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[Mortality and morbidity conference in radiology]
L D Berthold1, M Hoppe, H König
1Abteilung Strahlendiagnostik, Klinikum der Philipps-Universität Marburg.
Purpose:
To establish a morbidity and mortality conference in a radiology department as an instrument of quality assurance.
Methods:
Since April 1995 a monthly conference is held in the radiology department. Complications of invasive diagnostic procedures (angiography and biopsy) and minimal invasive interventions are presented. Cases of morbidity (major complications) and mortality (deceased patients, who were examined or treated in the radiology department before) are discussed. The identification of cases was possible due to a data base that included all such procedures prospectively.
Results:
Twenty cases of major complications were identified and discussed during 18 morbidity and mortality conferences in 1996 and 1997. Out of the 9 patients who died in our hospital and previously had an interventional procedure in the radiology department, one case was identified as being procedure-related. An analysis of this case was performed.
Conclusion:
With a formalised structure of case detection, the morbidity and mortality conference becomes a tool of a complete analysis of complications and a meaningful instrument for the solution of problems concerning procedure-related complications.