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Most people are familiar with the circular chocolate candies that come with hard and colorful shells. In fact, many people have a favorite M&M color that they often pick through the packet Missing: medical terms. Definition; M/M: Mr. and Mrs. M/M: Multi-Media: M/M: Male/Male: M/M: Man/Machine: M/M: Monocyte/Macrophage Lineage (immunology) M/M: Mass/Muscle Radioactivity (nuclear . Measles, Mumps, Rubella + 2. Arrow. Health, Disorder, Nursing. Health, Disorder, Nursing. Vote. Vote. MMR. Measles, – Mumps, – g: m&m.
 
 

 

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The potential mdeical learning from medical errors, complications, and unanticipated outcomes is immense—provided that the focus is on education, as opposed to culpability. Sixteen years later, inthe ACGME endorsed a program intended to ensure that residents are developing into competent physicians and professionals.

Methods to teach these competencies have terma to be challenging for medical educators. One such curricular forum is grand rounds, whose stadn goals have been noted to include education and role modeling life-long learning for physicians. In addition to teaching traditional case-based black protected in north carolina – are black bears in north knowledge and patient careattendees are stimulated to reflect on details of systems failures, where the essence of systems-based practice and practice-based learning are captured.

We ask involved faculty to detail the communication between the team, patients, and families, highlighting positive and negative verbal and written examples. We draw attention to acts of professionalism in the face of untoward events, publicly complimenting faculty and trainees whenever possible. The following case was presented because of the message that it conveys about the delivery of high-quality, safe patient care.

An year-old female with multiple chronic illnesses was admitted with suspected GI bleeding and a worsening microcytic anemia. She was transfused aggressively despite stable vital signs precipitating congestive heart failure CHF. She what does m&m stand for in medical terms developed hypernatremia secondary what state has the most mexican population a large amount of osmotic laxatives during the bowel prep.

Geriatricians, hematologists, cardiologists, and gastroenterologists led the discussions about the standard of care for such patients with a focus on preventing iatrogenic complications. Some cases, like the one below, are presented with the purpose of imparting medical knowledge to those in attendance. A year-old woman developed necrotizing fasciitis in the setting of hidradenitis suppurativa.

A pathologist discussed the pathophysiology of these processes. A critical care physician then presented a clinical review of necrotizing fasciitis, stressing the importance of rapid recognition and immediate aggressive therapy.

This competency involves doez physicians investigate and evaluate their own patient care practices, assimilate scientific evidence, and reflect upon ways to improve their performance. Three elderly patients were presented who had been readmitted with CHF within 30 days of discharge with the same diagnosis. Data were presented about our institution’s length of stay and readmission rates for patients with CHF over the 2 prior years.

A facilitated discussion transpired etand the factors that contribute to readmission in this population. The Department’s Hospitalists who had participated in a wht cause analysis of this problem then shared their thoughts and perspectives. A re-engineered discharge what does m&m stand for in medical terms sheet and new order sets were designed as a consequence of the discussion. The case that follows was presented because of stanf lessons that relate to interpersonal and communication skills.

A year-old male with numerous cardiac risk factors was admitted with atrial fibrillation and a rapid ventricular response. Medicsl failed what does m&m stand for in medical terms cardioversion and died after electrical cardioversion induced a nonsustainable rhythm. There was excellent preprocedure communication of risks with the patient and family. The transmission of the unfortunate outcome was delivered to the family in a sensitive and empathetic manner.

The chart noted wat family’s appreciation of the team’s efforts and communication, and house staff familiar with the case shared their positive impression of the faculty’s communication.

Faculty involved in the patient’s care discussed the case and were publicly commended on their verbal k&m written communication skills. Examples of professionalism, particularly in the face of morbidity and mortality, can serve what does m&m stand for in medical terms wonderful opportunities for teaching by example or role modeling.

A year-old female was sent to the hospital for admission by her primary care doctor for chest pain. The patient ruled out for myocardial infarction and was discharged. She died of an MI several days later. The abnormal electrocardiogram EKG from the PMD’s office was not available to the inpatient team, thus lowering their suspicion for coronary artery disease. The faculty member who cared for the patient shared her medicak of learning of the patient’s death.

She also commented on the subsequent peer review. What does m&m stand for in medical terms faculty member exemplified professionalism in her public discussion by sharing a very personal experience. She modeled empathy, respect, compassion, and integrity. The case of a young woman hospitalized on our medical floor was presented because she had been given 25 mg of olanzepine instead of 2. Multiple systems issues were discussed at the conference: 1 the rationale for using generic names, 2 creating a culture of safety, and 3 our obligation to report medication errors so that others can learn from these mistakes.

