Quality assurance and morbidity and mortality conference

摘要: Many surgeons assert that Morbidity and Mortality (M & M) conference in itself assures an effective quality assurance (QA) program. Recent emphasis on QA other sectors has resulted processes for evaluating of care. The goals programs are to identify adverse patient care events, relate these specific physicians use this information improve care, credentialing privileging physicians. Our aim was determine the role surgical M a program which also includes occurrence screening, wound infection surveillance, case review. weekly is discussion identified complications deaths submitted voluntarily by surgeons. During 2-year period 5755 procedures were associated with 255 82 deaths. Only 74% events 35% cases review, 54% infections had been conference. Seventy-four percent residents 33% staff present at when their discussed. Level (I, accepted practice; II, may have managed differently; III, would differently) assessed each complication peer review medical record screening. assignment level similar either process (I = 49, II 11, III 2, vs I 44, 16, r 0.7405, P < 0.005). remains important component overall but does not meet all goals. There excellent agreement between assigned compared record. However, many via reported In our experience, often