Implementation status of morbidity and mortality conferences in Swiss hospitals: a national cross-sectional survey study.

Praplan-Rudaz, Isabelle; Pfeiffer, Yvonne; Schwappach, David L B (2018). Implementation status of morbidity and mortality conferences in Swiss hospitals: a national cross-sectional survey study. International journal for quality in health care, 30(4), pp. 257-264. Oxford University Press 10.1093/intqhc/mzx204

[img]
Preview
Text
Praplan-Rudaz IntJQualHealthCare 2018.pdf - Published Version
Available under License Creative Commons: Attribution-Noncommercial-No Derivative Works (CC-BY-NC-ND).

Download (307kB) | Preview

Objective

To determine the implementation status and current practice of morbidity and mortality conferences (M&MCs) in Switzerland.

Design

A national cross-sectional online survey was conducted in spring 2017. The questionnaire focused on overall goals, structure and procedures of hospital M&MCs. Further topics included satisfaction, perceived effectiveness and support requirements.

Setting

A total of 913 chief physicians of surgery and internal medicine, and specialist fields of obstetrics and gynaecology, anaesthesiology and intensive care from Swiss acute care hospitals were invited to the survey. 321 completed the questionnaire, resulting in a 35.2% response rate.

Participants

Chief or senior physicians in charge of the M&MCs in their department.

Intervention

No intervention.

Main Outcome Measures

Numbers and percentages of M&MCs within the surveyed disciplines fulfilling certain characteristics and procedural features.

Results

Among 321 respondents, the majority are conducting M&MCs in their departments. Within and between the medical disciplines considerable heterogeneity was found in structural and procedural features of M&MCs. Only a small part of the reported M&MCs is following a systematic approach and meeting recommended procedural features. Although the respondents are satisfied and perceive the M&MCs as an efficient tool, they agree that there is a need for professionalization and standardization.

Conclusion

M&MCs are widely used to promote medical education, patient safety and quality improvements. However, the term M&MC seems to cover different types of meetings. Although the overall goals are similar, various types of M&MCs are used in practice and different objectives are pursued. Tools such as checklists, guidelines and templates are considered helpful.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM)

UniBE Contributor:

Schwappach, David

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

1353-4505

Publisher:

Oxford University Press

Language:

English

Submitter:

Doris Kopp Heim

Date Deposited:

25 Jan 2018 15:10

Last Modified:

24 Oct 2019 16:37

Publisher DOI:

10.1093/intqhc/mzx204

PubMed ID:

29346570

Uncontrolled Keywords:

hospital medical education morbidity and mortality conferences organizational learning patient safety quality improvement

BORIS DOI:

10.7892/boris.110227

URI:

https://boris.unibe.ch/id/eprint/110227

Actions (login required)

Edit item Edit item
Provide Feedback