Evidence map›Paper›PMID 31452683›Full record

ArticlePatient safety in surgery2019

Morbidity and mortality meetings to improve patient safety: a survey of 109 consultant surgeons in London, United Kingdom.

Daniel M Sinitsky, Siri B Gowda, Khaled Dawas, Bimbi S Fernando

Abstract read
In one paragraph

Article in Patient safety in surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
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  9. Models of teaching medical errors.Pakistan journal of medical sciences
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Daniel M Sinitsky1Department of Surgery, University College London Hospitals NHS Foundation Trust, 235 Euston Road, London, NW1 2BU UK.ORCID 0000-0002-4015-6195
Siri B Gowda1Department of Surgery, University College London Hospitals NHS Foundation Trust, 235 Euston Road, London, NW1 2BU UK.
Khaled Dawas1Department of Surgery, University College London Hospitals NHS Foundation Trust, 235 Euston Road, London, NW1 2BU UK.
Bimbi S Fernando2University Department of Surgery, Royal Free London NHS Foundation Trust, Pond Street, London, NW3 2QG UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMorbidity & Mortality (M&M) meetings are a critical component of clinical governance. They have the potential to improve patient outcomes, quality of care, attitudes towards patient safety and they contribute to the education of clinical staff. This study aimed to evaluate individual surgeons' experience of these meetings, and to explore their perceived usefulness and barriers to open discussion of adverse outcomes.

methodsConsultant general surgeons in London, United Kingdom, were invited to anonymously complete an online survey consisting of 18 key items.

resultsInvitations were sent to 323 consultant surgeons from 19 NHS Trusts. Responses were received from 109 (33.7%), of which 99 (90.8%) answered all key items. Seventy-two of 104 (69.2%) attend almost all or all M&M meetings. These were rated as being more conducive for learning than for service improvement (

conclusionsMany surgeons in London do not routinely attend M&M meetings, despite these occurring within 'protected time'. There may be a willingness to talk openly about complications, though there exists a fear of litigation. The nature, content and learning potential of such open M&M discussions should be explored in future research.

Indexed as

Clinical governanceMedical errorPatient safety

Identifiers

PMID31452683
PMCPMC6701146

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.