Table of Contents
Morbidity and Mortality
M&M's are approximately every 4-6 weeks on the conference schedule. Please adhere to the following format for slide presentation. Slides should be limited to 4-7 slides of written content with 3-6 slides of photos and should focus on the complication. Ten slide maximum. Discussion should be limited to the complication. The goal should be to learn attending level decision-making. Goal should be to present in 7 minutes with 7 minutes of questions and discussions. Plan to complete 4-5 M&M in 1 hour.
Title Slide: 1 slide limit
Include: Faculty Name, Complication, Operation, Date of Service
Be sure to include your case numbers on this slide
Background: 2 slide limit
Include pertinent clinical information to the adverse outcome:
- Patient History with focus on relevant risk factors
- Indication for intervention
- Laboratory and Imaging Studies
- Procedural details
- Hospital Course - related to outcome
- How and when the complication was recognized
- Management of the complication or event
Assessment and Analysis: Optional; 1 slide limit
Evaluation of what happened and why:
- Describe the sequence of events leading to the adverse outcome
- Why it occurred - description of contributory factors and how these interacted across the system
Review of Literature: 2 slide limit
- Present the evidence base relevant to the complication.
Recommendations: 1 slide limit
- identify how the complication or event could have been prevented or better managed
- identify learning points from the case
- identify actions to prevent or minimize future reoccurrence.
Ref: NHS Scotland Draft Practice Guide for Morbidity and Mortality Meetings Nov 2016
Comments:
Present case simply. Make sure to include risk factors for the complication and what risk factors are relevant for this patient. If it is a technical error, present the proposed change or intervention to prevent the complication.
Chong Abdominal Wall: Make sure you present perforator row. Multiple and more lateral perforators will result in more deinnervation of muscle and lead to higher complications of bulge (possibly hernia as well, but this is much more rare).