ArticleJournal of surgical education
Surgery and Medicine Residents' Perspectives of Morbidity and Mortality Conference: An Interdisciplinary Approach to Improve ACGME Core Competency Compliance.
Article in Journal of surgical education. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
9 citing papers in PubMed, 39 citations in OpenAlex.
- Impact of an Event Reporting System on Resident Complication Reporting in Plastic Surgery Training: Addressing an ACGME and Plastic Surgery Milestone Project Core Competency.Plastic and reconstructive surgery · 2017Trial
- Morbidity and Mortality Conferences of the Philippine General Hospital Department of Surgery: A Survey on the Perception of Surgical Trainees to Improve Patient Safety.Acta medica Philippina · 2025Article
- The Morbidity and Mortality Conference: A Century-Old Practice with Ongoing Potential for Future Improvement.European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie · 2023Article
- Evolving from Morbidity and Mortality to a Case-based Error Reduction Conference: Evidence-based Best Practices from the Council of Emergency Medicine Residency Directors.The western journal of emergency medicine · 2020Review
- A Narrative Review of Strategies to Increase Patient Safety Event Reporting by Residents.Journal of graduate medical education · 2020Review
- Morbidity and mortality meetings to improve patient safety: a survey of 109 consultant surgeons in London, United Kingdom.Patient safety in surgery · 2019Article
- [Content of a weekly morbidity and mortality conference in visceral surgery].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2018Article
- Barriers and facilitators to learn and improve through morbidity and mortality conferences: a qualitative study.BMJ open · 2017Article
- A Quality Improvement Initiative to Improve Patient Safety Event Reporting by Residents.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveMorbidity and mortality conferences (MMCs) are often used to fulfill the Accreditation Council for Graduate Medical Education practice-based learning and improvement (PBLI) competency, but there is variation among institutions and disciplines in their approach to MMCs. The objective of this study is to examine the trainees' perspective and experience with MMCs and adverse patient event (APE) reporting across disciplines to help guide the future implementation of an institution-wide, workflow-embedded, quality improvement (QI) program for PBLI.
designBetween April 1, 2013, and May 8, 2013, surgical and medical residents were given a confidential survey about APE reporting practices and experience with and attitudes toward MMCs and other QI/patient safety initiatives. Descriptive statistics and univariate analyses using the chi-square test for independence were calculated for all variables. Logistic regression and ordered logistic regression were used for nominal and ordinal categorical dependent variables, respectively, to calculate odds of reporting APEs. Qualitative content analysis was used to code free-text responses.
settingA large, multihospital, tertiary academic training program in the Pacific Northwest.
participantsResidents in all years of training from the Accreditation Council for Graduate Medical Education-accredited programs in surgery and internal medicine.
resultsSurvey response rate was 46.2% (126/273). Although most respondents agreed or strongly agreed that knowledge of and involvement in QI/patient safety activities was important to their training (88.1%) and future career (91.3%), only 10.3% regularly or frequently reported APEs to the institution's established electronic incident reporting system. Senior-level residents in both surgery and medicine were more likely to report APEs than more junior-level residents were (odds ratio = 4.8, 95% CI: 3.1-7.5). Surgery residents had a 4.9 (95% CI: 2.3-10.5) times higher odds than medicine residents had to have reported an APE to their MMC or service, and a 2.5 (95% CI: 1.0-6.2) times higher odds to have ever reported an APE through any mechanism. The most commonly cited reason for not reporting APEs was "finding the reporting process cumbersome." Overall, 87% of respondents agreed or strongly agreed that MMCs were valuable, educational, and contributed to improving patient outcomes, but many cited opportunities for improvement.
conclusionsAlthough the perceived value of MMCs is high among both surgical and medicine trainees, there is significant variability across disciplines and level of training in APE reporting and experience with MMCs. This study presents a multidisciplinary resident perspective on optimizing APE reporting, MMCs, and PBLI compliance.
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