Saeger H-D, Konopke R
Universitätsklinikum Dresden, Klinik und Poliklinik für Viszeral-, Thorax- und Gefäßchirurgie, Dresden, Deutschland.
Zentralbl Chir. 2012 Apr;137(2):155-9. doi: 10.1055/s-0030-1262678. Epub 2011 Feb 22.
Morbidity and mortality conferences have been entitled the "golden hour" of surgical education. There is a long-standing tradition for these conferences in the USA and the United Kingdom. In Germany they are still not fully integrated in the daily clinical work although the positive influence on quality improvement, patient safety and surgical education has been repeatedly proven. Some factors are still hampering the establishment of M & M conferences: the lack of time, worrying about shame and blame and last not least some deficit for a culture of discussions. The commitment of surgeons in leading positions is required for the establishment and further support of -these conferences. In addition to patient safety, one of the main goals is the continuing education of young surgeons. Structuring M & M conferences as well as an intelligent moderation by an experienced surgeon and lively, open and interactive discussions - all these factors are obviously of great importance for improving success in surgery.
发病率与死亡率研讨会被誉为外科教育的“黄金时刻”。在美国和英国，这类研讨会有着悠久的传统。在德国，尽管其对质量改进、患者安全和外科教育的积极影响已被反复证明，但它们仍未完全融入日常临床工作。一些因素仍在阻碍发病率与死亡率研讨会的设立：时间不足、担心蒙羞和受责备，以及最后但同样重要的是讨论文化存在一些缺陷。设立并进一步支持这些研讨会需要担任领导职务的外科医生的投入。除了患者安全，主要目标之一是年轻外科医生的继续教育。将发病率与死亡率研讨会进行结构化安排，由经验丰富的外科医生进行明智的主持，并开展生动、开放和互动的讨论——所有这些因素显然对于提高手术成功率至关重要。
