Orlander Jay D, Fincke B Graeme
Section of General Internal Medicine and Clinical Epidemiology, VA Boston Health Care System, Boston, Mass, USA.
J Gen Intern Med. 2003 Aug;18(8):656-8. doi: 10.1046/j.1525-1497.2003.20824.x.
This study sought to determine the prevalence and characteristics of morbidity and mortality conferences (M&MCs) in U.S. internal medicine training programs. Two hundred ninety-five of 416 (71%) surveys were returned. Ninety percent of programs have an M&MC. Most meet monthly, have a designated leader, and entail case discussions of 3 or fewer patients. Cases are selected on the basis of unexpected bad outcomes, teaching value, and to a lesser extent, suspected medical error. Two thirds of the sites use M&MCs to meet administrative requirements for quality assurance. M&MC, while prevalent in internal medicine training programs, has a heterogeneity of focus. Hence, the goals and role of the conference, as judged by this survey, do not appear to be well defined and may warrant further clarification.
本研究旨在确定美国内科培训项目中发病率和死亡率会议（M&MCs）的普及率及特点。416份调查问卷中有295份（71%）被收回。90%的项目设有M&MC。大多数项目每月召开会议，有指定的负责人，且每次讨论3名或更少患者的病例。病例选择基于意外的不良结局、教学价值，以及在较小程度上基于疑似医疗差错。三分之二的机构利用M&MC来满足质量保证的管理要求。M&MC虽然在内科培训项目中很普遍，但重点存在异质性。因此，根据本次调查判断，该会议的目标和作用似乎并未得到明确界定，可能需要进一步阐明。
