title: Morbidity meetings: what makes it to; what stays out of the forum.
abstract: OBJECTIVE
  To review the utility of morbidity and mortality forum in General Surgery at a tertiary care hospital in Karachi, Pakistan.
  
  
  METHODS
  The retrospective study was conducted at the Aga Khan University Hospital and reviewed morbidity data from March to May 2009. Case notes of all patients admitted to the General Surgical service during the study period were reviewed to identify in-hospital morbidities.
  
  
  RESULTS
  There were a total of 340 inpatients during this period. Case notes identified 61 (17.94%) patients with morbidities; 35 (57.37%) males and 26 (42.62%) females. The morbidity record for the same period identified 32 (52.5%) patients, while 29 (47.5%) morbidities were missed. Of the total morbidities, 32 (52.5%) patients were admitted to the general ward, and 29 (47.5%) to high dependency areas. Nine (28%) morbidities identified in the general ward, and 23 (79%) in high dependency areas were formally presented. Morbidities related to the abdominal cavity were the commonest (n = 22; 36%). Wound-related (n = 17; 28%) and cardio-pulmonary (n = 8; 13%) complication were the next most frequent.
  
  
  CONCLUSIONS
  Abdominal cavity morbidities were the most common in this review followed by wound related and cardiopulmonary complications. The morbidity and mortality forum is an educational activity that has stood the test of time and continues to be the cornerstone of post-graduate education. It should be considered a mandatory activity in all postgraduate training programmes.
authors.affiliation: Department of General Surgery, Aga Khan University Hospital, Karachi. inam.pal@aku.edu
authors.forename: Khuwaja Muhammad Inam
authors.initials: KM
authors.lastname: Pal
authors.forename: Amyn
authors.initials: A
authors.lastname: Pardhan
authors.forename: Samia
authors.initials: S
authors.lastname: Mazahir
authors.forename: Junaid
authors.initials: J
authors.lastname: Haroon
mesh_terms: D005260:Female; D013502:General Surgery / Q000592:standards*; D006801:Humans; D007396:Internship and Residency; D008297:Male; D009017:Morbidity; D010154:Pakistan; D010380:Peer Review; D011183:Postoperative Complications / Q000209:etiology*; D011785:Quality Assurance, Health Care; D012189:Retrospective Studies; D062606:Tertiary Care Centers