How to run a morbidity and mortality conference urology

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How do you conduct morbidity and mortality conferences?

Ground RulesFollow the format.No finger-pointing – focus on systems of care rather than individual errors.Confidentiality – avoid patient identifiers (no names, dates, record numbers) and do not discuss casually outside the conference.


What is the purpose of morbidity and mortality conference?

Objective: The morbidity and mortality conference (M&MC) is a traditional forum that provides clinicians with an opportunity to discuss medical error and adverse events.


What is a mortality and morbidity review?

A morbidity and mortality review (MMR) is a collective review of the medical files of a patient whose outcome has been marked by an adverse event such as death or the occurrence of a complication.


Are morbidity and mortality conferences Real?

Morbidity and Mortality (M&M) Conferences are an Accreditation Council for Graduate Medical Education (ACGME) mandated educational series that occur regularly at all institutions that have residency training programs.


What are MM meetings hospitals?

Morbidity and mortality (M&M) conferences are traditional, recurring conferences held by medical services at academic medical centers, most large private medical and surgical practices, and other medical centers. Their use in psychiatric medicine is less prevalent.


What is it called when doctors meet to discuss patients?

A doctor’s visit, also known as a physician office visit or a consultation, or a ward round in an inpatient care context, is a meeting between a patient with a physician to get health advice or treatment plan for a symptom or condition, most often at a professional health facility such as a doctor’s office, clinic or …


How is mortality measured?

Mortality rate is typically expressed in units of deaths per 1,000 individuals per year; thus, a mortality rate of 9.5 (out of 1,000) in a population of 1,000 would mean 9.5 deaths per year in that entire population, or 0.95% out of the total.


What is a mortality review?

Clinical mortality review is the process by which medical and other disciplinary experts review the circumstances of an individual death to explore root causes and identify interventions to prevent future deaths.


What is a death audit?

Death audits have been used to describe pediatric mortality in under-resourced settings, where record keeping is often a challenge. This information provides the cornerstone for the foundation of quality improvement initiatives.


What is an M and M report?

Morbidity and Mortality meetings (M&Ms) or clinical review meetings allow departments/ specialties/ facilities to review the quality of the care that is being provided to their patients.


What does morbidity refer to?

Listen to pronunciation. (mor-BIH-dih-tee) Refers to having a disease or a symptom of disease, or to the amount of disease within a population. Morbidity also refers to medical problems caused by a treatment.


What is a mortality rate of a disease?

A mortality rate is the number of deaths due to a disease divided by the total population.


What does morbidity refer to?

Listen to pronunciation. (mor-BIH-dih-tee) Refers to having a disease or a symptom of disease, or to the amount of disease within a population. Morbidity also refers to medical problems caused by a treatment.


What does the term mortality refer to?

Listen to pronunciation. (mor-TA-lih-tee) Refers to the state of being mortal (destined to die). In medicine, a term also used for death rate, or the number of deaths in a certain group of people in a certain period of time.


What is a mortality rate of a disease?

A mortality rate is the number of deaths due to a disease divided by the total population.


Series Overview

Urology Morbidity and Mortality Conference is designed for practitioners in the field of Urology or related medical fields who may benefit from increased knowledge in urological advances in order to develop new skills or strategies that will improve their delivery of optimal patient care.


Accreditation

In support of improving patient care, the University of Wisconsin–Madison ICEP is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.


Purpose

The purpose of the M&M Conference is to provide a safe venue for residents to identify areas of improvement, and promote professionalism, ethical integrity and transparency in assessing and improving patient care.


Case Selection

Cases should be selected from the entire practice population. Cases (inpatient or outpatient), should involve:

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Establish Trust

  • If staff feel safe to report near misses and participate in case discussions, the opportunity is there to improve care for the next patient and prevent future serious incidents. This is the goal of M&M! A positive safety culture is critical. This includes: M&M meetings are a great opportunity to demonstrate your safety culture to the frontline staf…

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Focus on The Systems

  • The actions of a person are very rarely the root cause of an incident. There are almost always system factors that contribute to the decisions and actions of the frontline staff. To feel safe and facilitate robust case discussion, staff need to trust they won’t be blamed or shamed for incidents and near misses they report. The question you are trying to answer is “What went wrong?”, not “…

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Language Is Important

  • Language is extremely important when modelling your safety culture. For example, adverse event ‘review’ is less accusatory than the word ‘investigation’. Stating ‘the doctor prescribed the wrong dose of medication’ implies they are to blame, but an improved version may be ‘the weigh scales were broken, so the patient’s weight was estimated, which led to the incorrect dose of medicatio…

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No Surprises!

  • Involved team members should be told that their case will be presented at the meeting. No surprises on the day, please! In our emergency department, every paediatric resuscitation is discussed with the team involved. They provide feedback on what went well, identify opportunities for improvement, and propose solutions. The team are aware that these cases will all be discus…

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Involve The Whole Team

  • Gone are the days where M&M is facilitated and attended by medical staff only. Successful healthcare outcomes rely on interactions between medical, nursing, pharmacy and other allied health team members, as well as input from the patient and their family. Adverse events will also have contributing factors from multiple disciplines, and all staff members can provide contributi…

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Celebrate Success!

  • Mostly, things go well. This is because humans are generally fabulous at adapting within the system to prevent errors by responding to unpredictable events such as patient surges, technology glitches, or…. pandemics. It is equally important to learn from what went well and determine WHY it went well. Celebrate success and discuss how can you replicate it for the nex…

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Resources For Further Reading

  • Boysen, Philip G. “Just Culture: A Foundation for Balanced Accountability and Patient Safety.” The Ochsner Journal, vol. 13, 2013, pp. 400-406. PubMed, https://pubmed.ncbi.nlm.nih.gov/24052772/. Accessed 29 11 2021. Douros, George. “The trouble with M&Ms”. Life In The Fastlane, Nov 2020, https://litfl.com/the-trouble-with-morbidity-and-mort…

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