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A role for morbidity and mortality conferences in psychiatry
1Hunter New England Area Health Service, NSW, Australia. joanna.holland@hnehealth.nsw.gov.au
Objective:
The aim of this paper is to raise the possibility of morbidity and mortality conferences as a means of improving the quality of care in psychiatric services.
Method:
The literature regarding quality assurance, medical error, adverse outcomes in care delivery, psychiatric abuse, and morbidity and mortality conferences is examined.
Results:
Classification of error in medicine refers to the terms overuse, underuse and misuse. Adverse events in psychiatric care suggest an additional category of abuse. A framework for morbidity and mortality conferences exists within the medical literature that may be applied to psychiatry. Data utilized for morbidity and mortality conferences must consider the need for timeliness and completeness. Different forms of data currently exist, not all available electronically.
Conclusion:
Morbidity and mortality conferences can benefit care delivery and contribute to safe systems through the examination of adverse events in care. The increased availability of electronic data collection and reporting systems may provide useful data as a basis for discussion at such conferences. Further engagement of the psychiatric services community in the organization and content of morbidity and mortality conferences is desirable. Support at institutional and College level will be required for their effective introduction.
Insights
Morbidity and mortality conferences can enhance psychiatric care quality by examining adverse events. Implementing these conferences requires engagement and support for safer patient outcomes.
Area of Science:
- Psychiatry
- Healthcare Quality Improvement
Background:
- Quality assurance and medical error are critical in psychiatric services.
- Adverse events in psychiatric care necessitate robust review mechanisms.
Purpose of the Study:
- To explore the potential of morbidity and mortality conferences for improving psychiatric care quality.
- To adapt existing morbidity and mortality conference frameworks for psychiatric settings.
Main Methods:
- Literature review encompassing quality assurance, medical error, adverse outcomes, psychiatric abuse, and morbidity and mortality conferences.
- Examination of existing frameworks for morbidity and mortality conferences in medicine.
Main Results:
- Medical errors are classified as overuse, underuse, and misuse; psychiatric care also involves abuse.
- A framework for morbidity and mortality conferences can be applied to psychiatry.
- Data for these conferences require timeliness and completeness, with varied electronic availability.
Conclusions:
- Morbidity and mortality conferences can improve care delivery and patient safety through adverse event analysis.
- Electronic data systems can support conference discussions.
- Psychiatric community engagement and institutional support are crucial for successful implementation.
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