Journal article
K. Endicott, Sara L. Zettervall, R. L. Rettig, Neerav Patel, Lauri Buckley, A. Sidawy, S. Knoll, K. Vaziri
Journal of Surgical Research, 2019
Journal of Surgical Research, 2019
Semantic Scholar
DOI
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APA
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Endicott, K., Zettervall, S. L., Rettig, R. L., Patel, N., Buckley, L., Sidawy, A., … Vaziri, K. (2019). Use of Structured Presentation Formatting and NSQIP Guidelines Improves Quality of Surgical Morbidity and Mortality Conference. Journal of Surgical Research.
Chicago/Turabian
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Endicott, K., Sara L. Zettervall, R. L. Rettig, Neerav Patel, Lauri Buckley, A. Sidawy, S. Knoll, and K. Vaziri. “Use of Structured Presentation Formatting and NSQIP Guidelines Improves Quality of Surgical Morbidity and Mortality Conference.” Journal of Surgical Research (2019).
MLA
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Endicott, K., et al. “Use of Structured Presentation Formatting and NSQIP Guidelines Improves Quality of Surgical Morbidity and Mortality Conference.” Journal of Surgical Research, 2019.
BibTeX Click to copy
@article{k2019a,
title = {Use of Structured Presentation Formatting and NSQIP Guidelines Improves Quality of Surgical Morbidity and Mortality Conference.},
year = {2019},
journal = {Journal of Surgical Research},
author = {Endicott, K. and Zettervall, Sara L. and Rettig, R. L. and Patel, Neerav and Buckley, Lauri and Sidawy, A. and Knoll, S. and Vaziri, K.}
}
Abstract
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 <0.05 were considered significant.
RESULTS Before intervention, 15% of NSQIP-defined occurrences were identified compared with 81% after intervention (P < 0.01). Thirty-three percent of deaths (1 of 3) before intervention were identified versus 100% (4 of 4) identified after intervention. Surveys obtained from faculty, residents, and students of individual presentations found improved clarity and educational content in cases presented (2.6-2.8) and improved identification of etiology (2.5-2.8), learning points (2.1-2.7), and opportunities for prevention of future adverse events (2.1-2.6) (all P < 0.01). Residents and faculty overall found that the postintervention model better identified adverse events (3.0-3.7, P = 0.02), opportunities for prevention (2.8-3.3, P = . 04), and promoted improved transparency (2.9-3.8, P < 0.01). Eighty-five percent of participants supported the changes in M&M conference.
CONCLUSIONS Incorporation of a clearly defined structure using NSQIP definitions for morbidity and identification of every mortality in our M&M conference standardized identification of adverse events thus improving conference quality. Consideration of the use of this structure should be given to other surgical departmental M&Ms.