From Morbidity and Mortality to Quality Improvement

Objective Measure the effects of a structured morbidity and mortality conference format on the attitudes of resident and faculty participants. Study Design Prospective cohort study. Setting Otorhinolaryngology–head and neck surgery residency training program. Subjects and Methods Two changes were im...

Full description

Bibliographic Details
Main Authors: Daniel B. Spielman, Wayne D. Hsueh MD, Karen Y. Choi MD, John P. Bent MD
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:OTO Open
Online Access:https://doi.org/10.1177/2473974X17692775
_version_ 1797668561567612928
author Daniel B. Spielman
Wayne D. Hsueh MD
Karen Y. Choi MD
John P. Bent MD
author_facet Daniel B. Spielman
Wayne D. Hsueh MD
Karen Y. Choi MD
John P. Bent MD
author_sort Daniel B. Spielman
collection DOAJ
description Objective Measure the effects of a structured morbidity and mortality conference format on the attitudes of resident and faculty participants. Study Design Prospective cohort study. Setting Otorhinolaryngology–head and neck surgery residency training program. Subjects and Methods Two changes were implemented to the structure of our morbidity and mortality conference: (1) we adopted a recently described presentation framework called situation-background-assessment-recommendation and (2) appointed a faculty moderator to lead the conference. Surveys were distributed to residents and faculty before and after these modifications were implemented to measure changes in attitude of conference attendees. Results After implementing the above changes to the morbidity and mortality conference, participant engagement increased from “moderately engaged” to “extremely engaged” ( P < .01). Among both faculty and residents, the perceived educational value of conference also improved from “moderately educational” to “extremely educational” ( P < .01). Finally in the attending cohort, the impact on future patient care increased from “no change” to “greatly enhanced” ( P < .01). Conclusion By implementing the situation-background-assessment-recommendation framework and appointing a faculty moderator to morbidity and mortality conference, participants reported significantly enhanced engagement during the conference, increased educational value of the session, and a positive impact on future patient care.
first_indexed 2024-03-11T20:31:08Z
format Article
id doaj.art-40414a785c3f4b4088e8892fd2230f42
institution Directory Open Access Journal
issn 2473-974X
language English
last_indexed 2024-03-11T20:31:08Z
publishDate 2017-01-01
publisher Wiley
record_format Article
series OTO Open
spelling doaj.art-40414a785c3f4b4088e8892fd2230f422023-10-02T09:07:54ZengWileyOTO Open2473-974X2017-01-01110.1177/2473974X17692775From Morbidity and Mortality to Quality ImprovementDaniel B. Spielman0Wayne D. Hsueh MD1Karen Y. Choi MD2John P. Bent MD3Otolaryngology–Head and Neck Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USAOtolaryngology–Head and Neck Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USAOtolaryngology–Head and Neck Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USAOtolaryngology–Head and Neck Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USAObjective Measure the effects of a structured morbidity and mortality conference format on the attitudes of resident and faculty participants. Study Design Prospective cohort study. Setting Otorhinolaryngology–head and neck surgery residency training program. Subjects and Methods Two changes were implemented to the structure of our morbidity and mortality conference: (1) we adopted a recently described presentation framework called situation-background-assessment-recommendation and (2) appointed a faculty moderator to lead the conference. Surveys were distributed to residents and faculty before and after these modifications were implemented to measure changes in attitude of conference attendees. Results After implementing the above changes to the morbidity and mortality conference, participant engagement increased from “moderately engaged” to “extremely engaged” ( P < .01). Among both faculty and residents, the perceived educational value of conference also improved from “moderately educational” to “extremely educational” ( P < .01). Finally in the attending cohort, the impact on future patient care increased from “no change” to “greatly enhanced” ( P < .01). Conclusion By implementing the situation-background-assessment-recommendation framework and appointing a faculty moderator to morbidity and mortality conference, participants reported significantly enhanced engagement during the conference, increased educational value of the session, and a positive impact on future patient care.https://doi.org/10.1177/2473974X17692775
spellingShingle Daniel B. Spielman
Wayne D. Hsueh MD
Karen Y. Choi MD
John P. Bent MD
From Morbidity and Mortality to Quality Improvement
OTO Open
title From Morbidity and Mortality to Quality Improvement
title_full From Morbidity and Mortality to Quality Improvement
title_fullStr From Morbidity and Mortality to Quality Improvement
title_full_unstemmed From Morbidity and Mortality to Quality Improvement
title_short From Morbidity and Mortality to Quality Improvement
title_sort from morbidity and mortality to quality improvement
url https://doi.org/10.1177/2473974X17692775
work_keys_str_mv AT danielbspielman frommorbidityandmortalitytoqualityimprovement
AT waynedhsuehmd frommorbidityandmortalitytoqualityimprovement
AT karenychoimd frommorbidityandmortalitytoqualityimprovement
AT johnpbentmd frommorbidityandmortalitytoqualityimprovement