학술논문
Morbidity and mortality conference: a survey of academic internal medicine departments.
Document Type
Journal Article
Author
Source
Subject
*PREVENTION of medical errors
*DISEASES
*INTERNAL medicine
*INTERNSHIP programs
*QUALITY assurance
*SURVEYS
*PILOT projects
*HOSPITAL mortality
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Language
ISSN
0884-8734
Abstract
This study sought to determine the prevalence and characteristics of morbidity and mortality conferences (M&MCs) in U.S. internal medicine training programs. Two hundred ninety-five of 416 (71%) surveys were returned. Ninety percent of programs have an M&MC. Most meet monthly, have a designated leader, and entail case discussions of 3 or fewer patients. Cases are selected on the basis of unexpected bad outcomes, teaching value, and to a lesser extent, suspected medical error. Two thirds of the sites use M&MCs to meet administrative requirements for quality assurance. M&MC, while prevalent in internal medicine training programs, has a heterogeneity of focus. Hence, the goals and role of the conference, as judged by this survey, do not appear to be well defined and may warrant further clarification. [ABSTRACT FROM AUTHOR]