Surgical Morbidity and Mortality Conference using Teleconferencing Allows for Increased Faculty Participation and Moderation from Satellite Campuses and Saves Costs

Falcone, John L.; Watson, Andrew

doi:10.1016/j.jsurg.2011.06.006

Cited by 14 publications

(18 citation statements)

References 5 publications

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“…retrospectively analyzed the utility (e.g., enhanced faculty attendance) and cost savings of teleconferencing M&MCs between 2 healthcare campuses. [9] In 2010, 186 conferences were held at the main campus, while 68 were at satellite sites; and involved a total of 236 Continuing Medical Education (CME) hours. Teleconferencing increased the median total attendance by 5 attending physicians/per conference at the main campus, and two at the satellite campus.…”

Section: Definition and Handling Of Adverse Events In Mandm Conferencesmentioning

confidence: 99%

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

Epstein

2012

Surg Neurol Int

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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.

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Section: Definition and Handling Of Adverse Events In Mandm Conferencesmentioning

confidence: 99%

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

Epstein

2012

Surg Neurol Int

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“…Appointment of dedicated M&M personnel , for example, departmental M&M coordinators, to take responsibility for the meeting schedule, content and attendance for a defined period Use of appropriate tools and software , including electronic record keeping, case presentation and follow‐up of initiatives, as well as the use of tele‐/video‐/web‐based conferencing to overcome geographical challenges and time restrictions Encouraging self‐reporting of cases/errors , especially anonymously, has been shown to increase the number of safety reports reviewed …”

Section: Resultsmentioning

confidence: 99%

“…However, clinical improvements are only one of the benefits of M&M meetings. Many studies have evaluated the impact of new formats for M&M meetings on areas, such as feasibility, educational value, acceptability and surgeon preferences …”

Section: Discussionmentioning

confidence: 99%

“…In total, 19 studies identified enablers, 1,3,6,[11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] and seven identified barriers, 1,3,19,21,[27][28][29] noting that some studies provided information relevant to both. Characteristics of the included studies are reported in Tables 1 and 2.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Characteristics of the included studies are reported in Tables 1 and 2. The evidence base was heterogeneous in terms of study design and outcomes, and included descriptive studies, [15][16][17] cross-sectional surveys of staff perceptions about an M&M process, 21,28,29 controlled before-and-after studies of new M&M formats 6,13,[18][19][20]25,26 and one RCT. 22 The methodological quality of the included literature reviews was found to be low 14 to medium.…”

Section: Study Characteristicsmentioning

confidence: 99%

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