作者: Paul S. Jansson , Jeremiah D. Schuur , Olesya Baker , Sean C. Hagan , Eric S. Nadel
DOI: 10.1097/PTS.0000000000000555
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摘要: OBJECTIVES We sought to analyze the effect of an anonymous morbidity and mortality (M&M) conference on participants' attitudes toward educational punitive nature conference. theorized that might be more educational, less punitive, would shift analysis cases systems-based away from individual cognitive errors. METHODS implemented M&M at academic emergency medicine program. Using a pre-post design, we assessed as well perceived focus systems versus errors analyzed during Means standard deviations were compared using paired t test. RESULTS Fifteen conferences held study period 53 presented. Sixty percent eligible participants (n = 38) completed both pretest posttest assessments. There was no difference in value (4.42 4.37, P 0.661), but (2.08 1.76, 0.017). between (2.76 2.76, 1.00) (4.21 4.16, 0.644) Most (59.5%) preferred remain anonymous. CONCLUSIONS anonymity our departmental for 7-month found small improvement