@article{5608,
  author = {Terri P. McVeigh and Peadar S. Waters and Ruth Murphy and Gerrard T. O'Donoghue and Ray McLaughlin and Michael J. Kerin},
  title = {Increasing reporting of adverse events to improve the educational value of the morbidity and mortality conference.},
  abstract = {<p><b>BACKGROUND: </b>The aim of this study was to investigate the impact of a validated complication proforma on surgical Morbidity and Mortality (M&M) conference reporting.</p><p><b>STUDY DESIGN: </b>The ACS-NSQIP (American College of Surgeons-National Surgical Quality Improvement Program) 30-day complication proforma, when implemented, previously showed a 25% increase in morbidity and a 50% increase in mortality reporting. A pilot study introducing the paper-based proforma was undertaken, collecting prospective M&M data for 2,094 of 2,209 colorectal, upper gastrointestinal, breast, and vascular inpatients (94.7% compliance). A comparative analysis using the proforma vs traditional M&M data collection was used to compare accuracy of M&M data reporting.</p><p><b>RESULTS: </b>There was a 73% increase in morbidities reported using the proforma as compared with M&M reporting (547 vs 316), and an increase of 10.81% (37 vs 41) in the reporting of mortalities. Of those patients with morbidities (n = 278), 70.24% (n = 203) had at least 1 surgical intervention. The median length of stay in patients with morbidities was 12 vs 3 days in those with no morbidities.</p><p><b>CONCLUSIONS: </b>We demonstrated that prospective standardized incident recording provides significantly more accurate assessment of M&M data compared with current reporting methods. This increased accuracy should favorably affect surgical performance indicators and casemix funding.</p>},
  year = {2013},
  journal = {J Am Coll Surg},
  volume = {216},
  pages = {50-6},
  month = {01/2013},
  issn = {1879-1190},
  doi = {10.1016/j.jamcollsurg.2012.09.010},
  language = {eng},
}