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BMC Health Services Research

, 16:35

Quality, performance, safety and outcomes

Abstract

BackgroundThe aim of this study was to identify the characteristics of morbidity and mortality conferences MMCs associated with the implementation of patient health-care quality and safety improvement initiatives.

MethodsWe conducted an observational study of MMCs and followed up improvement initiatives for 1 year. Data on MMC baseline characteristics were abstracted using document analysis and observation of a meeting in three university hospitals in France Grenoble, Nice, and Cochin Paris hospitals. Fifty-nine MMCs were included in medical n = 24, surgical n = 21, and anesthesiology and-or intensive care n = 14 departments. An effectiveness index was computed by summing a composite score for each initiative pertaining to the MMC.

ResultsOverall, 282 initiatives were identified in 42 MMCs. During the follow-up period, 215 initiatives 76 % were totally or partially implemented and the impact was evaluated for 73 26 %. An effectiveness index higher than the median i.e., ≥10 was associated with a standardized presentation of cases 81 % versus 29 %, p <0.001, recording of improvement initiatives 94 versus 57, p = 0.001, the existence of an annual activity report 94 % versus 68 %, p = 0.01, the prior dissemination of a meeting agenda 71 % versus 36 %, p = 0.007, longer meeting duration 109 versus 80 min, p = 0.005, anesthesiology and-or intensive care specialty 39 % versus 7 %, p = 0.02, a theme-focused MMC 29 % versus 4 %, p = 0.01, and a thorough analysis of failures 58 % versus 25 %, p = 0.01.

ConclusionsThis study suggests that the implementation of improvement initiatives relates to MCC characteristics. Recommendations for developing more effective patient safety-oriented MMCs can be proposed.

KeywordsMorbidity and mortality conferences Patient safety Quality improvement Hospital Electronic supplementary materialThe online version of this article doi:10.1186-s12913-016-1279-8 contains supplementary material, which is available to authorized users.

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Author: Patrice François - Frédéric Prate - Gwenaëlle Vidal-Trecan - Jean-François Quaranta - José Labarere - Elodie Sellier

Source: https://link.springer.com/







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