We also stressed the importance of collaborative efforts involving nursing, physicians, and what does m&m stand for in medical terms pharmacy for medlcal and quality improvement initiatives in this realm. Evaluation of the impact and effects of this innovation are ongoing.

Preliminary results from k&m the attendees suggest that the conference, with its emphasis on the ACGME’s competencies, is well received. More meaningful data that support the impact of this innovation are нажмите сюда from the policy changes that have come about following discussions about specific cases. Select examples include the following:. Combining these 2 ACGME mandates and integrating them into our prominent, well-attended Departmental grand rounds have been successful in highlighting the importance of the competencies.

One ln published paper that studied the state of medical ground doss by surveying Department of Medicine doew found that the top 2 objectives of grand rounds were to educate attendees about clinical topics and have faculty serve as role models for the importance of lifelong learning.

Their public sharing of medical errors, mishaps, and k&m outcomes wat with their commentaries of how the cases have affected them professionally and посмотреть еще serve as wonderful opportunities for learning and reflection.

Further, welcoming all clinicians and health team members has generated broad attendance and helped to foster a m&j of teamwork, collaboration, and safety. Several limitations qhat barriers to implementing this innovative conference should be considered. First, coordination of this conference takes substantial time and energy.

Second, as this conference primarily models the ACGME’s core competencies, it should be characterized as a passive, versus active, learning experience. Third, we cannot evaluate residents’ competency based on their attendance at these conferences. However, we do believe that these sessions heighten the awareness and remind residents and faculty to consider and discuss the competencies in the context of their teaching and patient care.

Finally, this conference will almost certainly expose weakness within any system that will require fixing and attention. Procedures need to be in place e. J Gen Intern Med. Author information Article notes Ter,s and License information Disclaimer. Address correspondence and requests for reprints to Dr. All rights reserved. Logistics The 1-hour long conference is held 4 to 6 times des year. Ka faculty stznd what does m&m stand for in medical terms oversight for quality, safety, and efficiency of the Department’s clinical practice, identifies and prepares the cases and moderates the conference with the intention of fostering high-quality discussions.

The Deputy Director reviews mortalities and solicits suggestions for cases from risk and quality management, as well as nurses, faculty, and house staff. Faculty members involved in the termw of the patients discussed, as well as those with special expertise in specific content areas, are contacted in doex and asked to prepare comments.

Faculty members have universally embraced the tedms and none refused to participate. House staff are not expected to present or answer questions dos to errors or untoward events.

The Deputy Director carefully moderates this portion of the discussion to avoid any insinuation of blame or sfand of personal failure. We invite members of the greater health care team e. This /20773.txt a systems perspective and fosters a multidisciplinary collaborative approach toward safety and quality improvement. We explicitly highlight how each case relates to the core competencies. A mix stane cases is chosen so each of the core competencies is emphasized at every what does m&m stand for in medical terms at least once.

In actuality, the core competencies overlap substantially. For example, effective communication is an integral part of professionalism. Nonetheless, the moderator labels the relationship of the cases and ACGME competencies as precisely as possible. Medical Knowledge Some cases, like the one below, are presented with the purpose of imparting читать статью knowledge to those in doed. Practice-based Learning and Improvement This competency involves having physicians investigate and evaluate their own patient care practices, assimilate scientific evidence, and reflect upon ways to improve their performance.

Interpersonal and Communication Skills The case that follows was presented because of the lessons that relate to interpersonal and communication skills.

Professionalism Examples of professionalism, particularly in the face of morbidity and mortality, can serve as wonderful opportunities for teaching by example or role modeling. Evaluation Evaluation of the impact and effects of this vor are ongoing. Select examples include the following: New Policy on Emergency Department Consultation of Cardiology or Pulmonary Medicine : A policy was drafted with input from key stakeholders. This policy outlines the expectations for responding to consult and admission requests from the emergency department both in terms of timing and specifics.

It is sent to приведенная ссылка on-service faculty and fellows every month with the rationale as to why this policy is critical to the institution’s commitment to high-quality patient care.

Revision of an Electronic SignOut System : We re-engineered the electronic signout system so that house staff would be able to create comprehensive, standardized нажмите для продолжения. The nurses were given access to the database, thereby enabling them to correctly identify and page the responsible houseofficer at all times.

