Evidence for the effectiveness of the morbidity and mortality conferences in improving patient safety is lacking. The national institutes of health consensus development conference on morbidity and mortality of dialysis brought together experts in general medicine, nephrology, pediatrics, biostatistics, and nutrition, as well as a representative of the public, to address the following questions. Most meet monthly, have a designated leader, and entail case discussions of 3 or. Setting single tertiary referral picu in baltimore, maryland. The conference concluded with a list of learning objectives everyone in the room should take to heart so that countless mistakes do not have to be made for the physicians in the room. Transforming the morbidity and mortality conference into. Development of an online morbidity, mortality, and near. A mortality and morbidity conference is part of the hospitals quality assurance protocol. Improving the quality of the surgical morbidity and mortality conference. Department of medicine university of colorado hospital. The morbidity and mortality conference as an adverse event. Characteristics of morbidity and mortality conferences associated with the implementation of patient safety improvement initiatives, an. Pdf transforming the morbidity and mortality conference.
Incorporate basic quality improvement tools, such as fishbone diagramming and process mapping, into their morbidity and mortality. The aim of this survey was to assess the opinion of participants concerning the benefits and the functioning of morbidity and mortality conferences, according to their organizational characteristics. There are many ways to conduct meetings, but it is useful to have some principles. Ahmad yousaf, md, is the 201516 ambulatory chief resident in internal medicine at rutgers new jersey medical school. They have the potential to improve patient outcomes, quality of care, attitudes towards patient safety and they contribute to the education of clinical staff. To remain relevant in modern surgery, the morbidity and mortality conference needs to adopt modern data analytic strategies to identify complications, prioritize clear and concise case presentations, and ensure that discussion from the conference is fed directly to quality improvement teams that are made of frontline providersincluding. Mmwr morbidity and mortality weekly report mmwr august 27, 2010 vol. Mobile device use while driving united states and seven. Recommended guidelines for conducting and reporting. A systems approach to morbidity and mortality conference. Morbidity and mortality conference in emergency medicine residencies and the culture of safety the harvard community has made this article openly available. Isaac tawil md this weekly exercise on tuesdays 121 pm will prove to be one of the most educational and beneficial parts of your didactic curriculum. Identify appropriate teaching cases that can be used for an interactive, patient safety and quality improvementfocused morbidity and mortality conference. Sascha jamesconterelli, dnp, cnm, facnm neel shah, md, mpp, facog.
Morbidity and mortality conference emory school of medicine. Morbidity and mortality in people with serious mental illness 4 i. Morbidity and mortality conference manual pdf relevant publications. Gordons guide to the surgical morbidity and mortality. Worksheet morbidity and mortality conference surgery. Transforming the morbidity and mortality conference into an instrument for systemwide improvement advances in patient safety.
Recent efforts have attempted to make the discussion more evidencebased and. The task force recommends to increase provider education on the impact of health disparities in health outcomes to promote equity in the access to and quality of services provided to all patients. Morbidity and mortality conference in emergency medicine. Morbidity and mortality conference resident names department of family medicine. Known risk factors for road traffic crashes and related injuries and deaths include speed, alcohol, nonuse of restraints, and nonuse of helmets.
Maternal mortality and morbidity task force and department. However, recent evidence reveals that the rate of serious morbidity illness and mortality death in this population has accelerated. They are a mandatory requirement in the united states and should also be attended by all uk surgeons. Death, deterioration and complications may be unavoidable in some patients due to underlying disease processes. Morbidity and mortality conference for percutaneous. Morbidity and mortality meetings to improve patient safety. Morbidity and mortality in people with serious mental illness.
From morbidity and mortality to quality improvement. Alternatively, quality assurance qa conferences better examine systemwide issues e. Mortality and morbidity conference ny medical lawyer. Worksheet morbidity and mortality conference surgery step 2 identified need analyze the identified needs assessment data and list the needs that will be addressed by this cme activity step 3 desired result list the expected outcomes in terms of changed physician competence, performance in practice andor patient outcome status. At present, medical mmcs vary widely in format and attendance from hospital to hospital.
Leveraging a redesigned morbidity and mortality conference. Morbidity and mortality conferences mmcs have three potential aimsto improve patient safety by reducing adverse events and preventable deaths, to improve overall quality of care as part of the hospital governance structure and as educational learning events. The morbidity and mortality conference in pediatric intensive care as a means for improving patient safety. Two hundred ninetyfive of 416 71% surveys were returned. Morbidity and mortality conference faculty of medicine. Draft practice guide for morbidity and mortality meetings november 2016 8 2. The evolution of morbidity and mortality conferences. Both mortality and fertility decline but mortality declines earlier and faster than fertility.
Morbidity and mortality conference the morbidity and mortality conference is a weekly, 60minute, large group educationalsessionattendedbyinternal medicine residents, chief medical residents, the program director, faculty, students, and nonphysician professionals. Morbidity and mortality insights on residency training. New who guidelines on paediatric mortality and morbidity. The conference is organized and led by chief medical residents. To that end he has written gordons guide to same, inspired by strunk and whites succinct elements of style. Structure of mortality and morbidity meetings and processes 2.