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Article ; Online: Enhancing patient safety: a system-based analysis of morbidity and mortality conferences in managing postoperative bleeding following gastric and pancreatic cancer surgery.

Lahnaoui, Oumayma / Houmada, Amina / Benkabbou, Amine / Ghannam, Abdelillah / Al Ahmadi, Brahim / Belkhadir, Zakaria / Mohsine, Raouf / Souadka, Amine / Majbar, Mohammed Anass

BMJ open quality

2024  Volume 13, Issue 1

Abstract: Morbidity and mortality conferences (MMCs) have evolved beyond their traditional educational role to become instrumental in enhancing patient safety. System-based MMCs offer a unique perspective on patient safety by dissecting systemic factors ... ...

Abstract Morbidity and mortality conferences (MMCs) have evolved beyond their traditional educational role to become instrumental in enhancing patient safety. System-based MMCs offer a unique perspective on patient safety by dissecting systemic factors contributing to adverse events. This paper reviews the impact of MMC in managing postoperative bleeding after gastric and pancreatic cancer surgery, within the constraints of limited resources. The study conducted at the National Institute of Oncology in Rabat, Morocco, analysed 18 MMC of haemorrhage following gastric and pancreatic surgeries and allowed to identify two patterns of cumulative factors contributing to adverse events. The first one relates to organisational issues and the second to postoperative management. Fifteen recommendations of improvement emerged from MMC addressing elements of these patterns with an implementation rate of 53.3%.
MeSH term(s) Humans ; Patient Safety ; Pancreatic Neoplasms/surgery ; Morbidity
Language English
Publishing date 2024-03-13
Publishing country England
Document type Review ; Journal Article
ISSN 2399-6641
ISSN (online) 2399-6641
DOI 10.1136/bmjoq-2023-002657
Database MEDical Literature Analysis and Retrieval System OnLINE

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