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[内科的发病率与死亡率研讨会——科隆大学医院的经验]

[Morbidity and mortality conferences in internal medicine--experience at the University Hospital of Cologne].

作者信息

Suárez I, Langerbeins P, Mattonet C, Birtel A, Fresen M M, Kochanek M, Hallek M, Fätkenheuer G

机构信息

Klinik I für Innere Medizin der Uniklinik Köln, Köln, Germany.

出版信息

Dtsch Med Wochenschr. 2013 Mar;138(13):655-7. doi: 10.1055/s-0032-1332851. Epub 2013 Mar 19.

DOI:10.1055/s-0032-1332851
PMID:23512367
Abstract

Morbidity and mortality (M&M) conferences serve as a forum for the discussion of adverse events and errors in the treatment of patients. In the United States M&M conferences are an established part of medical training programs. While being state of the art in specialities like surgery and anesthesiology, they were established later on in internal medicine. To date, no reports have been published on M&M conferences in departments of internal medicine in Germany. Since August 2010 a morbidity and mortality conference takes place once per month in the Department I of Internal Medicine of the university hospital of Cologne. Cases with unexpected death, unexpected complications or medical errors are discussed. The primary goal is to create an open and confidential forum for doctors, where errors can be discussed without any assignment of guilt. The uncovering of structural problems frequently leads to direct improvements in patient care. Furthermore, the conference can play an important role in medical education.

摘要

发病率与死亡率(M&M)会议是一个讨论患者治疗中不良事件和失误的论坛。在美国,M&M会议是医学培训项目的既定组成部分。虽然在外科和麻醉学等专业领域处于前沿水平,但它们在内科领域的建立时间较晚。迄今为止,德国内科各科室关于M&M会议的报道尚未见刊。自2010年8月起,科隆大学医院内科一部每月举行一次发病率与死亡率会议。会上会讨论意外死亡、意外并发症或医疗失误的病例。主要目标是为医生创建一个开放且保密的论坛,在这个论坛中可以讨论失误而无需追究责任。发现结构性问题往往会直接改善患者护理。此外,该会议在医学教育中也能发挥重要作用。

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