Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland Medical Center, Baltimore, Maryland 21201, USA.
J Am Coll Radiol. 2011 Sep;8(9):638-41. doi: 10.1016/j.jacr.2011.01.015.
Morbidity and mortality (M&M) conferences run the gamut from heated adversarial affairs seen in traditional surgery departments, to more passive versions often seen in radiology departments. If done well, not only can M&M conferences have great utility as a resident training tool, but they also can be a vehicle for quality improvement and allow a first impression for how a complication might be perceived in court. The legislature and courts have deemed candid peer review so essential that such proceedings have been provided with a qualified privilege. To maximize the benefit of M&M conferences, an emphasis on accountability and robust debate, preconference preparation, broader faculty attendance, and an understanding of the ground rules are necessary. M&M conferences also should be solution oriented, and practice quality improvements and teaching modules should regularly be generated from such conferences. An example of a potential revised M&M conference is outlined.
发病率和死亡率（M&M）会议的形式多种多样，从传统外科部门中常见的激烈对抗性事务，到放射科部门中常见的更被动的版本。如果做得好，M&M 会议不仅可以作为住院医师培训工具具有很大的实用性，而且还可以作为质量改进的手段，并为如何在法庭上看待并发症提供第一印象。立法机关和法院认为坦诚的同行评审至关重要，因此为此类程序提供了合格的特权。为了最大限度地发挥 M&M 会议的益处，需要强调问责制和激烈的辩论、会前准备、更广泛的教师参与以及对基本规则的理解。M&M 会议还应该以解决问题为导向，并定期从这些会议中生成实践质量改进和教学模块。概述了一个潜在的修订后的 M&M 会议示例。
