PMID: 18709048Aug 19, 2008Paper

The value of voluntary morbidity and mortality meetings at a New Zealand metropolitan hospital

The New Zealand Medical Journal
Magdalena Sakowska, Saxon Connor

Abstract

To assess the value and outcomes of contemporary, voluntary meetings reviewing the morbidity and mortality among surgical patients presenting at a New Zealand metropolitan hospital. Data on morbidity and mortality were prospectively collected and analysed over a two year period (March 2005-August 2007) from weekly departmental meetings. Patients were discussed on a patient by patient basis; the details and outcomes of this were formally constituted and documented into a database. Actual mortality numbers and unplanned returns to theatre were obtained from clinical coding. Consultant attendance was documented Morbidity and mortality was recorded and discussed in 900 patients (6.5% of total admissions). Morbidity was discussed in 738 patients (incidence 5%); 190 (1.4%) deaths were discussed. Only 58% of unplanned returns to theatre and 62% of mortality recorded by clinical coding were discussed. However 54% of unplanned returns to theatre and 35% of mortality that were discussed were not recorded by clinical coding. It was felt that the clinical pathway had been appropriate in 88% and 91% of discussed morbidity and mortality, respectively. Over time, there was no significant change in consultant attendance (7/13 at 6 months vs 7/...Continue Reading

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