[Morbidity/mortality reviews: assessment of their implementation in one hospital]. / Bilan de la mise en place de revues de mortalité morbidité au sein d'un établissement hospitalier.
Presse Med
; 35(9 Pt 1): 1223-30, 2006 Sep.
Article
em Fr
| MEDLINE
| ID: mdl-16969309
ABSTRACT
OBJECTIVES:
The objective of this study was to describe the steps involved in establishing a morbidity/mortality review committee (MMRC) to analyze the causes of avoidable deaths or life-threatening complications and the development of plans and protocols to avoid their recurrence.METHODS:
The MMRC included physicians from each hospital department. Each member was responsible for organizing departmental meetings to analyze its avoidable deaths and life-threatening complications.RESULTS:
During its meetings three times a year, the MMRC developed a method for analysis of these serious events. Each department organized 3 (range 1-12) meetings a year and analyzed 1-3 cases at each. Over 30 months, 35,817 patients were admitted to the hospital and 341 (1%) died. The unexpected mortality rate varied by department and specialty (median 27%, range 6-65%). In all, 92 cases were referred to MMRC meetings (27%; range 6-70% of hospital deaths), and 30% of them involvement nosocomial diseases. Heart disease was the primary cause of unexpected deaths.DISCUSSION:
The principal improvements involved medical and surgical strategies, surgical techniques, drug prescriptions, and patient monitoring.
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Base de dados:
MEDLINE
Assunto principal:
Morbidade
/
Mortalidade Hospitalar
/
Congressos como Assunto
/
Erros Médicos
Limite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País como assunto:
Europa
Idioma:
Fr
Ano de publicação:
2006
Tipo de documento:
Article