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International implementation of a care review process for mortality reviews: improving quality and safety virtually

Susan M Cullinan1, Toni R Yubeta2, Lara S Al-Qadi3

  • 1Mayo Clinic Health System in Eau Claire, Eau Claire, Wisconsin, USA cullinan.susan@mayo.edu.

BMJ Open Quality
|May 30, 2023
PubMed

Insights

Virtual collaboration successfully implemented a mortality review process at SSMC, achieving 100% completion within 45 days. This quality improvement initiative enhanced patient care and can serve as a global model.

Area of Science:

  • Healthcare Quality Improvement
  • Patient Safety
  • Medical Administration

Background:

  • Mortality reviews aim for transparent learning and systematic care improvement.
  • Mayo Clinic's established process offered a model for international sharing.
  • Sheikh Shakhbout Medical City (SSMC) faced challenges in timely mortality review completion.

Purpose of the Study:

  • To design and implement an effective care review process at SSMC through collaboration with Mayo Clinic.
  • To overcome barriers such as travel restrictions, language differences, and disparate electronic health records.
  • To improve the timeliness and effectiveness of mortality reviews.

Main Methods:

  • A 12-week virtual engagement between Mayo Clinic and SSMC.
  • Weekly video meetings, education, and training on Mayo Clinic's care review process.
  • Implementation of mortality review huddles, a multidisciplinary committee, standardized taxonomy, and a change management communication plan.

Main Results:

  • SSMC achieved and sustained 100% completion of mortality reviews within 45 days, exceeding the 95% target.
  • Significant improvements in mortality review indicators were observed.
  • Enhanced quality feedback and staff engagement in performance improvement efforts.

Conclusions:

  • Virtual collaboration effectively implemented a care review process, significantly improving SSMC's quality program.
  • The model demonstrates successful international knowledge transfer despite logistical constraints.
  • This approach can guide other organizations in enhancing their quality initiatives.

Keywords:
Quality improvement methodologiesStaff DevelopmentTeam training

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