A descriptive study of morbidity and mortality conferences and their conformity to medical incident analysis models: results of the morbidity and mortality conference improvement study, phase 1.
The purpose of this article is to study morbidity and mortality conferences and their conformity to medical incident analysis models. Structured interviews with morbidity and mortality conference leaders of 12 (75%) clinical departments at Johns Hopkins Hospital were conducted. Reported morbidity and mortality conference goals included medical management (75%), teaching (58%), and patient safety and quality improvement (42%). Methods for case identification, selection, presentation, and analysis varied among departments. Morbidity and mortality conferences were attended mostly by physicians from the respective departments. One (8%) department had a standard approach for eliciting input from all providers on the case, another (8%) used a structured tool to explore underlying system factors, and 7 (58%) departments had a plan for assigning follow-up on recommendations. There is wide variation in how morbidity and mortality conferences are conducted across departments and little conformity to known models for analyzing medical incidents. Models for best practices in conducting morbidity and mortality conferences are needed.
Center for Innovations in Quality Patient Care, Johns Hopkins University, Baltimore, MD 21287-0765, USA. habouma1@jhmi.edu
Hanan J
HJ
Aboumatar
Charles G
CG
Blackledge
Conan
C
Dickson
Eugenie
E
Heitmiller
Julie
J
Freischlag
Peter J
PJ
Pronovost
D003226:Congresses as Topic / Q000458:organization & administration*; D004502:Education, Medical, Continuing / Q000458:organization & administration; D006739:Hospital Administration; D006801:Humans; D019300:Medical Errors; D009017:Morbidity; D009026:Mortality; D011785:Quality Assurance, Health Care / Q000458:organization & administration; D017751:Safety Management / Q000458:organization & administration