KU WICHITA DEPARTMENT OF OBGYN FACULTY MENTOR: RESIDENT:

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Presentation transcript:

KU WICHITA DEPARTMENT OF OBGYN FACULTY MENTOR: RESIDENT: MORBIDITY & MORTALITY KU WICHITA DEPARTMENT OF OBGYN FACULTY MENTOR: RESIDENT: Privileged & Confidential: Subject to Peer Review and Medical Review Protections K.S.A. 65-4915

INTRODUCTION The purpose of M&M is: To provide a safe venue for residents, faculty and attendings to identify areas of improvement, and promote professionalism, ethical integrity and transparency in assessing and improving patient care. To promote leadership, research, and scholarly activity; and incorporate into a learning opportunity the six core ACGME competencies. To provide a forum to teach curriculum on quality improvement and medico legal issues to residents and students. To foster a climate of openness and discussion about medical errors. All participants are reminded this is a privileged and confidential meeting Privileged & Confidential: Subject to Peer Review and Medical Review Protections K.S.A. 65-4915

PRESENT Brief Overview of rationale for selection of the case, diagnosis and complications Privileged & Confidential: Subject to Peer Review and Medical Review Protections K.S.A. 65-4915

BRIEF OVERVIEW OF CASE Diagnosis Complication Privileged & Confidential: Subject to Peer Review and Medical Review Protections K.S.A. 65-4915

TIMELINE OF KEY EVENTS Privileged & Confidential: Subject to Peer Review and Medical Review Protections K.S.A. 65-4915

RESTATE COMPLICATIONS Identify all potential causes of complications Privileged & Confidential: Subject to Peer Review and Medical Review Protections K.S.A. 65-4915

CLINICAL ISSUES How could/should the complications have been prevented, ameliorated, and/or managed Privileged & Confidential: Subject to Peer Review and Medical Review Protections K.S.A. 65-4915

CHANGES What would you have done differently? Privileged & Confidential: Subject to Peer Review and Medical Review Protections K.S.A. 65-4915

PATIENT CARE ISSUE OCCURED AS A PROBLEM RELATED TO WHAT ACGME COMPETENIES: Medical Knowledge Patient care provided or not provided Communication and interpersonal skills Professionalism Practice-based learning and improvement Systems-based practice Privileged & Confidential: Subject to Peer Review and Medical Review Protections K.S.A. 65-4915

DID THE ISSUE OCCUR AS A PROBLEM RELATED TO: Documentation Physician Care Nursing Care Care from other healthcare professionals Patient and/or family Specific other system-based practice, policy, or protocol Communication Privileged & Confidential: Subject to Peer Review and Medical Review Protections K.S.A. 65-4915

EVIDENCE BASED LITERATURE Privileged & Confidential: Subject to Peer Review and Medical Review Protections K.S.A. 65-4915

IDENTIFY KNOWLEDGE GAPS What we know What we do not know Privileged & Confidential: Subject to Peer Review and Medical Review Protections K.S.A. 65-4915

TAKE HOME POINTS What did we learn? What will we do to prevent this in the future? Privileged & Confidential: Subject to Peer Review and Medical Review Protections K.S.A. 65-4915

DISCUSSION Privileged & Confidential: Subject to Peer Review and Medical Review Protections K.S.A. 65-4915