Application of morbidity and mortality conferences in the clinical teaching of nephrology

Zhang Lu; Wang Huiming; Li Kongling

doi:10.3760/cma.j.cn116021-20230201-01587

您当前的位置：

首页 >

文章列表页 >

Application of morbidity and mortality conferences in the clinical teaching of nephrology

Clinical Teaching | 更新时间：2024-11-01

- Application of morbidity and mortality conferences in the clinical teaching of nephrology
- Chinese Journal of Medical Education Research Vol. 23, Issue 10, Pages: 1390-1394(2024)
- 作者机构：
  
  1.武汉大学人民医院肾病内科，武汉　430060
  2.武汉大学人民医院外科学教研室，武汉　430060
- 作者简介：
  
  Li Kongling, Email: lklconnie@whu.edu.cn
- 基金信息：
  
  Teaching Research Project of Wuhan University School of Medicine(2021010);Young Scientists Fund of the National Natural Science Foundation of China(81800614)
- DOI：10.3760/cma.j.cn116021-20230201-01587
  CLC： R-05
- Published：20 October 2024，
  
  Received：01 February 2023，
- 稿件说明：
移动端阅览
张璐, 王惠明, 李孔玲. 并发症与死亡病例讨论在肾病内科临床教学中的应用[J]. 中华医学教育探索杂志, 2024, 23(10): 1390-1394.

Zhang Lu, Wang Huiming, Li Kongling. Application of morbidity and mortality conferences in the clinical teaching of nephrology. [J]. Chinese Journal of Medical Education Research, 2024,23(10):1390-1394.
张璐, 王惠明, 李孔玲. 并发症与死亡病例讨论在肾病内科临床教学中的应用[J]. 中华医学教育探索杂志, 2024, 23(10): 1390-1394. DOI： 10.3760/cma.j.cn116021-20230201-01587.

Zhang Lu, Wang Huiming, Li Kongling. Application of morbidity and mortality conferences in the clinical teaching of nephrology. [J]. Chinese Journal of Medical Education Research, 2024,23(10):1390-1394. DOI： 10.3760/cma.j.cn116021-20230201-01587.

摘要

并发症与死亡病例讨论是为避免医疗失误发生或重现、保证和改善医疗质量、提升医学生临床胜任力而进行的临床教学活动。然而，目前我国多数教学医院并未常规开展该项教学活动，或实施不规范而未能达到理想效果。本研究将并发症与死亡病例讨论引入肾病内科的临床教学中，系统剖析不良事件背后的原因，总结经验教训，制定改进措施，对维护医疗安全、改善医疗服务起到了良好的促进作用。同时，参会医学生的自评问卷结果提示，该项临床教学活动有助于提升医学生的核心胜任力。积极建立与不断完善标准化的并发症与死亡病例讨论体系对我国医疗与医学教育事业的高质量发展具有重要意义。

Abstract

Morbidity and mortality conferences are clinical teaching activities that aim to prevent the occurrence or recurrence of medical errors

assure and improve the quality of healthcare

and enhance the clinical competency of medical students. At present

most teaching hospitals in China do not regularly carry out such teaching activities or organize them improperly and thus fail to achieve the desired effect. This study introduces morbidity and mortality conferences into the clinical teaching of nephrology and aims to systematically analyze the potential factors causing adverse events

summarize related experience

and formulate improvement measures

so as to maintain medical safety and improve medical service. Meanwhile

results from the questionnaires completed by medical students who attended the conferences showed that such clinical teaching activities might help to enhance the core competency of medical students. Therefore

active construction and continuous improvement of morbidity and mortality conferences have an important significance for the high-quality development of healthcare system and medical education in China.

关键词

并发症与死亡病例讨论临床教学肾病内科医疗质量核心胜任力

Keywords

Morbidity and mortality conferenceClinical teachingNephrologyQuality of healthcareCore competency

references

Chathampally Y, Cooper B, Wood DB, et al. Evolving from morbidity and mortality to a case-based error reduction conference: evidence-based best practices from the council of emergency medicine residency directors [J]. West J Emerg Med, 2020, 21(6): 231-241. DOI: 10.5811/westjem.2020.7.47583http://dx.doi.org/10.5811/westjem.2020.7.47583.

Churchill KP, Murphy J, Smith N. Quality improvement focused morbidity and mortality rounds: an integrative review [J]. Cureus, 2020, 12(12): e12146. DOI: 10.7759/cureus.12146http://dx.doi.org/10.7759/cureus.12146.

