Academic Journal
The Psychiatric Morbidity and Mortality Teaching Conference to Improve Patient Safety: Lessons Learned at the Massachusetts General Hospital
| العنوان: | The Psychiatric Morbidity and Mortality Teaching Conference to Improve Patient Safety: Lessons Learned at the Massachusetts General Hospital |
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| المؤلفون: | Freudenreich, O., Smith, F., Wozniak, J., Fava, M., Rosenbaum, J. |
| المصدر: | European Psychiatry ; volume 41, issue S1, page S298-S298 ; ISSN 0924-9338 1778-3585 |
| بيانات النشر: | Cambridge University Press (CUP) |
| سنة النشر: | 2017 |
| الوصف: | Introduction A morbidity and mortality (M&M) conference is a time-honored educational format in surgery and medicine to review bad patient outcomes and learn from mistakes made. However, despite the value of learning together as peers from difficult cases with unexpected outcomes, most psychiatric departments in the United States do not have an M&M conference. Several years ago, the department of psychiatry at Massachusetts's general hospital in Boston began a monthly M&M conference. Objectives Describe our department's experience with the M&M format as an educational vehicle to teach patient safety and improve care in an increasingly complex care environment. Aims Introduce the M&M format that we have developed at our department and obstacles encountered. Methods We reviewed the content of our four years of M&M conferences; the feedback received from participants after each conference; and changes introduced to improve the conference. Results Our department has successfully implemented and sustained a monthly psychiatric M&M conference that is well attended and valued. A critical decision was mandatory involvement of residents to prepare cases in conjunction with a dedicated faculty member. A structured presentation using a root cause analysis framework to guide the discussion in order to harness the wisdom of the group allows for a more comprehensive understanding of factors leading to bad outcomes, including systems-based problems. Conclusions A psychiatric M&M conference can teach individual clinicians about patient safety. Developing a departmental mechanism to apply lessons learned in the conference to improve hospital systems is the next task. Disclosure of interest The authors have not supplied their declaration of competing interest. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1016/j.eurpsy.2017.02.180 |
| الاتاحة: | http://dx.doi.org/10.1016/j.eurpsy.2017.02.180 https://api.elsevier.com/content/article/PII:S0924933817324513?httpAccept=text/xml https://api.elsevier.com/content/article/PII:S0924933817324513?httpAccept=text/plain https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S092493380020206X |
| Rights: | https://www.cambridge.org/core/terms ; https://www.elsevier.com/tdm/userlicense/1.0/ |
| رقم الانضمام: | edsbas.D9E793B2 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1016/j.eurpsy.2017.02.180 |
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