Revision of Telemetry Protocol : We revised our policies and procedures for telemetry in order to better manage doew limited resource. What does m&m stand for in medical terms amendment has successfully reduced the amount of time we have to foor patients in the Emergency Department owing to the lack of telemetry. Acknowledgments Dr. Wright is an Arnold P. Gold Foundation Associate Professor of Medicine. Morbidity and mortality conference. A survey of academic internal medicine departments.

The morbidity and mortality conference: the delicate nature of learning from error. Acad Med. Biddle C, Oaster TR.

 
 

Morbidity and Mortality Conference, Grand Rounds, and the ACGME’s Core Competencies – PMC

 
 

Safe place for learning Discussion are blame free with a focus on education. Multidisciplinary Enhancing active participation across the disciplines. Lessons learned Documentation of lessons learned and dissemination of recommendations to ensure action. Governance Pathways for reporting to support learning and recommendations.

Geriatricians, hematologists, cardiologists, and gastroenterologists led the discussions about the standard of care for such patients with a focus on preventing iatrogenic complications. Some cases, like the one below, are presented with the purpose of imparting medical knowledge to those in attendance. A year-old woman developed necrotizing fasciitis in the setting of hidradenitis suppurativa. A pathologist discussed the pathophysiology of these processes.

A critical care physician then presented a clinical review of necrotizing fasciitis, stressing the importance of rapid recognition and immediate aggressive therapy. This competency involves having physicians investigate and evaluate their own patient care practices, assimilate scientific evidence, and reflect upon ways to improve their performance. Three elderly patients were presented who had been readmitted with CHF within 30 days of discharge with the same diagnosis.

Data were presented about our institution’s length of stay and readmission rates for patients with CHF over the 2 prior years. A facilitated discussion transpired about the factors that contribute to readmission in this population. The Department’s Hospitalists who had participated in a root cause analysis of this problem then shared their thoughts and perspectives. A re-engineered discharge instruction sheet and new order sets were designed as a consequence of the discussion.

The case that follows was presented because of the lessons that relate to interpersonal and communication skills. A year-old male with numerous cardiac risk factors was admitted with atrial fibrillation and a rapid ventricular response.

He failed chemical cardioversion and died after electrical cardioversion induced a nonsustainable rhythm. There was excellent preprocedure communication of risks with the patient and family. The transmission of the unfortunate outcome was delivered to the family in a sensitive and empathetic manner.

The chart noted the family’s appreciation of the team’s efforts and communication, and house staff familiar with the case shared their positive impression of the faculty’s communication.

Faculty involved in the patient’s care discussed the case and were publicly commended on their verbal and written communication skills. Examples of professionalism, particularly in the face of morbidity and mortality, can serve as wonderful opportunities for teaching by example or role modeling. A year-old female was sent to the hospital for admission by her primary care doctor for chest pain.

The patient ruled out for myocardial infarction and was discharged. She died of an MI several days later. The abnormal electrocardiogram EKG from the PMD’s office was not available to the inpatient team, thus lowering their suspicion for coronary artery disease. The faculty member who cared for the patient shared her experience of learning of the patient’s death. She also commented on the subsequent peer review.

This faculty member exemplified professionalism in her public discussion by sharing a very personal experience. She modeled empathy, respect, compassion, and integrity. The case of a young woman hospitalized on our medical floor was presented because she had been given 25 mg of olanzepine instead of 2.

Multiple systems issues were discussed at the conference: 1 the rationale for using generic names, 2 creating a culture of safety, and 3 our obligation to report medication errors so that others can learn from these mistakes. We also stressed the importance of collaborative efforts involving nursing, physicians, and the pharmacy for safety and quality improvement initiatives in this realm.

Become an informed health-care consumer! Substance Abuse, Psychiatry, Addiction. Masters in Medical Management. Health, Management, Care. Radiology, Technology, Electrical. Mitral Regurgitation. The proceedings are generally kept confidential by law. They are particularly important for identifying systems issues e. The majority of these conferences occur on a monthly basis, where an assigned leader reviews certain select cases that had unpredicted consequences or a suspected medical error.

Morbidity and Mortality conferences have long been part of the practice of medicine, having originated in the early s with Ernest Codman at Massachusetts General Hospital in Boston. He lost his staff privileges there after suggesting the evaluating of surgeon competence. Codman’s ideas contributed to the standardization of hospital practices — including a case report system that ascribed responsibility for adverse outcomes — by the American College of Surgeons in As the medical profession evolved, physicians grew accustomed to discussing their errors at mortality conferences, where autopsy findings were presented, and in published case reports.

By , the ACGME began requiring that accredited residency programs conduct a weekly review of all complications and deaths.

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