The Surgery Morbidity and Mortality Conference

摘要: The history of the surgical morbidity and mortality conference is closely linked to founding American College Surgeons. Individual persistence in belief that by looking for individual complications we can improve outcomes large populations has been guiding principle time-honored tradition training. However, a more contemporary concern, perhaps societal generational changes, responsibility punitive; fear or shame results avoidance reporting complications, which turn fails bring about changes needed prevent further complications. Hence quality improvement techniques are focused on process system-wide steps an error from every occurring. This chapter explores this transition with examples, case reports, review key literature people leading reform.