Putting the Heat Back Into Radiology Morbidity and Mortality Conferences

Mezrich, Jonathan L.

doi:10.1016/j.jacr.2011.01.015

Cited by 6 publications

(4 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Liu noted that one of the roles of M&MCs was to equip resident physicians to deal with errors in an educational forum aimed at improving ‘health care delivery and patient safety.’[17] Orlander et al . similarly noted how M&MCs should focus ‘on the tradition of self-analysis and critical thinking in a manner that is productive for all participants.’[21] Mezrich further commented that M&M may vary from ‘heated adversarial affairs seen in traditional surgery departments, to more passive versions often seen in radiology departments.’[18] He emphasized how they can be utilized for resident and attending (physician) training/education, and as a ‘vehicle for quality improvement’ (e.g., including legal considerations). [18]…”

Section: Methodsmentioning

confidence: 99%

Morbidity and mortality conferences: Their educational role and why we should be there

Epstein

2012

Surg Neurol Int

View full text Add to dashboard Cite

Background:This article examines the value of morbidity and mortality (M&M) conferences, and the multiple factors that contribute to their efficacy. Physicians’ morbidity and mortality conferences (M&MCs) focus on education by reviewing individual adverse events (AE), M&M. Alternatively, Quality Assurance (QA) conferences better examine system-wide issues (e.g., the role institutions play) in attaining or maintaining acceptable levels of patient care. Other issues examined in this review include: whether prospective vs. retrospective M&M data collection are more accurate, and how most states offer ‘nondiscovery’ of M&M proceedings.Methods:Most studies emphasize the educational role of M&MCs, and differentiate their role from QA. 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’).Results:Multiple review articles emphasized that QA conferences typically identify system-wide failures (e.g., hospital policies) while M&MCs focus on physicians’ AE/morbidity/mortality. Additionally, the prospective collection of M&M data proved to be more accurate than retrospective analysis. Finally, most states protect M&M confidentiality (‘nondisclosure’); a glaring exception is Florida, ‘The Sunshine State,’ that allows ‘full disclosure.’Conclusion:This study reviews how M&MCs, differentiated from QA meetings, and educate physicians. It also documents how prospective collection of M&M data is more accurate than retrospective analysis. Additionally, it documents how in most states, medicolegal protections against discovery are in place, with Florida, the ‘Sunshine State’ remaining a glaring exception.

show abstract

Section: Methodsmentioning

confidence: 99%

Morbidity and mortality conferences: Their educational role and why we should be there

Epstein

2012

Surg Neurol Int

View full text Add to dashboard Cite

show abstract

“…Residents are required to participate in these educational experiences, 1 and faculty must ''demonstrate a strong interest in the education of residents'' and ''regularly participate'' in organized educational events. 1 Studies show that faculty involvement in resident teaching events is beneficial to resident education, [2][3][4][5] …”

Section: Introductionmentioning

confidence: 99%

Increasing Faculty Attendance at Emergency Medicine Resident Conferences: Does CME Credit Make a Difference?

Lefebvre¹,

Hiestand²,

Bond³

et al. 2013

Journal of Graduate Medical Education

View full text Add to dashboard Cite

Background Faculty involvement in resident teaching events is beneficial to resident education, yet evidence about the factors that promote faculty attendance at resident didactic conferences is limited. Objective To determine whether offering continuing medical education (CME) credits would result in an increase in faculty attendance at weekly emergency medicine conferences and whether faculty would report the availability of CME credit as a motivating factor. Methods Our prospective, multi-site, observational study of 5 emergency medicine residency programs collected information on the number of faculty members present at CME and non-CME lectures for 9 months and collected information from faculty on factors influencing decisions to attend resident educational events and from residents on factors influencing their learning experience. Results Lectures offering CME credit on average were attended by 5 additional faculty members per hour, compared with conferences that did not offer CME credit (95% confidence interval [CI], 3.9–6.1; P < .001). Faculty reported their desire to “participate in resident education” was the most influential factor prompting them to attend lectures, followed by “explore current trends in emergency medicine” and the lecture's “specific topic.” Faculty also reported that “clinical/administrative duties” and “family responsibilities” negatively affected their ability to attend. Residents reported that the most important positive factor influencing their conference experience was “lectures given by faculty.” Conclusions Although faculty reported that CME credit was not an important factor in their decision to attend resident conferences, offering CME credit resulted in significant increases in faculty attendance. Residents reported that “lectures given by faculty” and “faculty attendance” positively affected their learning experience.

show abstract

“…Despite M&M rounds being an institutional and accreditation priority, there were few descriptions of individualized departmental initiatives aimed at improving M&M rounds in the literature and a paucity of opinions on what M&M rounds should be. 5,[8][9][10][11][12] The working group was asked to discuss an ideal approach to M&M rounds, as well as the provided examples of M&M rounds improvement projects in other clinical disciplines. 5,8,9 The working group meeting minutes were analyzed for content themes and a follow-up four-question e-mail survey was sent to working group members to confirm these themes.…”

Section: Study Protocolmentioning

confidence: 99%

Enhancing the Quality of Morbidity and Mortality Rounds: The Ottawa M&M Model

Calder

Kwok

Cwinn

et al. 2014

Academic Emergency Medicine

View full text Add to dashboard Cite

Objectives: The objective of this study was to determine the feasibility and acceptability of a structured morbidity and mortality (M&M) rounds model through an innovative educational intervention. Methods:The authors engaged the Departments of Emergency Medicine (EM) and Trauma Services at a tertiary care teaching hospital. A needs assessment was performed; the Ottawa M&M rounds model was developed, implemented, and then evaluated as a four-part intervention. This consisted of: 1) physician training on case selection and analysis, 2) engaging interprofessional members, 3) disseminating lessons learned, and 4) creating an administrative pathway for acting on issues identified through the M&M rounds. The measures of intervention feasibility included the proportion of sessions adherent to the new model and M&M rounds attendance. Pre-and postintervention surveys of presenters and attendees were used to determine intervention acceptability. M&M presentation content was reviewed to determine the most frequently adopted components of the model. Results:Nine of 14 (64.3%) sessions were adherent to three of four components of the Ottawa M&M Model. Of those M&M attendees who responded to the survey (796 of 912, 87.2%), improvements were found in M&M rounds attendance as well as perceived effect on clinical practice at both individual and departmental levels. Thirty-seven case presentations were analyzed and improvements postintervention were found in appropriate case selection and recognition of cognitive and system issues. Conclusions:The Ottawa M&M Model was a feasible intervention that was perceived to be effective by both presenters and attendees. The authors believe that this could be readily applied to any hospital department seeking to enhance quality of care and patient safety.ACADEMIC EMERGENCY MEDICINE 2014; 21:314-321

show abstract

Putting the Heat Back Into Radiology Morbidity and Mortality Conferences

Cited by 6 publications

References 7 publications

Morbidity and mortality conferences: Their educational role and why we should be there

Morbidity and mortality conferences: Their educational role and why we should be there

Increasing Faculty Attendance at Emergency Medicine Resident Conferences: Does CME Credit Make a Difference?

Enhancing the Quality of Morbidity and Mortality Rounds: The Ottawa M&M Model

Contact Info

Product

Resources

About