Department of Vascular and Interventional Radiology, University of California, Davis Medical Center, Sacramento, California.
Department of Vascular and Interventional Radiology, University of California, Davis Medical Center, Sacramento, California.
J Vasc Interv Radiol. 2022 Feb;33(2):150-158.e1. doi: 10.1016/j.jvir.2021.10.032. Epub 2021 Nov 11.
To investigate the degree to which morbidity and mortality (M&M) conferencing is utilized in interventional radiology (IR), identify impediments to its adoption, and assess the experience of those using this tool.
Members of the Society of Interventional Radiology (SIR) were offered a 9-question survey of practices and experiences regarding M&M conferencing within their quality assessment (QA) programs.
Among 604 respondents, 37.8% were university-based practitioners and 60% were from outside of university practices. Of all respondents, 43% reported practicing 100% IR, with 28.5% practicing IR 75%-99% and 11% practicing IR <50% of the time. The use of M&M conferencing was significantly greater in university practices (90.7%) than in nonuniversity practices (37.1%) and among practitioners performing at least 75% IR (71.2%) than among those practicing <75% (28.8%). The conferences were held monthly (66.6%) or more often, and the majority (56%) of the events identified were scored using the SIR severity score. Approximately 20% of M&M conferences were multidisciplinary, shared most commonly with vascular surgery. The reasons cited for not using M&M included the lack of time and the logistical challenges of the process. However, among those who participate in M&M conferences, the QA goals of the conference were met at very high rates.
M&M conferencing is well established in university IR programs and among full-time practitioners but much less so elsewhere. For those sites that do not utilize M&M conferencing, there may be a considerable benefit to addressing the obstacles that are limiting their implementation of this tool.
调查发病率和死亡率（M&M）会议在介入放射学（IR）中的应用程度，确定采用该会议的障碍，并评估使用该工具的经验。
向介入放射学会（SIR）成员提供了一项关于 M&M 会议在其质量评估（QA）计划中的实践和经验的 9 个问题调查。
在 604 名受访者中，37.8%是大学附属医院的从业者，60%来自大学以外的医疗机构。所有受访者中，43%报告从事 100%的 IR，28.5%从事 75%-99%的 IR，11%从事 <50%的 IR。大学附属医院（90.7%）比非大学附属医院（37.1%）和至少进行 75%IR 的从业者（71.2%）更频繁地使用 M&M 会议。会议每月（66.6%）或更频繁地举行，大多数（56%）事件使用 SIR 严重程度评分进行评分。大约 20%的 M&M 会议是多学科的，最常见的是与血管外科共享。不使用 M&M 的原因包括缺乏时间和流程的后勤挑战。然而，在参加 M&M 会议的人中，会议的 QA 目标达到了非常高的比例。
M&M 会议在大学 IR 计划和全职从业者中已经得到很好的建立，但在其他地方则不然。对于那些不使用 M&M 会议的站点，可能需要解决限制其使用该工具的障碍，以获得相当大的益处。
