Abu-Zidan F M, Premadasa I G
Department of Surgery, Faculty of Medicine and Health Sciences, United Arab Emirates University.
Med J Malaysia. 2001 Dec;56(4):441-5.
This study aimed at evaluating the educational value of the morbidity mortality meeting and benefits obtained from it so as to implement changes that can improve it.
Surgeons (n = 13) at a university hospital responded anonymously to a questionnaire which was structured to monitor the educational activity of the morbidity mortality meeting. They indicated their perceptions on a five-point scale (very poor, poor, fair, good and very good). Depending on the results of the first questionnaire, these changes were made: 1) Standardisation of the notice of the Meeting 2) Organization of the meeting 3) Review of the literature on the specific problems encountered. The participants were not aware of the results of the first questionnaire. Nine weeks later, the same questionnaire was repeated (n=12). Mann-Whitney test was used to compare the ratings of the two questionnaires.
The attributes which showed significant improvement between the first and second questionnaires were a) organization (p = 0.004; (median (range) 3 (2-5) compared with 5 (3-5)) b) knowledge is up-to-date (p < 0.005; (median (range) 3 (2-4) compared with 4 (3-5)), c) discussion related to the problem (0.01; (median (range) 3 (1-4) compared with 4 (3-5)) and d) notice of the meeting (p < 0.026; (median (range) 3 (2-4) compared with 4 (2-5)).
This study showed that specific actions can improve the educational quality of the morbidity mortality meeting.
本研究旨在评估发病率死亡率会议的教育价值及其带来的益处，以便实施改进措施。
一所大学医院的13名外科医生匿名填写了一份旨在监测发病率死亡率会议教育活动的问卷。他们用五点量表（非常差、差、一般、好、非常好）表明自己的看法。根据第一份问卷的结果，做出了以下改变：1）会议通知标准化；2）会议组织；3）对遇到的具体问题的文献回顾。参与者不知道第一份问卷的结果。九周后，再次发放相同问卷（n = 12）。采用曼-惠特尼检验比较两份问卷的评分。
第一份问卷和第二份问卷之间显示出显著改善的属性包括：a）组织（p = 0.004；中位数（范围）3（2 - 5）与5（3 - 5）相比）；b）知识时效性（p < 0.005；中位数（范围）3（2 - 4）与4（3 - 5）相比）；c）与问题相关的讨论（p = 0.01；中位数（范围）3（1 - 4）与4（3 - 5）相比）；d）会议通知（p < 0.026；中位数（范围）3（2 - 4）与4（2 - 5）相比）。
本研究表明，采取特定行动可以提高发病率死亡率会议的教育质量。
