Weekly reminders were e‐mailed to all nonparticipants using the same unique survey links for 8 weeks. Studies comparing the accuracy of prospective vs. retrospective collection of M&M data were reviewed along with the medicolegal issues surrounding the protection of M&M data (‘nondiscovery’). Morbidity and mortality conference is an important didactic tool in residency and an ACGME requirement. The majority of respondents had not submitted a case of theirs to M&M or their hospital's patient safety reporting system (PSRS) in the past 12 months, while more than half had a case of theirs presented at M&M conference (Table 1). Only 17.5% (168/958) of respondents answered that residents who have had cases presented at M&M receive regular debriefing. [ 28 ] Morbidities were defined as major or minor medical or surgical complications, particularly those impacting length of stay (LOS), along with ‘unplanned second surgeries during the index admission, wound infections requiring reoperation, and readmissions during the same calendar year.’[ 28 ] Assessment of M&M data yielded a 23% retrospective vs. 87% prospective perioperative morbidity rate; 822 of 942 patients exhibited at least one complication, which prolonged the LOS in 39% of patients. Resident leaders present the cases and literature relating to the cases. In addition, Emory University Medical School (Atlanta, Georgia, USA) also requires that the Department of Obstetrics and Gynecology have scheduled M&MCs. When analysis was limited to residents who had cases presented at M&M, 24.2% (130/538) responded that there is regular debriefing, 65.2% (351/538) responded that there is not, and 10.6% (57/578) were unsure. , The results of a survey that endeavored to study the relevance and traits of morbidity and mortality conferences (M&MCs) in the spring of 1998 indicate that 90% of U.S. internal medicine training programs hold M&MCs. Of interest, ‘trainees’ performed 52% of the urgent operations. Patient safety is receiving growing attention worldwide with numerous studies showing that approximately 10% of patients admitted to hospital suffer an adverse event. A total of 7.6% (73/954) reported that issues raised at M&M always led to change while 88.3% (842/954) reported that they sometimes did and 4.1% (39/954) reported that they never did. More than three‐quarters of EM residents surveyed felt both that M&M is a valuable educational experience and that it contributes to a culture of safety at their institutions. J Am Coll Radiol. evaluated ‘electronic and federal databases’ (1990-2008) for spinal surgery, and defined AE as: ‘an unintended and undesirable diagnostic or therapeutic event that may impact the patient's care.’[ 4 ] They also observed that mortality rates for cervical and lumbar surgery were <1%, but varied from 0.3% to 7% for thoracic surgery. This constituted a failure to follow the ‘transfusion protocol,’ while ‘poor working conditions of nurses, linked to inadequate staff in relation to the activity’ also contributed to this AE. Get the latest public health information from CDC: https://www.coronavirus.gov. Clinical Status/ change in status . which affect patient care. Emergency medicine residents at 33 programs across the United States were surveyed using questions adapted from a previously tested survey of EM program directors and the Agency for Healthcare Research and Quality (AHRQ) Culture of Safety Survey. Summary: The ACGME requires surgical M&MCs for accreditation. In academic year 2014/2015 there were 128 postgraduate year (PGY) 1–3 programs and 39 PGY 1–4 programs in the United States.8 We invited all 151 programs that had participated in our previous survey of program directors to participate,6 and 33 agreed to participate. Surgical Morbidity and Mortality Conference using teleconferencing allows for increased faculty participation and moderation from satellite campuses and saves costs. The proceedings are generally kept confidential by law. noted that although M&MCs were begun by a general surgeon in the early 20th century, anesthesia departments have most stringently utilized M&MCs to follow/record AE.
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