Use of Structured Presentation Formatting and NSQIP Guidelines Improves Quality of Surgical Morbidity and Mortality Conference
| Autor: | Stanley Knoll, Neerav Patel, Khashayar Vaziri, Sara L. Zettervall, Robert Luke Rettig, Anton N. Sidawy, Lauri Buckley, Kendal M. Endicott |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
media_common.quotation_subject Guidelines as Topic Likert scale 03 medical and health sciences 0302 clinical medicine Postoperative Complications Intervention (counseling) medicine Humans Quality (business) Prospective Studies Prospective cohort study Adverse effect media_common business.industry Congresses as Topic Quality Improvement United States Surgical morbidity 030220 oncology & carcinogenesis Family medicine General Surgery Surgical Procedures Operative Etiology 030211 gastroenterology & hepatology Surgery Education Medical Continuing Presentation (obstetrics) business |
| Zdroj: | The Journal of surgical research. 233 |
| ISSN: | 1095-8673 |
| Popis: | BACKGROUND Surgical Morbidity and Mortality (M&M) conference lacks a standardized structure across institutions. We compared implementation of structure and National Surgical Quality Improvement Program's (NSQIP) definitions to organize our M&M and identify cases for discussion versus the usually used method at many centers of case identification by an attending surgeon or resident. METHODS AND MATERIALS A prospective study was performed, over a 10-wk period, to compare the identification of adverse events and the educational value of our M&M conference before and after implementation of structured NSQIP-defined presentations. Chart review was performed by a trained surgical clinical reviewer and trained NSQIP resident of all cases over the study period to identify NSQIP-defined occurrences. All presented M&Ms were evaluated for adequate reporting of adverse events and areas for improvement on a three-point scale. Surveys were administered before and after intervention to assess educational value to resident and faculty on a five-point Likert scale. Survey and presentation data were compared using Student's t-tests. P-values |
| Databáze: | OpenAIRE |
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