Multidisciplinary OBGYN morbidity and mortality conference

Abstract

M&M plays a crucial role not only in patient care, but also in resident education.

The role of morbidity and mortality rounds in medical education: a scoping review

“…). The application of our selection criteria resulted in the inclusion of 67 studies, including eight surveys, four literature reviews, 33 case studies with no comparison or pre/post‐intervention evaluation, nine case studies with pre/post‐intervention evaluations, seven case studies with a comparison, one ethnography study, two qualitative observations and three opinion papers (Table ). Case studies took the form of descriptive programme reviews of an MMR model and related evaluations.…”

“…For patient safety, objectives ranged from tracking errors to training in QI methodology . Specific goals included tracking adverse events, analysing preventable errors, and translating findings to QI initiatives.…”

“…There was significant heterogeneity in how programmes identified and selected cases for MMRs. Many papers described informal processes in which interesting ‘teaching’ cases were brought forward for presentation and were often selected and reviewed by residents in leadership roles or staff physicians . Other MMRs identified cases through formalised data collection of critical incidents, complications and mortality, using methods ranging from chart reviews to error reporting systems .…”

“…The implementation and design of MMRs varied greatly within the literature. Most programmes included only residents and staff physicians, with a minority involving interprofessional groups of participants . Those MMRs that were driven by interprofessional teams tended to place greater focus on systems‐level care problems and to use more formal processes to encourage QI initiatives …”

A profile of morbidity and mortality rounds within resident training programs of the American College of Veterinary Surgeons

“…Standardization of the review process and prospective, standardized data collection have been found to result in several benefits in human medicine, improving the accountability and quality of mortality data along with the identification of quality of care issues and supporting patient care quality improvement efforts, particularly for programs targeting the surgical patient . Standardizing the format of MMR has also been shown to improve residents' understanding of medical concepts presented in rounds . Such relationships are well established in human medicine; programs such as the American College of Surgeons (ACS) National Surgical Quality Improvement Programs (NSQIP) have been shown to capture more complications and quality issues when paired with MMR than either method alone.…”