The practical constraints and experiences important from the perspective of patients and their healthcare professionals were evaluated. METHODS: Semi-structured interviews were conducted with patients and professionals who attended M&MMs at a gynecological oncology department between 2016 and 2018. The interviews were transcribed and coded and thematic content analysis was performed. RESULTS: Eight patients and 17 healthcare professionals participated. Eleven themes related to interpersonal dynamics. The five shared themes are: patient-doctor relationship, language, openness of communication, learning and personal impact. All participants suggested maintaining the new practical design of the M&MMs. CONCLUSIONS: Patients and healthcare professionals valued patient participation in the M&MMs. Patient participation is possible when professionals are open to discussing and learning from adverse events (AEs). In this setting, patients feel that they are taken seriously and gain a better understanding of the course of an AE. PRACTICE IMPLICATIONS: Involving patients in M&MMs led to new insights, better understanding, and improved processing of AEs. Collaborating with patients and using their feedback seems to be effective when developing innovations in healthcare.
OBJECTIVES: Morbidity and mortality meetings (M&MMs) at surgical departments may improve when patients participate, leading to different learning points. A gynecological oncology department invited patients to join their M&MMs. The practical constraints and experiences important from the perspective of patients and their healthcare professionals were evaluated. METHODS: Semi-structured interviews were conducted with patients and professionals who attended M&MMs at a gynecological oncology department between 2016 and 2018. The interviews were transcribed and coded and thematic content analysis was performed. RESULTS: Eight patients and 17 healthcare professionals participated. Eleven themes related to interpersonal dynamics. The five shared themes are: patient-doctor relationship, language, openness of communication, learning and personal impact. All participants suggested maintaining the new practical design of the M&MMs. CONCLUSIONS:Patients and healthcare professionals valued patient participation in the M&MMs. Patient participation is possible when professionals are open to discussing and learning from adverse events (AEs). In this setting, patients feel that they are taken seriously and gain a better understanding of the course of an AE. PRACTICE IMPLICATIONS: Involving patients in M&MMs led to new insights, better understanding, and improved processing of AEs. Collaborating with patients and using their feedback seems to be effective when developing innovations in healthcare.
Keywords:
Healthcare quality improvement; Learning; Morbidity and mortality meeting; Open communication; Patient participation; Patient-centered care, qualitative research