Medical morbidity and mortality conferences: past, present and future

2016 ◽  
Vol 93 (1097) ◽  
pp. 148-152 ◽  
Author(s):  
J George
2012 ◽  
Vol 4 (4) ◽  
pp. 438-444 ◽  
Author(s):  
Jed D. Gonzalo ◽  
Julius J. Yang ◽  
Grace C. Huang

Abstract Background Following the Accreditation Council for Graduate Medical Education recommendations in 1999 to foster education in the systems-based practice (SBP) competency by examining adverse clinical events, institutions have modified the morbidity and mortality conference (MMC) to increase SBP-related discussion. We sought to examine the extent to which SBP-related content has increased in our department's MMCs compared with MMCs 10 years prior. Method We qualitatively analyzed audio recordings of our MMCs during 2 academic years, 1999–2000 (n  =  30) and 2010–2011 (n  =  30). We categorized comments and questions from moderators and faculty as SBP or non-SBP and characterized conferences by whether adverse events were presented and which systems issues were discussed. Results Compared with MMCs in 1999–2000, present-day MMCs included a greater average percentage of SBP comments stated (69% versus 12%; P ≤ .001) and questions asked (13% versus 1%; P  =  .001) by the moderator, SBP comments stated (44% versus 4%; P ≤ .001) and questions asked (19% versus 1%; P ≤ .001) by faculty, and were more likely to present adverse events (87% versus 13%; P < .001). Interrater reliability for the distinction between SBP and non-SBP content was good (κ  =  0.647). Most common categories of systems issues discussed in 2010–2011 were critical laboratory value processing and reporting, institutional policies, and hospital-based factors. Conclusions Over the past decade, our MMC has transformed to include more discussion of SBP-related content and adverse events. The MMC can be used to educate residents in SBP and can also serve as a cornerstone for departmental quality and safety initiatives.


2017 ◽  
Vol 136 (6) ◽  
pp. 583-593 ◽  
Author(s):  
D. M. Blumberger ◽  
D. P. Seitz ◽  
N. Herrmann ◽  
J. G. Kirkham ◽  
R. Ng ◽  
...  

JAMA Surgery ◽  
2017 ◽  
Vol 152 (12) ◽  
pp. 1178
Author(s):  
Joshua D. Rouch ◽  
Aaron J. Dawes ◽  
Kent Garber ◽  
Biayna Sukhudyan ◽  
Shant Shekherdimian

2020 ◽  
Vol 30 (3) ◽  
Author(s):  
Berhanetsehay Teklewold ◽  
Tilahun Deresse ◽  
Goytom Kinfe ◽  
Henok Teshome

BACKGROUND: Morbidity and mortality conference has both educational and quality improvement purposes. However clear evidences for the effectiveness of the morbidity and mortality conferences in improving patient safety is lacking.METHODS: A facility based cross sectional study was conducted at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia, to assess participants’ opinion on benefits and functioning of morbidity and mortality conferences. Univariate analysis was used to determine the influence of professional type on participants’ opinion about the morbidity and mortality conferences.RESULT: A total of 98 participants completed the survey. The majority of the participants agreed that there was a structured system of case identification (67.3%), meeting format (72.4%), the conferences were conducted every month (79.6%), it is blame free (71.4%) and system of care was focus of discussion (70%). Most (88.8%) participants agreed that the conferences were important for improvement of patient safety and quality of care, whereas 67.3% of the participants believed that there is no written term of reference and prior dissemination of agendas. Only 40% agreed that there is multidisciplinary team involvement. Fifty one percent of them disagreed that there is a follow up on the implementation of the forwarded recommendations.CONCLUSION: Even though the majority of the participants were satisfied with the mortality and morbidity conferences, most disagreed on the presence of written term of reference, earlier dissemination of agendas, multidisciplinary team involvement and follow up on the implementation of the forwarded recommendations.


2020 ◽  
Vol 77 (5) ◽  
pp. 1069-1075
Author(s):  
Brendan P. Lovasik ◽  
Hannah Rutledge ◽  
Emily Lawson ◽  
Shishir K. Maithel ◽  
Keith A. Delman

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