Evidence map›Paper›PMID 38485113›Full record

ReviewBMJ open quality2024

Enhancing patient safety: a system-based analysis of morbidity and mortality conferences in managing postoperative bleeding following gastric and pancreatic cancer surgery.

Oumayma Lahnaoui, Amina Houmada, Amine Benkabbou, Abdelillah Ghannam, Brahim Al Ahmadi, Zakaria Belkhadir, Raouf Mohsine, Amine Souadka, Mohammed Anass Majbar

Open access · goldAbstract readReview
In one paragraph

Review in BMJ open quality, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.4field-weighted citation impact, top 39% of its field
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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

9 authors at 1 institution in 1 country.

Oumayma LahnaouiNational Institute of Oncology - Surgical Oncology Department, Mohammed V University in Rabat, Rabat, Morocco oumaima.lahnaoui@um5s.net.ma.ORCID 0000-0001-5610-8887
Amina HoumadaNational Institute of Oncology - Surgical Oncology Department, Mohammed V University in Rabat, Rabat, Morocco.
Amine BenkabbouNational Institute of Oncology - Surgical Oncology Department, Mohammed V University in Rabat, Rabat, Morocco.
Abdelillah GhannamNational Institute of Oncology - Intensive Care Department, Mohammed V University in Rabat, Rabat, Morocco.
Brahim Al AhmadiNational Institute of Oncology - Intensive Care Department, Mohammed V Souissi University, Rabat, Morocco.
Zakaria BelkhadirNational Institute of Oncology - Intensive Care Department, Mohammed V University in Rabat, Rabat, Morocco.
Raouf MohsineNational Institute of Oncology - Surgical Oncology Department, Mohammed V University in Rabat, Rabat, Morocco.
Amine SouadkaNational Institute of Oncology - Surgical Oncology Department, Mohammed V University in Rabat, Rabat, Morocco.
Mohammed Anass MajbarNational Institute of Oncology - Surgical Oncology Department, Mohammed V University in Rabat, Rabat, Morocco.
Mohammed V University · MA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Morbidity and mortality conferences (MMCs) have evolved beyond their traditional educational role to become instrumental in enhancing patient safety. System-based MMCs offer a unique perspective on patient safety by dissecting systemic factors contributing to adverse events. This paper reviews the impact of MMC in managing postoperative bleeding after gastric and pancreatic cancer surgery, within the constraints of limited resources. The study conducted at the National Institute of Oncology in Rabat, Morocco, analysed 18 MMC of haemorrhage following gastric and pancreatic surgeries and allowed to identify two patterns of cumulative factors contributing to adverse events. The first one relates to organisational issues and the second to postoperative management. Fifteen recommendations of improvement emerged from MMC addressing elements of these patterns with an implementation rate of 53.3%.

Indexed as

Pancreatic NeoplasmsPatient SafetyHumansMorbidityHealthcare quality improvementMorbidity and mortality roundsPatient safetyQuality improvement

Identifiers

PMID38485113
PMCPMC10941144
OpenAlexW4392820506

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.