title: Understanding Quality Issues in Your Surgical Department: Comparing the ACS NSQIP With Traditional Morbidity and Mortality Conferences in a Canadian Academic Hospital.
abstract: BACKGROUND
  Review of surgical complications in traditional morbidity and mortality (M&M) rounds remains an important mechanism to identify and discuss quality-of-care issues. This process relies on case selection by providers; therefore, complications identified for review may differ from those captured in comprehensive quality programs such as the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP). Additionally, although the ACS NSQIP captures robust data on complications in surgical wards, without strategies to disseminate this information to staff and improve practice, minimal change may result. The objective of this study was to compare complications identified by the ACS NSQIP with those captured in M&M conferences at a large Canadian academic hospital.
  
  
  METHODS
  Retrospective medical record reviews of all patients admitted to the general surgery unit from March 2012 to March 2013 were reviewed. Number and types of complications were recorded for cases that were both submitted and reviewed in M&M rounds and those cases that were submitted but not reviewed. These complications were compared with those extracted from our local ACS NSQIP database.
  
  
  RESULTS
  A total of 1348 general surgical procedures were performed. The ACS NSQIP captured complications in 143 patients compared with 58 patients identified for review in M&M rounds. Both the methods identified similar proportions of major and minor complications (ACS NSQIP 52% major, 48% minor; M&M 58% major, 42% minor). More postoperative deaths were entered into the ACS NSQIP (12) than in M&M conferences (8 reviewed and 2 submitted). The ACS NSQIP identified higher proportions of surgical site infections and readmissions. However, M&M conferences captured additional complications in patients who did not undergo surgery and identified potential quality issues in patients who did not ultimately experience an adverse outcome.
  
  
  CONCLUSIONS
  M&M rounds and the ACS NSQIP provide important and potentially complementary data on surgical quality. Incorporating the ACS NSQIP outcomes data into traditional M&M conferences may help to optimize quality improvement efforts.
authors.affiliation: Division of General Surgery, University Health Network, Toronto, Ontario, Canada.
authors.forename: Mark
authors.initials: M
authors.lastname: Auspitz
authors.affiliation: Division of General Surgery, University Health Network, Toronto, Ontario, Canada.
authors.forename: Michelle C
authors.initials: MC
authors.lastname: Cleghorn
authors.affiliation: Division of General Surgery, University Health Network, Toronto, Ontario, Canada.
authors.forename: Alvina
authors.initials: A
authors.lastname: Tse
authors.affiliation: Department of Psychiatry, University Health Network, Toronto, Ontario, Canada.
authors.forename: Sanjeev
authors.initials: S
authors.lastname: Sockalingam
authors.affiliation: Division of General Surgery, University Health Network, Toronto, Ontario, Canada.
authors.forename: Fayez A
authors.initials: FA
authors.lastname: Quereshy
authors.affiliation: Division of General Surgery, University Health Network, Toronto, Ontario, Canada.
authors.forename: Allan
authors.initials: A
authors.lastname: Okrainec
authors.affiliation: Division of General Surgery, University Health Network, Toronto, Ontario, Canada. Electronic address: Timothy.Jackson@uhn.ca.
authors.forename: Timothy D
authors.initials: TD
authors.lastname: Jackson
mesh_terms: D006748:Hospital Departments / Q000592:standards*; D006784:Hospitals, Teaching; D006801:Humans; D009864:Ontario; D011183:Postoperative Complications / Q000401:mortality; D058996:Quality Improvement; D011787:Quality of Health Care; D012189:Retrospective Studies; D013043:Specialties, Surgical; D013514:Surgical Procedures, Operative / Q000592:standards*; D056164:Teaching Rounds
keywords: Medical Knowledge; Patient Care; Practice-Based Learning and Improvement; complications; morbidity and mortality conferences; quality-of-care rounds; surgical quality