Content of a weekly morbidity and mortality conference in visceral surgery

Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen
W SchwenkL Hansen

Abstract

Morbidity and mortality (M&M) conferences are essential instruments for quality improvement in surgical departments; however, publications concerning the detailed contents of M&M conferences are rare and have not been published in the German language. Detailed analysis of the content of a weekly M&M conference in a department of general and visceral surgery. Data from a weekly M&M conference were prospectively collected. Epidemiological data, diagnosis, type of surgery, morbidity, postoperative course and mortality were documented for each patient. Type (surgical vs. medicinal) and severity (I-V according to Clavien-Dindo classification) of complications were analyzed. From 1 January 2010 to 31 December 2014 a total of 761 out of 11,470 patients with a mean age of 62.2 (15.9) years were discussed in the M&M conferences. Of the M&M patients 39.4% were female, 88.9% showed surgical complications while 28.9% were diagnosed with a medical complication and 91 patients (12.0%) died. Complications were classified as Clavien-Dindo I: 27.9%, II: 10.5%, III: 37.7%, IV: 12% and V: 12.0%. Most surgical complications were classified as Clavien-Dindo I (30.0%) and Clavien-Dindo III (40.9%), medical complications were most often classified as...Continue Reading

References

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Oct 21, 2016·Medical Education·Nirvani Goolsarran, Christine Garcia

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Citations

Jan 12, 2021·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·Philipp Houben, Andreas Pascher

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