A Report Card System Using Error Profile Analysis and Concurrent Morbidity and Mortality Review: Surgical Outcome Analysis, Part II

2009 ◽  
Vol 153 (1) ◽  
pp. 95-104 ◽  
Author(s):  
Anthony C. Antonacci ◽  
Steven Lam ◽  
Valentina Lavarias ◽  
Peter Homel ◽  
Roland A. Eavey
2006 ◽  
Vol 72 (11) ◽  
pp. 1070-1081
Author(s):  
Michael A. Goldfarb ◽  
Thomas Baker

In this article, a reproducible process for presenting, analyzing, and reducing early and late surgical morbidity and mortality (M&M) is detailed. All M&M cases presented from 1998 through 2005 at Monmouth Medical Center were categorized. Residents and nurses were empowered to report the complications. The five major categories were overwhelming disease on admission, delays in treatment, diagnostic or judgment complications, treatment complications, and technical complications. From the 53,541 operations performed over 8 years, 714 patients were presented, which included 147 deaths and 1,132 category entries. The most common problems were technical complications in 474 (66.4%) patients. The data have generated actionable solutions, many with low barriers to adoption, resulting in safer, less expensive surgical management. Surgical outcome benchmarks have been established and are used for credentialing surgeons. The “Hostile Abdomen Index” has been developed to assess the safest choice for abdominal operative access, pre- and intraoperatively. We explained the real-time process that generated solutions for the entire department as well as changes relevant to residency training and individual operative techniques.


2003 ◽  
Vol 237 (6) ◽  
pp. 844-852 ◽  
Author(s):  
John A. Morris ◽  
Ysela Carrillo ◽  
Judith M. Jenkins ◽  
Philip W. Smith ◽  
Sandy Bledsoe ◽  
...  

2017 ◽  
Vol 32 (11) ◽  
pp. e2933 ◽  
Author(s):  
Wanchao Chen ◽  
Yiping Du ◽  
Feiyu Zhang ◽  
Ruoqiu Zhang ◽  
Boyang Ding ◽  
...  

1981 ◽  
Vol 53 (2) ◽  
pp. 349-350 ◽  
Author(s):  
A. Macneill Horton ◽  
Nancy R. Howe

The present case illustrates the application of behavioral modification methodology with a traumatically brain-injured adult. Such a treatment regime utilizing a report-card system and a response-cost procedure was implemented to decrease behaviors of using foul language and biting staff members. Dramatic improvement was demonstrated.


1987 ◽  
Vol 15 (1) ◽  
pp. 71-73
Author(s):  
Robert N. Gibson ◽  
I. Peter Hicks
Keyword(s):  

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