A resident-driven mortality case review innovation to teach and drive system-based practice improvements in the United States.

ABSTRACT:

Purpose

Traditionally, Morbidity and Mortality Conference (M&MC) are forums where medical errors are discussed. Though M&MC can lead to identification of opportunities for system wide improvements, there is little in the literature to describe the use for this purpose, particularly in residency training programs. This paper describes the use of M&MC case review as a quality improvement activity that teaches systems-based practice and can engage residents in improving systems of care.

Methods

Internal medicine residents at a tertiary care academic medical center reviewed 347 consecutive mortalities from March 2104 to September 2017. Residents used case review worksheets to categorize and track causes of mortality. The residents then debriefed with a faculty member. Selected c

SUBMITTER: Radhakrishnan NS 

PROVIDER: S-EPMC6451922 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature