Abstract
The history of the surgical morbidity and mortality conference is closely linked to the history of the founding of the American College of Surgeons. Individual persistence in the belief that by looking for individual complications we can improve outcomes for large populations has been the guiding principle of that time-honored tradition of surgical training. However, a more contemporary concern, perhaps linked to societal and generational changes, is that individual responsibility for complications is punitive; the fear or shame results in avoidance of reporting of complications, which in turn fails to bring about the changes needed to prevent further complications. Hence contemporary surgical quality improvement techniques are more focused on process improvement and system-wide steps to prevent an error from every occurring. This chapter explores the history of this transition with examples, case reports, and a review of the key literature and people leading this reform.
| Original language | English (US) |
|---|---|
| Title of host publication | Patient Safety in Surgery |
| Publisher | Springer-Verlag London Ltd |
| Pages | 309-322 |
| Number of pages | 14 |
| ISBN (Electronic) | 9781447143697 |
| ISBN (Print) | 9781447143680 |
| DOIs | |
| State | Published - Jan 1 2014 |
| Externally published | Yes |
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Keywords
- Morbidity and mortality conference
- Outcomes
ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine
- Anesthesiology and Pain Medicine
Cite this
The surgery morbidity and mortality conference. / Jurkovich, Gregory.
Patient Safety in Surgery. Springer-Verlag London Ltd, 2014. p. 309-322.Research output: Chapter in Book/Report/Conference proceeding › Chapter
}
TY - CHAP
T1 - The surgery morbidity and mortality conference
AU - Jurkovich, Gregory
PY - 2014/1/1
Y1 - 2014/1/1
N2 - The history of the surgical morbidity and mortality conference is closely linked to the history of the founding of the American College of Surgeons. Individual persistence in the belief that by looking for individual complications we can improve outcomes for large populations has been the guiding principle of that time-honored tradition of surgical training. However, a more contemporary concern, perhaps linked to societal and generational changes, is that individual responsibility for complications is punitive; the fear or shame results in avoidance of reporting of complications, which in turn fails to bring about the changes needed to prevent further complications. Hence contemporary surgical quality improvement techniques are more focused on process improvement and system-wide steps to prevent an error from every occurring. This chapter explores the history of this transition with examples, case reports, and a review of the key literature and people leading this reform.
AB - The history of the surgical morbidity and mortality conference is closely linked to the history of the founding of the American College of Surgeons. Individual persistence in the belief that by looking for individual complications we can improve outcomes for large populations has been the guiding principle of that time-honored tradition of surgical training. However, a more contemporary concern, perhaps linked to societal and generational changes, is that individual responsibility for complications is punitive; the fear or shame results in avoidance of reporting of complications, which in turn fails to bring about the changes needed to prevent further complications. Hence contemporary surgical quality improvement techniques are more focused on process improvement and system-wide steps to prevent an error from every occurring. This chapter explores the history of this transition with examples, case reports, and a review of the key literature and people leading this reform.
KW - Morbidity and mortality conference
KW - Outcomes
UR - http://www.scopus.com/inward/record.url?scp=84956539769&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84956539769&partnerID=8YFLogxK
U2 - 10.1007/978-1-4471-4369-7_21
DO - 10.1007/978-1-4471-4369-7_21
M3 - Chapter
AN - SCOPUS:84956539769
SN - 9781447143680
SP - 309
EP - 322
BT - Patient Safety in Surgery
PB - Springer-Verlag London Ltd
ER -