School of Medicine and Health Sciences Poster Presentations

Title

Incorporating NSQIP into Surgical Morbidity and Mortality Conference: Promoting an Environment of Education, Transparency, and Accountability

Document Type

Poster

Keywords

NSQIP; M&M Conference; Education

Publication Date

Spring 2017

Abstract

Introduction

Surgical Morbidity and Mortality Conference (M&M) nationwide lacks a standardized structure. We compared implementation of NSQIP definitions to structure our M&M versus our current system of self-identification and review.

Methods

A prospective study was performed to compare the identification of adverse events and the educational value of our M&M conference before and after implementation of NSQIP definitions over 10 weeks. Chart review was performed of all cases to identify NSQIP defined M&Ms. Surveys were administered before and after intervention to assess educational value. All presented M&Ms were evaluated for adequate reporting of adverse events and areas for improvement. Survey and presentation data were compared using Student’s T or Mann-Whitney testing as appropriate. P-values <.05 were considered significant.

Results

Pre-intervention, 15% of occurrences were identified compared to 81% post-intervention. One of three deaths pre-intervention was identified versus four of four identified post-intervention. Faculty, residents, and students found improved clarity and education content in cases presented as well as improved identification of etiology, learning points, and prevention of future adverse events (all P<.01). Residents and faculty found the post-intervention model better identified and communicated adverse events (P=.02), opportunities for prevention (P=. 04), and promoted improved transparency (P<.01) and inclusion of all adverse events (P<.01). 85% of participants supported the changes in M&M conference.

Conclusion

Incorporation of NSQIP into M&M standardizes identification and discussion of adverse events thus identifying opportunities for improvement and augmenting educational content. Consideration of the use of NSQIP should be given to other surgical departmental M&Ms.

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

Open Access

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Comments

Poster to be presented at GW Annual Research Days 2017.

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Incorporating NSQIP into Surgical Morbidity and Mortality Conference: Promoting an Environment of Education, Transparency, and Accountability

Introduction

Surgical Morbidity and Mortality Conference (M&M) nationwide lacks a standardized structure. We compared implementation of NSQIP definitions to structure our M&M versus our current system of self-identification and review.

Methods

A prospective study was performed to compare the identification of adverse events and the educational value of our M&M conference before and after implementation of NSQIP definitions over 10 weeks. Chart review was performed of all cases to identify NSQIP defined M&Ms. Surveys were administered before and after intervention to assess educational value. All presented M&Ms were evaluated for adequate reporting of adverse events and areas for improvement. Survey and presentation data were compared using Student’s T or Mann-Whitney testing as appropriate. P-values <.05 were considered significant.

Results

Pre-intervention, 15% of occurrences were identified compared to 81% post-intervention. One of three deaths pre-intervention was identified versus four of four identified post-intervention. Faculty, residents, and students found improved clarity and education content in cases presented as well as improved identification of etiology, learning points, and prevention of future adverse events (all P<.01). Residents and faculty found the post-intervention model better identified and communicated adverse events (P=.02), opportunities for prevention (P=. 04), and promoted improved transparency (P<.01) and inclusion of all adverse events (P<.01). 85% of participants supported the changes in M&M conference.

Conclusion

Incorporation of NSQIP into M&M standardizes identification and discussion of adverse events thus identifying opportunities for improvement and augmenting educational content. Consideration of the use of NSQIP should be given to other surgical departmental M&Ms.