程露，杨朔闻，高鹏，等. 死亡与并发症病例讨论会的综述及启示[J]. 中国医院管理， 2022， 42（11）： 93-96.

Tewfik G, Srinivasan N, Rodriguez-Correa D, et al. A survey-based assessment of the practices governing morbidity and mortality conferences and the effects of the COVID-19 pandemic [J]. Adv Med Educ Pract, 2022, 13: 1515-1523. DOI: 10.2147/AMEP.S392653http://dx.doi.org/10.2147/AMEP.S392653.

杨向明，王维戚，闫志伟，等. 死亡与并发症病例讨论会在口腔颌面肿瘤专业临床教学工作中的应用及意义[J]. 实用口腔医学杂志， 2020， 36（5）： 804-808. DOI: 10.3969/j.issn.1001-3733.2020.05.023http://dx.doi.org/10.3969/j.issn.1001-3733.2020.05.023.

Deshpande JK, Throop PG, Slayton JM. Standardization of case reviews (morbidity and mortality rounds) promotes patient safety [J]. Pediatr Clin North Am, 2012, 59(6): 1307-1315. DOI: 10.1016/j.pcl.2012.08.002http://dx.doi.org/10.1016/j.pcl.2012.08.002.

中国住院医师培训精英教学医院联盟，张舒，张抒扬. 中国住院医师培训精英教学医院联盟住院医师核心胜任力框架共识[J]. 协和医学杂志， 2022， 13（1）： 17-23. DOI: 10.12290/xhyxzz.2021-0755http://dx.doi.org/10.12290/xhyxzz.2021-0755.

Blankenship JC, Doll JA, Latif F, et al. Best practices for cardiac catheterization laboratory morbidity and mortality conferences [J]. JACC Cardiovasc Interv, 2023, 16(5): 503-514. DOI: 10.1016/j.jcin.2022.10.017http://dx.doi.org/10.1016/j.jcin.2022.10.017.

国家卫生健康委员会. 关于印发医疗质量安全核心制度要点的通知 [EB/OL]. (2018-04-21) [2023-01-28]. http://www.nhc.gov.cn/yzygj/s3585/201804/aeafaa4fab304bdd88a651dab5a4553d.shtmlhttp://www.nhc.gov.cn/yzygj/s3585/201804/aeafaa4fab304bdd88a651dab5a4553d.shtml.

余昌胤，刘仕方，汪成琼，等. 临床医学专业实习生对医疗核心制度掌握现状及认知状况调查[J]. 中华医学教育探索杂志， 2015（9）： 969-972. DOI: 10.3760/cma.j.issn.2095-1485.2015.09.027http://dx.doi.org/10.3760/cma.j.issn.2095-1485.2015.09.027.

邓茜月，应娇茜，胡云梦，等. 死亡病例讨论制度案例分析与策略研究[J]. 中国卫生质量管理， 2022， 29（4）： 33-35. DOI: 10.13912/j.cnki.chqm.2022.29.04.09http://dx.doi.org/10.13912/j.cnki.chqm.2022.29.04.09.

贾雪妍，常星，石羽茜，等. 临床医学专业型研究生核心胜任力的现状与思考[J]. 中华医学教育探索杂志， 2023， 22（5）： 786-790. DOI: 10.3760/cma.j.cn116021-20210608-01295http://dx.doi.org/10.3760/cma.j.cn116021-20210608-01295.

Pang S, Warraich HJ. Humanizing the morbidity and mortality conference [J]. Acad Med, 2021, 96(5): 668-670. DOI: 10.1097/ACM.0000000000003901http://dx.doi.org/10.1097/ACM.0000000000003901.

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Application of TfU model based on outcome-based education in the teaching of nurse interns in dermatology

Research on the application of Benner's theory stratified training based on the "Protect the World" platform for neurorehabilitation nurses

Application of high-fidelity simulation model in the teaching of lower urinary tract injury

Application of standardized family in pediatric clinical teaching

Related Author

Gou Hui

Zou Qin

Lin Zhiqiu

Luo Yibo

Chen Jihui

Liu Lishuang

Chen Qian

Shi Haina

Related Institution

Department of Dermatology and Venereology, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University

Neurorehabilitation Center, Beijing Rehabilitation Hospital Affiliated to Capital Medical University

Department of Burns, First Affiliated Hospital of Army Medical University

Medical Affairs Department, The First Affiliated Hospital of Chongqing Medical University

Department of Urology, Second Affiliated Hospital of Army Medical University

⁰