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Morbidity and mortality (M&M) conferences are traditional, recurring conferences held by medical services at academic medical centers, most large private medical and surgical practices, and other medical centers. Their use in psychiatric medicine is less prevalent. Death, deterioration and complications may be unavoidable in some patients due to underlying disease processes. However they may also be associated with errors or omissions in patient care. M&M conferences involve the analysis of adverse outcomes in patient care through peer review. The objectives of a well-run M&M conference are to identify adverse outcomes associated with medical error, to modify behavior and judgment based on previous experiences, and to prevent repetition of errors leading to complications. Conferences are n

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  • Morbidity and mortality conference (en)
  • Совещание по вопросам заболеваемости и смертности (ru)
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  • Morbidity and mortality (M&M) conferences are traditional, recurring conferences held by medical services at academic medical centers, most large private medical and surgical practices, and other medical centers. Their use in psychiatric medicine is less prevalent. Death, deterioration and complications may be unavoidable in some patients due to underlying disease processes. However they may also be associated with errors or omissions in patient care. M&M conferences involve the analysis of adverse outcomes in patient care through peer review. The objectives of a well-run M&M conference are to identify adverse outcomes associated with medical error, to modify behavior and judgment based on previous experiences, and to prevent repetition of errors leading to complications. Conferences are n (en)
  • Совещание по заболеваемости и смертности (англ. Morbidity and mortality (M&M) conference) - формат регулярных конференций по разбору послеоперационных осложнений и причин смерти больных в госпитале, которые традиционно проводятся медицинскими службами в американских клинических учреждениях. Такие совещания проводится с целью обсуждения и экспертной оценки ошибок, возникающих во время лечения. Задачей хорошо спланированной M&M конференции является обучение медицинского персонала, изменение практик и предотвращение врачебных ошибок, приводящих к осложнениям у пациентов . (ru)
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  • Morbidity and mortality (M&M) conferences are traditional, recurring conferences held by medical services at academic medical centers, most large private medical and surgical practices, and other medical centers. Their use in psychiatric medicine is less prevalent. Death, deterioration and complications may be unavoidable in some patients due to underlying disease processes. However they may also be associated with errors or omissions in patient care. M&M conferences involve the analysis of adverse outcomes in patient care through peer review. The objectives of a well-run M&M conference are to identify adverse outcomes associated with medical error, to modify behavior and judgment based on previous experiences, and to prevent repetition of errors leading to complications. Conferences are non-punitive and focus on the goal of improved patient care. The proceedings are generally kept confidential by law. M&M conferences occur with regular frequency, often weekly, biweekly or monthly, and highlight recent cases and identify areas of improvement for clinicians involved in the case. They are particularly important for identifying systems issues (e.g., outdated policies, changes in patient identification procedures, arithmetic errors, etc.) which affect patient care. The results of a survey that endeavored to study the relevance and traits of morbidity and mortality conferences (M&MCs) in the spring of 1998 indicate that 90% of U.S. internal medicine training programs hold M&MCs. The majority of these conferences occur on a monthly basis, where an assigned leader reviews certain select cases that had unpredicted consequences or a suspected medical error. It was also reported that two-thirds of the hospitals use the M&MCs as a means to fulfill their administrative requirements for quality assurance. (en)
  • Совещание по заболеваемости и смертности (англ. Morbidity and mortality (M&M) conference) - формат регулярных конференций по разбору послеоперационных осложнений и причин смерти больных в госпитале, которые традиционно проводятся медицинскими службами в американских клинических учреждениях. Такие совещания проводится с целью обсуждения и экспертной оценки ошибок, возникающих во время лечения. Задачей хорошо спланированной M&M конференции является обучение медицинского персонала, изменение практик и предотвращение врачебных ошибок, приводящих к осложнениям у пациентов . Формат совещаний по заболеваемости и смертности был предложен в начале 1900-х годов американским хирургом Эрнестом Кодменом в Массачусетской больнице общего профиля в Бостоне (Massachusetts General Hospital, MGH). Идеи Кодмена способствовали стандартизации клинической практики, например внедрению Американской коллегией хирургов в 1916 году системы отчетов об ответственности за неблагоприятные исходы. По мере развития медицинской профессии вошло в привычку обсуждение врачами своих ошибок на M&M конференциях, где представлялись также и выводы по результатам аутопсии. В 1983 году Аккредитационный совет по последипломному медицинскому образованию США (ACGME) ввел требование к аккредитованным программам резидентства о проведении еженедельных разборов возникающих осложнений и смертности. (ru)
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