Praplan-Rudaz Isabelle, Pfeiffer Yvonne, Schwappach David L B
H+ Swiss Hospital Association, Lorrainestrasse 4A, 3013 Bern, Switzerland.
University of Bern, Hochschulstrasse 6, 3012 Bern, Switzerland.
Int J Qual Health Care. 2018 May 1;30(4):257-264. doi: 10.1093/intqhc/mzx204.
To determine the implementation status and current practice of morbidity and mortality conferences (M&MCs) in Switzerland.
A national cross-sectional online survey was conducted in spring 2017. The questionnaire focused on overall goals, structure and procedures of hospital M&MCs. Further topics included satisfaction, perceived effectiveness and support requirements.
A total of 913 chief physicians of surgery and internal medicine, and specialist fields of obstetrics and gynaecology, anaesthesiology and intensive care from Swiss acute care hospitals were invited to the survey. 321 completed the questionnaire, resulting in a 35.2% response rate.
Chief or senior physicians in charge of the M&MCs in their department.
No intervention.
Numbers and percentages of M&MCs within the surveyed disciplines fulfilling certain characteristics and procedural features.
Among 321 respondents, the majority are conducting M&MCs in their departments. Within and between the medical disciplines considerable heterogeneity was found in structural and procedural features of M&MCs. Only a small part of the reported M&MCs is following a systematic approach and meeting recommended procedural features. Although the respondents are satisfied and perceive the M&MCs as an efficient tool, they agree that there is a need for professionalization and standardization.
M&MCs are widely used to promote medical education, patient safety and quality improvements. However, the term M&MC seems to cover different types of meetings. Although the overall goals are similar, various types of M&MCs are used in practice and different objectives are pursued. Tools such as checklists, guidelines and templates are considered helpful.
确定瑞士发病率和死亡率会议（M&MCs）的实施现状及当前做法。
2017年春季开展了一项全国性横断面在线调查。问卷聚焦于医院M&MCs的总体目标、结构和程序。其他主题包括满意度、感知到的有效性及支持需求。
邀请了瑞士急症医院的913名外科、内科主任医师以及妇产科、麻醉科和重症监护专科领域的医生参与调查。321人完成了问卷，回复率为35.2%。
各科室负责M&MCs的主任或高级医师。
无干预。
被调查学科中具备某些特征和程序特点的M&MCs的数量及百分比。
在321名受访者中，大多数人在其科室开展M&MCs。在医学学科内部和之间，M&MCs的结构和程序特点存在相当大的异质性。报告的M&MCs中只有一小部分采用系统方法并符合推荐的程序特点。尽管受访者感到满意并将M&MCs视为一种有效的工具，但他们一致认为有必要进行专业化和标准化。
M&MCs被广泛用于促进医学教育、患者安全和质量改进。然而，M&MCs这个术语似乎涵盖了不同类型的会议。尽管总体目标相似，但在实践中使用了各种类型的M&MCs并追求不同的目标。清单、指南和模板等工具被认为是有帮助的。
