National Surgical Quality Improvement Program integration with Morbidity and Mortality conference is essential to success in the march to zero - 12/10/16
, Jin H. Ra, M.D., Andrew J. Kerwin, M.D., Michael S. Nussbaum, M.D., Marie Crandall, M.D., M.P.H., Jhun deVilla, M.D., Joseph J. Tepas, M.D.Abstract |
Background |
Morbidity and Mortality conference (M&M) and the National Surgical Quality Improvement Program (NSQIP) are systems to improve surgical care. We evaluated the commonality of adverse events (AEs) and the change in AE rates after integration.
Methods |
A single institution's NSQIP and M&M registries were analyzed to determine commonality of AE reported. Causal determinant groups were then created to categorize and standardize AE. Incidence of AE and patient commonality identified by these systems was evaluated over 2 years.
Results |
The 68 common patients identified in 2012 represented 27% of NSQIP and 43% of M&M patients. Common AE reported by M&M and NSQIP decreased from 16.9% (2013) to 9.6% (2014). Causality code analysis demonstrated significant differences in proportion of issues addressed within each (P < .0001).
Conclusions |
Despite standardized coding, M&M focus differed from NSQIP. Low commonality affirms NSQIP as a critical adjunct to voluntary reporting. Combining both may help eliminate preventable AEs.
Le texte complet de cet article est disponible en PDF.Keywords : Adverse events, Morbidity and mortality, NSQIP, Outcomes, Quality improvement, Surgical procedures
Plan
| There were no relevant financial relationships or any sources of support in the form of grants, equipment, or drugs. |
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| The authors declare no conflicts of interest. |
Vol 212 - N° 4
P. 623-628 - octobre 2016 Retour au numéro
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