Anonymity Decreases the Punitive Nature of a Departmental Morbidity and Mortality Conference.

作者: Paul S. Jansson , Jeremiah D. Schuur , Olesya Baker , Sean C. Hagan , Eric S. Nadel

DOI: 10.1097/PTS.0000000000000555

关键词:

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

参考文章(17)
Jason H. Szostek, Mark L. Wieland, Laura L. Loertscher, Darlene R. Nelson, Christopher M. Wittich, Furman S. McDonald, Joseph C. Kolars, Darcy A. Reed, A Systems Approach to Morbidity and Mortality Conference The American Journal of Medicine. ,vol. 123, pp. 663- 668 ,(2010) , 10.1016/J.AMJMED.2010.03.010
Steven J. Kravet, Eric Howell, Scott M. Wright, Morbidity and mortality conference, grand rounds, and the ACGME’s core competencies Journal of General Internal Medicine. ,vol. 21, pp. 1192- 1194 ,(2006) , 10.1111/J.1525-1497.2006.00523.X
Jed D. Gonzalo, Julius J. Yang, Grace C. Huang, Systems-based content in medical morbidity and mortality conferences: a decade of change. Journal of Graduate Medical Education. ,vol. 4, pp. 438- 444 ,(2012) , 10.4300/JGME-D-12-00016.1
Jill J. Fussell, Henry C. Farrar, Richard T. Blaszak, Laura L. Sisterhen, Incorporating the ACGME educational competencies into morbidity and mortality review conferences. Teaching and Learning in Medicine. ,vol. 21, pp. 233- 239 ,(2009) , 10.1080/10401330903018542
Rondi M. Kauffmann, Matthew P. Landman, Julia Shelton, Roger R. Dmochowski, Sandra H. Bledsoe, Gerald B. Hickson, R. Daniel Beauchamp, Jeffery B. Dattilo, The use of a multidisciplinary morbidity and mortality conference to incorporate ACGME general competencies. Journal of Surgical Education. ,vol. 68, pp. 303- 308 ,(2011) , 10.1016/J.JSURG.2011.02.002
Jay D. Orlander, Thomas W. Barber, B. Graeme Fincke, The morbidity and mortality conference: the delicate nature of learning from error. Academic Medicine. ,vol. 77, pp. 1001- 1006 ,(2002) , 10.1097/00001888-200210000-00011
Todd A. Seigel, Daniel C. McGillicuddy, Adam Z. Barkin, Carlo L. Rosen, Morbidity and Mortality Conference in Emergency Medicine Journal of Emergency Medicine. ,vol. 38, pp. 507- 511 ,(2010) , 10.1016/J.JEMERMED.2008.09.018
Jay D. Orlander, B. Graeme Fincke, Morbidity and mortality conference: a survey of academic internal medicine departments. Journal of General Internal Medicine. ,vol. 18, pp. 656- 658 ,(2003) , 10.1046/J.1525-1497.2003.20824.X
J. Reason, Human error: models and management BMJ. ,vol. 320, pp. 768- 770 ,(2000) , 10.1136/BMJ.320.7237.768