Evidence map›Paper›PMID 32386469›Full record

SynthesisCanadian journal of surgery. Journal canadien de chirurgie2020

Morbidity and mortality conferences in general surgery: a narrative systematic review.

Nicholas Slater, Perneet Sekhon, Nori Bradley, Farhana Shariff, Julie Bedford, Heather Wong, Chieh Jack Chiu, Emilie Joos, Chad G Ball, Morad Hameed

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Canadian journal of surgery. Journal canadien de chirurgie, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. [Quality assessment conferences in surgery]Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2024
    Observational
  4. Article
  5. 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 · 2023
    Article
  6. Article
  7. Article
  8. 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

10 authors.

Nicholas SlaterFrom the Department of Surgery, University of British Columbia, Vancouver, BC (Slater, Sekhon, Shariff, Chiu, Joos, Hameed); the Department of Surgery, University of Alberta, Edmonton, Alta. (Bradley); Quality and Patient Safety, Vancouver Coastal Health, Vancouver, BC (Bedford); Trauma Services, Kelowna General Hospital, Kelowna, BC (Wong); and the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Perneet SekhonFrom the Department of Surgery, University of British Columbia, Vancouver, BC (Slater, Sekhon, Shariff, Chiu, Joos, Hameed); the Department of Surgery, University of Alberta, Edmonton, Alta. (Bradley); Quality and Patient Safety, Vancouver Coastal Health, Vancouver, BC (Bedford); Trauma Services, Kelowna General Hospital, Kelowna, BC (Wong); and the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Nori BradleyFrom the Department of Surgery, University of British Columbia, Vancouver, BC (Slater, Sekhon, Shariff, Chiu, Joos, Hameed); the Department of Surgery, University of Alberta, Edmonton, Alta. (Bradley); Quality and Patient Safety, Vancouver Coastal Health, Vancouver, BC (Bedford); Trauma Services, Kelowna General Hospital, Kelowna, BC (Wong); and the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Farhana ShariffFrom the Department of Surgery, University of British Columbia, Vancouver, BC (Slater, Sekhon, Shariff, Chiu, Joos, Hameed); the Department of Surgery, University of Alberta, Edmonton, Alta. (Bradley); Quality and Patient Safety, Vancouver Coastal Health, Vancouver, BC (Bedford); Trauma Services, Kelowna General Hospital, Kelowna, BC (Wong); and the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Julie BedfordFrom the Department of Surgery, University of British Columbia, Vancouver, BC (Slater, Sekhon, Shariff, Chiu, Joos, Hameed); the Department of Surgery, University of Alberta, Edmonton, Alta. (Bradley); Quality and Patient Safety, Vancouver Coastal Health, Vancouver, BC (Bedford); Trauma Services, Kelowna General Hospital, Kelowna, BC (Wong); and the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Heather WongFrom the Department of Surgery, University of British Columbia, Vancouver, BC (Slater, Sekhon, Shariff, Chiu, Joos, Hameed); the Department of Surgery, University of Alberta, Edmonton, Alta. (Bradley); Quality and Patient Safety, Vancouver Coastal Health, Vancouver, BC (Bedford); Trauma Services, Kelowna General Hospital, Kelowna, BC (Wong); and the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Chieh Jack ChiuFrom the Department of Surgery, University of British Columbia, Vancouver, BC (Slater, Sekhon, Shariff, Chiu, Joos, Hameed); the Department of Surgery, University of Alberta, Edmonton, Alta. (Bradley); Quality and Patient Safety, Vancouver Coastal Health, Vancouver, BC (Bedford); Trauma Services, Kelowna General Hospital, Kelowna, BC (Wong); and the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Emilie JoosFrom the Department of Surgery, University of British Columbia, Vancouver, BC (Slater, Sekhon, Shariff, Chiu, Joos, Hameed); the Department of Surgery, University of Alberta, Edmonton, Alta. (Bradley); Quality and Patient Safety, Vancouver Coastal Health, Vancouver, BC (Bedford); Trauma Services, Kelowna General Hospital, Kelowna, BC (Wong); and the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Chad G BallFrom the Department of Surgery, University of British Columbia, Vancouver, BC (Slater, Sekhon, Shariff, Chiu, Joos, Hameed); the Department of Surgery, University of Alberta, Edmonton, Alta. (Bradley); Quality and Patient Safety, Vancouver Coastal Health, Vancouver, BC (Bedford); Trauma Services, Kelowna General Hospital, Kelowna, BC (Wong); and the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Morad HameedFrom the Department of Surgery, University of British Columbia, Vancouver, BC (Slater, Sekhon, Shariff, Chiu, Joos, Hameed); the Department of Surgery, University of Alberta, Edmonton, Alta. (Bradley); Quality and Patient Safety, Vancouver Coastal Health, Vancouver, BC (Bedford); Trauma Services, Kelowna General Hospital, Kelowna, BC (Wong); and the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In medical and surgical departments around the world, morbidity and mortality conferences (MMC) serve dual roles: they are cornerstones of quality-improvement programs and provide timely opportunities for education within the urgent context of clinical care. Despite the widespread adoption of MMCs, adverse events and preventable errors remain high or incompletely characterized, and opportunities to learn from and adjust to these events are frequently lost. This review examines the published literature on strategies to improve surgical MMCs. Methods: We searched OVID Medline, PubMed, Embase and CENTRAL. We defined our combination of search terms using a PICO (population, intervention, comparison, outcome) model, focusing on the use of MMCs in general surgery. Results: The MMC literature focused on 5 themes: educational value, error analysis, case selection and representation, attendance and dissemination. Strategies used to increase educational value included limiting case presentation time to 15-20 minutes, mandatory brief literature reviews, increasing audience interaction, and standardizing presentations using a PowerPoint template or SBAR (situation, background, assessment, recommendation) format. Interventions to improve error analysis included focused discussion on causative factors and taxonomic error analysis. Case selection was improved by using an electronic clinical registry, such as the National Surgery Quality Improvement Program, to better capture incidence of morbidity and mortality. Attendance was improved with teleconferencing. Dissemination strategies included MMC newsletters, incorporating MMCs into plan-do-check-act cycles, and surgeon report cards. Conclusion: Greater standardization of best practices may increase the quality improvement and educational impact of MMCs and provide a baseline to measure the effect of new MMC format innovations on the clinical and educational performance of surgical systems.

Indexed as

Quality ImprovementGlobal HealthHumansMedical ErrorsMorbidityOrthopedic ProceduresSurvival Rate

Identifiers

PMID32386469
PMCPMC7828998

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.