Schwappach David L B, Häsler Lynn, Strodtmann Lena, Siggelkow Anouk
Stiftung Patientensicherheit Schweiz, Zürich, Schweiz; Institut für Sozial- und Präventivmedizin (ISPM), Universität Bern, Schweiz.
Stiftung Patientensicherheit Schweiz, Zürich, Schweiz.
Z Evid Fortbild Qual Gesundhwes. 2018 Sep;135-136:34-40. doi: 10.1016/j.zefq.2018.06.004. Epub 2018 Jul 12.
Morbidity and mortality conferences (M&MC) are a tool to foster individual and organizational learning in hospitals, and they are important to improve patient safety. So far, no data has been available about the implementation of M&MC in Lower Saxony and the characteristics of M&MCs. The aim of this study was to assess the status quo of M&MC in Lower Saxony and to identify the potential for improvement.
A cross-sectional survey study was conducted among chief physicians in surgery, internal medicine, anesthesiology/intensive care, gynecology/obstetrics and pediatrics (response rate: 50 %).
Apart from technical topics (37 %), the main issues addressed are process (92 %) and teamwork (64 %) issues. The results also show a strong heterogeneity in terms of structures and processes of implemented M&MC in Lower Saxony. Despite a high level of satisfaction (85 %) and perceived effectiveness (93 %), most participants see potential for improvement of "their" M&MC (58 %).
Chief physicians in Lower Saxony report both a high level of acceptance and the need for further improvement of the M&MCs, which represents good preconditions for further development towards effective M&MCs.
发病率和死亡率会议（M&MC）是促进医院个人和组织学习的一种工具，对提高患者安全很重要。到目前为止，关于下萨克森州M&MC的实施情况以及M&MC的特点尚无数据。本研究的目的是评估下萨克森州M&MC的现状并确定改进潜力。
对外科、内科、麻醉学/重症监护、妇产科和儿科的主任医师进行了横断面调查研究（回复率：50%）。
除技术主题（37%）外，讨论的主要问题是流程（92%）和团队合作（64%）问题。结果还显示，下萨克森州实施的M&MC在结构和流程方面存在很大异质性。尽管满意度较高（85%）且感知有效性较高（93%），但大多数参与者认为“他们的”M&MC仍有改进潜力（58%）。
下萨克森州的主任医师报告称，他们对M&MC的接受程度很高，同时也需要进一步改进，这为向有效的M&MC进一步发展提供了良好的前提条件。
