PMID- 27596798
OWN - NLM
STAT- MEDLINE
DCOM- 20170320
LR  - 20220409
IS  - 1879-1883 (Electronic)
IS  - 0002-9610 (Linking)
VI  - 212
IP  - 4
DP  - 2016 Oct
TI  - National Surgical Quality Improvement Program integration with Morbidity and 
      Mortality conference is essential to success in the march to zero.
PG  - 623-628
LID - S0002-9610(16)30381-6 [pii]
LID - 10.1016/j.amjsurg.2016.06.025 [doi]
AB  - BACKGROUND: Morbidity and Mortality conference (M&M) and the National Surgical 
      Quality Improvement Program (NSQIP) are systems to improve surgical care. We 
      evaluated the commonality of adverse events (AEs) and the change in AE rates 
      after integration. METHODS: A single institution's NSQIP and M&M registries were 
      analyzed to determine commonality of AE reported. Causal determinant groups were 
      then created to categorize and standardize AE. Incidence of AE and patient 
      commonality identified by these systems was evaluated over 2 years. RESULTS: The 
      68 common patients identified in 2012 represented 27% of NSQIP and 43% of M&M 
      patients. Common AE reported by M&M and NSQIP decreased from 16.9% (2013) to 9.6% 
      (2014). Causality code analysis demonstrated significant differences in 
      proportion of issues addressed within each (P < .0001). CONCLUSIONS: Despite 
      standardized coding, M&M focus differed from NSQIP. Low commonality affirms NSQIP 
      as a critical adjunct to voluntary reporting. Combining both may help eliminate 
      preventable AEs.
CI  - Copyright (c) 2016 Elsevier Inc. All rights reserved.
FAU - Gurien, Lori A
AU  - Gurien LA
AD  - Department of Surgery, University of Florida College of Medicine - Jacksonville, 
      3rd Floor, Faculty Clinic, 653 W 8th Street, FC12, Jacksonville, FL 32209, USA. 
      Electronic address: lgurien@gmail.com.
FAU - Ra, Jin H
AU  - Ra JH
AD  - Department of Surgery, University of Florida College of Medicine - Jacksonville, 
      3rd Floor, Faculty Clinic, 653 W 8th Street, FC12, Jacksonville, FL 32209, USA.
FAU - Kerwin, Andrew J
AU  - Kerwin AJ
AD  - Department of Surgery, University of Florida College of Medicine - Jacksonville, 
      3rd Floor, Faculty Clinic, 653 W 8th Street, FC12, Jacksonville, FL 32209, USA.
FAU - Nussbaum, Michael S
AU  - Nussbaum MS
AD  - Department of Surgery, University of Florida College of Medicine - Jacksonville, 
      3rd Floor, Faculty Clinic, 653 W 8th Street, FC12, Jacksonville, FL 32209, USA.
FAU - Crandall, Marie
AU  - Crandall M
AD  - Department of Surgery, University of Florida College of Medicine - Jacksonville, 
      3rd Floor, Faculty Clinic, 653 W 8th Street, FC12, Jacksonville, FL 32209, USA.
FAU - deVilla, Jhun
AU  - deVilla J
AD  - Department of Surgery, University of Florida College of Medicine - Jacksonville, 
      3rd Floor, Faculty Clinic, 653 W 8th Street, FC12, Jacksonville, FL 32209, USA.
FAU - Tepas, Joseph J Rd
AU  - Tepas JJ Rd
AD  - Department of Surgery, University of Florida College of Medicine - Jacksonville, 
      3rd Floor, Faculty Clinic, 653 W 8th Street, FC12, Jacksonville, FL 32209, USA.
LA  - eng
PT  - Journal Article
DEP - 20160801
PL  - United States
TA  - Am J Surg
JT  - American journal of surgery
JID - 0370473
SB  - IM
MH  - Humans
MH  - Intraoperative Complications/epidemiology/*prevention & control
MH  - Postoperative Complications/epidemiology/*prevention & control
MH  - Program Evaluation
MH  - Quality Assurance, Health Care/*methods
MH  - *Quality Improvement
MH  - Registries
MH  - Risk Management
MH  - Surgical Procedures, Operative/*adverse effects
MH  - United States
OTO - NOTNLM
OT  - Adverse events
OT  - Morbidity and mortality
OT  - NSQIP
OT  - Outcomes
OT  - Quality improvement
OT  - Surgical procedures
EDAT- 2016/09/07 06:00
MHDA- 2017/03/21 06:00
CRDT- 2016/09/07 06:00
PHST- 2016/02/02 00:00 [received]
PHST- 2016/05/26 00:00 [revised]
PHST- 2016/06/23 00:00 [accepted]
PHST- 2016/09/07 06:00 [pubmed]
PHST- 2017/03/21 06:00 [medline]
PHST- 2016/09/07 06:00 [entrez]
AID - S0002-9610(16)30381-6 [pii]
AID - 10.1016/j.amjsurg.2016.06.025 [doi]
PST - ppublish
SO  - Am J Surg. 2016 Oct;212(4):623-628. doi: 10.1016/j.amjsurg.2016.06.025. Epub 2016 
      Aug 1.