Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Tuca, AC; Münch, J; Schwappach, DLB; Borenich, A; Banfi, C; Mautner, S; Hoffmann, M; Schwarz, C; Kamolz, LP; Brunner, G; Sendlhofer, G.
Implementation status of morbidity and mortality conferences in Austrian hospitals-A cross-sectional national survey study.
PLoS One. 2021; 16(3): e0248692-e0248692.
Doi: 10.1371/journal.pone.0248692
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- Führende Autor*innen der Med Uni Graz
- Tuca Alexandru
- Co-Autor*innen der Med Uni Graz
- Banfi Chiara
- Borenich Andrea
- Brunner Gernot
- Hoffmann Magdalena
- Kamolz Lars-Peter
- Mautner Selma
- Schwarz Christine
- Sendlhofer Gerald
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- Abstract:
- Morbidity and mortality conferences (M&MCs) are an instrument for learning from past complications, unexpected follow-ups and deaths in hospitals and are important for improving patient safety. However, there are currently no quantitative data on the implementation of M&MCs in Austria. The aim of the study was to determine the status quo of the M&MCs in Austria. A national cross-sectional study was conducted by means of a survey of 982 chief physicians of surgical disciplines, internal medicine, anesthesiology, intensive care, gynecology/obstetrics and pediatrics. The questionnaire focused on overall goals, structure and procedures of hospital M&MCs. Of the 982 contacted chief physicians, 314 (32.0%) completed the survey. Almost two thirds of the respondents, i.e. 203 (64.7%), had already implemented M&MCs. Of the 111 chief physicians who had not yet introduced M&MCs, 62 (55.9%) were interested in introducing such conferences in the future. Of the 203 respondents that had implemented M&MCs, 100 stated that their M&MC could be improved. They reported issues with "shame and blame" culture, hierarchical structures, too little knowledge about the capability of M&MC and, in particular, time constraints. Overall, the participating chief physicians showed that they are striving to improve their existing M&MCs. While we found a relatively high number of already implemented M&MCs we also identified a large heterogeneity in the format of the M&MCs. A highly structured M&MC including guidelines, checklists or templates does not only considerably improve its outcome but can also alleviate the main limiting factor which is the lack of time.