Mortality review 2023 update
Mitchell MD, Maillie S, Maini M, Srinivas SK, Mull NK
Record ID 32018012819
English
Authors' objectives:
Identify recently published articles describing hospital mortality review processes.
Authors' results and conclusions:
▪ A MEDLINE and Embase search for literature related to mortality review or quality improvement conferences and related programs found four reviews and 22 articles reporting results of interventions intended to make these programs more effective in one way or another. 29 additional references are found in the bibliography.
▪ Interventions reported in these studies were quite heterogenous. Commonly described interventions included changing the focus of the conference from medical errors to quality improvement, adding tools to improve the reporting of cases, and standardizing the structure of presentations.
▪ The majority of studies reported results from surveys of attendees, with outcomes such as satisfaction with the program, willingness to participate, and perceived educational benefit. A few studies measured adverse event rates and other patient outcomes. Nearly all the reported studies were of pre-post design, so there is likely to be publication bias in this evidence base.
▪ A systematic review on this topic was published in 2018. It analyzed 19 published studies. The authors of that review reported that there was considerable heterogeneity in both the interventions studied and the outcomes measured; this precluded quantitative synthesis of study results. A variety of strategies were successful in improving learning outcomes. The authors recommend methodologic improvements to make future studies more useful.
Details
Project Status:
Completed
Year Published:
2023
URL for published report:
https://www.med.upenn.edu/CEP/external-request-form.html
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
United States
MeSH Terms
- Hospital Mortality
- Morbidity
- Quality Improvement
- Peer Review, Health Care
Keywords
- mortality
- morbidity
- quality improvement
- peer review
Contact
Organisation Name:
Penn Medicine Center for Evidence-based Practice
Contact Address:
Penn Medicine Center for Evidence-based Practice, University of Pennsylvania Health System, 3600 Civic Center Blvd, 3rd Floor West, Philadelphia PA 19104
Contact Name:
Nikhil Mull
Contact Email:
cep@pennmedicine.upenn.edu
Copyright:
<p>Center for Evidence-based Practice (CEP)</p>
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.