Implementation status of morbidity and mortality conferences in Austrian hospitals-A cross-sectional national survey study.

Tuca, Alexandru-Cristian; Münch, Johanna; Schwappach, David L. B.; Borenich, Andrea; Banfi, Chiara; Mautner, Selma; Hoffmann, Magdalena; Schwarz, Christine; Kamolz, Lars-Peter; Brunner, Gernot; Sendlhofer, Gerald (2021). Implementation status of morbidity and mortality conferences in Austrian hospitals-A cross-sectional national survey study. PLoS ONE, 16(3), e0248692. Public Library of Science 10.1371/journal.pone.0248692

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INTRODUCTION

Morbidity and mortality conferences (M&MCs) are an instrument for learning from past complications, unexpected follow-ups and deaths in hospitals and are important for improving patient safety. However, there are currently no quantitative data on the implementation of M&MCs in Austria. The aim of the study was to determine the status quo of the M&MCs in Austria.

MATERIALS AND METHODS

A national cross-sectional study was conducted by means of a survey of 982 chief physicians of surgical disciplines, internal medicine, anesthesiology, intensive care, gynecology/obstetrics and pediatrics. The questionnaire focused on overall goals, structure and procedures of hospital M&MCs.

RESULTS

Of the 982 contacted chief physicians, 314 (32.0%) completed the survey. Almost two thirds of the respondents, i.e. 203 (64.7%), had already implemented M&MCs. Of the 111 chief physicians who had not yet introduced M&MCs, 62 (55.9%) were interested in introducing such conferences in the future. Of the 203 respondents that had implemented M&MCs, 100 stated that their M&MC could be improved. They reported issues with "shame and blame" culture, hierarchical structures, too little knowledge about the capability of M&MC and, in particular, time constraints. Overall, the participating chief physicians showed that they are striving to improve their existing M&MCs.

DISCUSSION/CONCLUSION

While we found a relatively high number of already implemented M&MCs we also identified a large heterogeneity in the format of the M&MCs. A highly structured M&MC including guidelines, checklists or templates does not only considerably improve its outcome but can also alleviate the main limiting factor which is the lack of time.

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