| 英文摘要 |
The morbidity and mortality conference (MMC) plays an important role in helping medical personnel, especially physicians develop medical competence and improve clinical care. Recently, a well-designed structured discussion model might help to identify important problems during care in the MMC and provide opportunities to improve care quality. In this quasi-experimental intervention at two units of a medical center, the participants of MMCs were educated for the use of the SBAR methods for a structured discussion of the cases during the MMC, providing knowledge and demonstrated the SBAR (situation-background-assessmentrecommendation) skills. Basic component for the SBAR method included the Situation of the adverse condition encountered by the healthcare worker and the management provided, the Background relevant data of the patient, the Assessment and analysis of the problem and the possible cause for the adverse condition, and the Recommendation based on the summary from reviewing the literature to prevent further similar events to occur. The investigators participated in every session of the MMC to facilitate the application of SBAR for presentation and discussions among the attendee. Pre- and post-intervention surveys regarding the observations and attitudes toward patient safety were performed. Surveys on healthcare workers showed significant changes towards better directions in all of the 15 survey items (p<0.05) with an increase of responders. We conclude that the SBAR method for structured discussion in MMC is feasible tool to enhance MMC productivity and might contribute to improved quality of care with a positive attitude without compromising the attendance or attitudes of the participants. |
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