+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

A two-tiered quality management program: Morbidity and Mortality conference data applied to resident education



A two-tiered quality management program: Morbidity and Mortality conference data applied to resident education



Connecticut Medicine 71(8): 471-478



The ACGME mandates a competency-based resident education curriculum. The Joint Commission (TJC) requires a quality improvement (QI) program in all hospitals with residency training programs. Our QI program, based on M&M conference data, provided the operational framework for peer review and resolution of adverse events. However, the conference focused on only three of the six ACGME core competencies (patient care, medical knowledge, practice-based learning and improvement) but not specifically on interpersonal and communication skills, professionalism or systems-based practice. To address this issue, we devised a two-tiered QI process that meets the reporting mandate of TJC and addresses all six ACGME core competencies. Adverse events are reported and discussed in the Department of Surgery's divisional M&M conferences. If an issue involving the ACGME core competencies is identified that requires nonconference discussion, ie, communication, professionalism or systems-based practice, the case is referred to the Department of Surgery Subcommittee for Quality Improvement (SCQI). A report is then returned to the divisional M&M for discussion and possible incorporation into the Resident Core Curriculum. Resident and attending surgeon surveys demonstrated the new format to be effective in addressing all six ACGME competencies.

(PDF emailed within 1 workday: $29.90)

Accession: 051281028

Download citation: RISBibTeXText

PMID: 17902385


Related references

The "Quality Minute"-A New, Brief, and Structured Technique for Quality Improvement Education During the Morbidity and Mortality Conference. JAMA Surgery 152(9): 883-884, 2017

Resident-Specific Morbidity Reduced Following ACS NSQIP Data-Driven Quality Program. Journal of Surgical Education 75(6): 1558-1565, 2018

National Surgical Quality Improvement Program integration with Morbidity and Mortality conference is essential to success in the march to zero. American Journal of Surgery 212(4): 623-628, 2016

Engaging Pediatric Resident Physicians in Quality Improvement Through Resident-Led Morbidity and Mortality Conferences. Joint Commission Journal on Quality and Patient Safety 42(3): 99-106, 2016

Comparing performance of Morbidity and Mortality Conference and National Surgical Quality Improvement Program for detection of complications after urologic surgery. Urology 68(5): 931-937, 2006

Faculty and resident opinions regarding the role of morbidity and mortality conference. American Journal of Surgery 177(2): 136-139, 1999

The Psychosocial Morbidity and Mortality Conference: Parallel process in resident training. Family Systems Medicine 9(4): 397-407, 1991

Resident and Attending Impressions of a Novel Electronic Tool for the Recording of Surgical Morbidity and Mortality Case Data: the Preparation of Case Presentations and Resident Evaluation. Journal of the American College of Surgeons 225(4): E158-E159, 2017

Not the Last Word: Morbidity and Mortality Conference: Theater of Education. Clinical Orthopaedics and Related Research 474(4): 882-886, 2016

Residency education through the family medicine morbidity and mortality conference. Family Medicine 38(8): 550-555, 2006

Impact of renal insufficiency on short-term morbidity and mortality after lower extremity revascularization: data from the Department of Veterans Affairs' National Surgical Quality Improvement Program. Journal of the American Society of Nephrology 14(5): 1287-1295, 2003

Quality assurance and morbidity and mortality conference. Journal of Surgical Research 52(2): 97-100, 1992

The mortality and morbidity conference as a quality assurance mechanism: can M + M = M + E?. Journal of Quality Assurance 11(2): 10-1, 36, 1989

Utility of morbidity and mortality conference in end-of-life education in the neonatal intensive care unit. Journal of Palliative Medicine 10(2): 375-380, 2007

Enhancement of Resident Competencies Via Participation in the Peer Review/Quality Improvement Processes and Morbidity and Mortality Presentations. Journal of Oral and Maxillofacial Surgery, 2016