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An innovative resident-driven mortality case review curriculum to teach and drive system-based practice improvements in the United States
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Nila S. Radhakrishnan
 , Margaret C. Lo, Rohit Bishnoi, Subhankar Samal, Robert Leverence, Eric Rosenberg, Zareen Zaidi
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J Educ Eval Health Prof. 2018;15:31. Published online December 26, 2018
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DOI: https://doi.org/10.3352/jeehp.2018.15.31
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 Abstract
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- Purpose
Traditionally, the morbidity and mortality conference (M&MC) is a forum where possible medical errors are discussed. Although M&MCs can facilitate identification of opportunities for systemwide improvements, few studies have described their use for this purpose, particularly in residency training programs. This paper describes the use of M&MC case review as a quality improvement activity that teaches system-based practice and can engage residents in improving systems of care.
Methods
Internal medicine residents at a tertiary care academic medical center reviewed 347 consecutive mortalities from March 2014 to September 2017. The residents used case review worksheets to categorize and track causes of mortality, and then debriefed with a faculty member. Selected cases were then presented at a larger interdepartmental meeting and action items were implemented. Descriptive statistics and thematic analysis were used to analyze the results.
Results
The residents identified a possible diagnostic mismatch at some point from admission to death in 54.5% of cases (n= 189) and a possible need for improved management in 48.0% of cases. Three possible management failure themes were identified, including failure to plan, failure to communicate, and failure to rescue, which accounted for 21.9%, 10.7 %, and 10.1% of cases, respectively. Following these reviews, quality improvement initiatives proposed by residents led to system-based changes.
Conclusion
A resident-driven mortality review curriculum can lead to improvements in systems of care. This novel type of curriculum can be used to teach system-based practice. The recruitment of teaching faculty with expertise in quality improvement and mortality case analyses is essential for such a project.
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Citations
Citations to this article as recorded by  - Implementation of Hospital Mortality Reviews: A Systematic Review
Moritz Sebastian Schönfeld, Martin Härter, Ann Sophie Schröder, Katrin Kokartis, Hans-Jürgen Bartz, Levente Kriston
Journal of Patient Safety.2024; 20(2): 138. CrossRef - One health system’s morbidity and mortality conference survey: a step on the journey to organizational high reliability
Steven E. Raper, Patricia G. Sullivan, Lawrence S. Levin
International Journal of Surgery: Global Health.2023;[Epub] CrossRef - Defining a High-Quality and Effective Morbidity and Mortality Conference
Brendin R. Beaulieu-Jones, Spencer Wilson, Daniel S. Howard, Gordana Rasic, Ben Rembetski, Erica A. Brotschi, Luise I. Pernar
JAMA Surgery.2023; 158(12): 1336. CrossRef - Implementation of morbidity and mortality conference in a community hospital NICU and narrative review
Christina Chan, Christine Pazandak, Dimitrios Angelis
Frontiers in Pediatrics.2023;[Epub] CrossRef
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