Patient safety with special reference to adverse events taking place in the cases discussed in mortality and morbidity meets

Moonis Mirza; Farooq A. Jan; Fayaz Ahmad Sofi; Rauf Ahmad Wani

doi:10.18203/2320-6012.ijrms20160033

Authors

Moonis Mirza Department of Hospital Administration, AIIMS, New Delhi
Farooq A. Jan Department of Hospital Administration SKIMS, J&K
Fayaz Ahmad Sofi Department of Internal Medicine, SKIMS, J&K
Rauf Ahmad Wani Department of General& Minimal Invasive Surgery, SKIMS, J&K

DOI:

https://doi.org/10.18203/2320-6012.ijrms20160033

Keywords:

Mortality and Morbidity Meets, Patient safety, Preventable

Abstract

Background: There is an increasing belief that an institution’s ability to avoid patient harm will be realized when it creates a culture of safety among its staff members. Aims to study the cases discussed in mortality meets.

Methods: Critical analysis of cases discussed in mortality and morbidity meet were done for one year by using WHO Structured questionnaire on patient safety (RF-1 & RF-2 forms) along with their record review and interview to the concerned staff.

Results: 62 mortality and morbidity meetings were conducted during the study period of one year. Cardiac/ Respiratory arrest was the most common adverse event studied (67.7%) followed by unexpected death (48.4%). 52.7% of studied adverse events showed signs of healthcare team responsible for causing adverse events, mainly related to the therapeutic care (64.8%). 47% of adverse events were categorized preventable.

Conclusions: Mortality and Morbidity Meets should be made mandatory in all hospitals.

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References

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