ERIC Number: EJ861507
Record Type: Journal
Publication Date: 2009
Pages: 6
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-1042-9670
EISSN: N/A
Psychiatry Morbidity and Mortality Rounds: Implementation and Impact
Goldman, Stuart; Demaso, David R.; Kemler, Beth
Academic Psychiatry, v33 n5 p383-388 Sep-Oct 2009
Objective: This study assessed the implementation of psychiatry morbidity and mortality rounds (M&Ms) on the clinical and educational practice in a children's hospital. Methods: Attendees to monthly M&Ms between July 2005 and May 2007 included staff and trainees from psychiatry, psychology, nursing, and social work. Cases were selected based on a priori risk criteria and each rated on the hospital's four-level risk management scale. M&Ms were reviewed for recurrent patterns that contributed to adverse patient care. Attendees completed a survey at the end of each year, evaluating the educational value of the rounds. Results: Possible opportunities for patient care improvement were found in 80% of the cases and fell into four overlapping areas: diagnostic/formulation errors, communication problems, system-based problems, and class/culture misunderstandings. Identifying these problems led to corrective actions and positive changes in patient care. Conclusion: M&Ms appear to be a potentially productive venue for self-appraisal and case review to aid psychiatry programs in patient safety efforts and clinician education.
Descriptors: Medical Education, Communication Problems, Hospitals, Risk Management, Psychiatry, Educational Practices, Social Work, Mortality Rate, Patients, Surveys, Nursing, Psychology, Clinical Experience, Children
American Psychiatric Publishing, Inc. 1000 Wilson Boulevard Suite 1825, Arlington, VA 22209-3901. Tel: 800-368-5777; Tel: 703-907-7856; Fax: 703-907-1092; e-mail: appi@psych.org; Web site: http://ap.psychiatryonline.org
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Grant or Contract Numbers: N/A