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From Morbidity and Mortality to Quality Improvement: Effects of a Structured and Interactive Otolaryngology
Daniel B Spielman1, Wayne D Hsueh1, Karen Y Choi1
1Otolaryngology-Head and Neck Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA.
Objective:
Measure the effects of a structured morbidity and mortality conference format on the attitudes of resident and faculty participants.
Study Design:
Prospective cohort study.
Setting:
Otorhinolaryngology-head and neck surgery residency training program.
Subjects And Methods:
Two changes were implemented to the structure of our morbidity and mortality conference: (1) we adopted a recently described presentation framework called situation-background-assessment-recommendation and (2) appointed a faculty moderator to lead the conference. Surveys were distributed to residents and faculty before and after these modifications were implemented to measure changes in attitude of conference attendees.
Results:
After implementing the above changes to the morbidity and mortality conference, participant engagement increased from "moderately engaged" to "extremely engaged" (P < .01). Among both faculty and residents, the perceived educational value of conference also improved from "moderately educational" to "extremely educational" (P < .01). Finally in the attending cohort, the impact on future patient care increased from "no change" to "greatly enhanced" (P < .01).
Conclusion:
By implementing the situation-background-assessment-recommendation framework and appointing a faculty moderator to morbidity and mortality conference, participants reported significantly enhanced engagement during the conference, increased educational value of the session, and a positive impact on future patient care.
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