Morbidity and mortality conferences in anaesthesia and intensive care: Experience feedback from Nancy university hospital

被引：5

作者：

Baumann, A. ^{[1
]}

Cuignet-Royer, E. ^{[1
]}

Bouaziz, H. ^{[1
]}

Borgo, J. ^{[2
]}

Claudot, F.

Torrens, J. ^{[1
]}

Audibert, G. ^{[1
]}

Amalberti, R. ^{[3
]}

Mertes, P. -M. ^{[1
]}

机构：

[1] CHU Nancy, Hop Cent, Serv Anesthesie Reanimat, F-54035 Nancy, France

[2] CHU Nancy, Hop Cent, Direct Qualite & Usagers, F-54035 Nancy, France

[3] Mission Securite Soins Haute Autorite Sante, F-93218 La Plaine St Denis, France

来源：

ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION | 2011年 / 30卷 / 12期

关键词：

Morbidity and mortality conferences; Anaesthesia; Intensive care; Health care safety; INCIDENT ANALYSIS;

D O I：

10.1016/j.annfar.2011.04.018

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Objectives. - Assessment of the morbidity mortality conferences (MMC) durableness in the Anaes-thesiology and Surgical Intensive Care Department of the Urban Hospitals of Nancy University Hospital; evaluation of the proportion of medical education in the corrective actions implemented, and research for improvement ways. Patients. - All the cases of death and near-death in the operating room and all the cases deemed to be instructive or useful for security improvement. Method. - Retrospective analysis of MMC activity since its initiation in 2005. Results. - Durability of MMC and good attendance rate have been sustained over time. As in the USA, MMCs result firstly in resident's education and continued medical education actions. Medical education actions represent 75% of all corrective measures, followed by changes in practices (62%), in procedures (48%) and in organisation (5%). Discussion. - The development process of a culture of the safety has been initiated and perpetuated. Some ways of improvement have been proposed: MMC must certainly be widened as well regarding to the categories of addressees, as the topics (any event deemed to be noteworthy for the safety of care) or the time scale of the analysis. Others propositions: preparation of the presentations with a colleague experienced in MMC; participation of external MMC experts; monitoring of local markers of security of care and of corrective measures efficiency; inclusion of MMC cases presentation in the trainees pedagogic objectives. (C) 2011 Elsevier Masson SAS. All rights reserved.

引用

页码：888 / 893

页数：6

共 27 条

[1] 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
Aboumatar, Hanan J.
Blackledge, Charles G., Jr.
Dickson, Conan
Heitmiller, Eugenie
Freischlag, Julie
Pronovost, Peter J.
[J]. AMERICAN JOURNAL OF MEDICAL QUALITY, 2007, 22 (04) : 232 - 238
[2] AMALBERTI R, 2009, J BIOMED INFORM, V15, P15
[3] Viewing the safety imperative from the French policy perspective
Amalberti, Rene
Bruneau, Charles
Desplanques, Armelle
Degos, Laurent
[J]. QUALITY & SAFETY IN HEALTH CARE, 2009, 18 (06): : 420 - 421
[4] [Anonymous], 2007, MANUEL CERTIFICATION
[5] [Anonymous], 2009, MANUEL CERTIFICATION
[6] Auroy Y, 2009, ANESTHESIOLOGY, V110, P209, DOI 10.1097/ALN.0b013e318194caea
[7] BAL G, 2010, PRESSE MED, P11
[8] Bally B, 2006, Ann Fr Anesth Reanim, V25, P356, DOI 10.1016/j.annfar.2006.01.013
[9] Bretonniere Cedric, 2010, Ann Fr Anesth Reanim, V29, P259, DOI 10.1016/j.annfar.2010.03.002
[10] Denis B, 2003, GASTROEN CLIN BIOL, V27, P1100

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