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Autor/inn/enGoldman, Stuart; Demaso, David R.; Kemler, Beth
TitelPsychiatry Morbidity and Mortality Rounds: Implementation and Impact
QuelleIn: Academic Psychiatry, 33 (2009) 5, S.383-388 (6 Seiten)Infoseite zur Zeitschrift
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Spracheenglisch
Dokumenttypgedruckt; online; Zeitschriftenaufsatz
ISSN1042-9670
DOI10.1176/appi.ap.33.5.383
SchlagwörterMedical Education; Communication Problems; Hospitals; Risk Management; Psychiatry; Educational Practices; Social Work; Mortality Rate; Patients; Surveys; Nursing; Psychology; Clinical Experience; Children
AbstractObjective: 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. (As Provided).
AnmerkungenAmerican 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
Erfasst vonERIC (Education Resources Information Center), Washington, DC
Update2017/4/10
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