The online version of this article (doi:10.1186/1754-9493-8-6) contains supplementary material, which is available to authorized users.
No external funding was received for this study. The authors declare that they have no competing interests. The study was approved by the Clinical Audit and Effectiveness Team at York Teaching Hospital NHS Foundation Trust.
GM conceived the idea to introduce the weekly meeting, SC contributed to the format and design of the meeting and JD collected the data and wrote the manuscript. All three authors (JD, SC and GM) contributed to the manuscript. All authors read and approved the final manuscript.
Morbidity and Mortality (M&M) meetings are advocated as part of good surgical practice, but have been criticised as a method of improving patient outcomes. Several groups have re-designed the format of M&M meetings to improve reporting of complications, near misses and maximise learning points. As a medium sized department of 8 GI surgeons in the UK, we wished to explore and discuss the complications encountered in our clinical practice in more detail than currently available in our monthly M&M/audit meeting, in order to try and improve the quality of care we deliver to our patients. This article describes the practicalities of introducing a weekly meeting and reports on the initial data generated from the patients discussed.
Four groups of general surgical patients (both elective and acute) are discussed in depth at the weekly meeting- a) patients whose length of in-patient stay is greater than 7 days (as a surrogate marker of a complicated surgical episode), b) unplanned patient readmissions to our hospital (under any specialty) within 30 days of a previous discharge from the GI surgical service, c) all GI surgical inpatient deaths and d) returns to theatre within the same admission (either planned or unplanned).
The initial data generated from the meeting first six months of the meeting are presented e.g.– 302 length of stay greater than 7 days patient episodes (attributable to complications in 26%, normal variant of disease in 59% and social reasons delaying discharge in 15%).
We feel that these weekly meetings can be helpful in addressing both patient safety and quality issues in more depth than the traditional M&M format, as well as being a valuable training resource for both surgical trainees and consultants alike.
Additional file 1: Data collection sheet. (DOC 32 KB)13037_2013_186_MOESM1_ESM.doc
Stahel PF, Flierl MA, Smith WR, Morgan SJ, Victoroff MS, Clarke TJ, Sabel AL, Mehler PS: Disclosure and reporting of surgical complications: a double-edged sword?. Am J Med Qua. 2010, 25: 398-401. 10.1177/1062860610370989. CrossRef
- Developing a weekly patient safety and quality meeting in a medium-sized GI surgical unit in the United Kingdom
- BioMed Central
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