In:
PLOS ONE, Public Library of Science (PLoS), Vol. 16, No. 3 ( 2021-3-17), p. e0248692-
Kurzfassung:
Morbidity and mortality conferences (M & MCs) are an instrument for learning from past complications, unexpected follow-ups and deaths in hospitals and are important for improving patient safety. However, there are currently no quantitative data on the implementation of M & MCs in Austria. The aim of the study was to determine the status quo of the M & MCs in Austria. Materials and methods A national cross-sectional study was conducted by means of a survey of 982 chief physicians of surgical disciplines, internal medicine, anesthesiology, intensive care, gynecology/obstetrics and pediatrics. The questionnaire focused on overall goals, structure and procedures of hospital M & MCs. Results Of the 982 contacted chief physicians, 314 (32.0%) completed the survey. Almost two thirds of the respondents, i.e. 203 (64.7%), had already implemented M & MCs. Of the 111 chief physicians who had not yet introduced M & MCs, 62 (55.9%) were interested in introducing such conferences in the future. Of the 203 respondents that had implemented M & MCs, 100 stated that their M & MC could be improved. They reported issues with "shame and blame" culture, hierarchical structures, too little knowledge about the capability of M & MC and, in particular, time constraints. Overall, the participating chief physicians showed that they are striving to improve their existing M & MCs. Discussion/Conclusion While we found a relatively high number of already implemented M & MCs we also identified a large heterogeneity in the format of the M & MCs. A highly structured M & MC including guidelines, checklists or templates does not only considerably improve its outcome but can also alleviate the main limiting factor which is the lack of time.
Materialart:
Online-Ressource
ISSN:
1932-6203
DOI:
10.1371/journal.pone.0248692
DOI:
10.1371/journal.pone.0248692.g001
DOI:
10.1371/journal.pone.0248692.t001
DOI:
10.1371/journal.pone.0248692.t002
DOI:
10.1371/journal.pone.0248692.s001
Sprache:
Englisch
Verlag:
Public Library of Science (PLoS)
Publikationsdatum:
2021
ZDB Id:
2267670-3
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