Improving the quality of care in cardiac surgery — the role of the 'mortality' meeting

by guest on 28 July 2 [10] Zethelius B, Berglund L, Sundström J, Ingelsson E, Basu S, Larsson A, Venge P, Arnlöv J. Use of multiple biomarkers to improve the prediction of death from cardiovascular causes. N Engl J Med 2008;358:2107—16. [11] Rhodes A, Wort SJ, Thomas H, Collinson P, Bennett ED. Plasma DNA concentration as a predictor of mortality and sepsis in critically ill patients. Crit Care 2006;10:R60. [12] Rogers Jr SO, Gawande AA, Kwaan M, Puopolo AL, Yoon C, Brennan TA, Studdert DM. Analysis of surgical errors in closed malpractice claims at 4 liability insurers. Surgery 2006;140:25—33. [13] McGloin H, Adam SK, Singer M. Unexpected deaths and referrals to intensive care of patients on general wards. Are some cases potentially avoidable? J R Coll Physicians Lond 1999;33:255—9. [14] Griffen FD, Stephens LS, Alexander JB, Bailey HR, Maizel SE, Sutton BH, Posner KL. The American College of Surgeons’ closed claims study: new insights for improving care. J Am Coll Surg 2007;204:561—9. [15] Griffen FD, Turnage RH. Reviews of liability claims against surgeons: what have they revealed? Adv Surg 2009;43:199—209. [16] De Leval MR, Carthey J, Wright DJ, Farewell VT, Reason JT. Human factors and cardiac surgery: a multicenter study. J Thorac Cardiovasc Surg 2000;119:661—72. [17] Wachter RM, Shojania KG, Saint S, Markowitz AJ, Smith M. Learning from our mistakes: quality grand rounds, a new case-based series on medical errors and patient safety. Ann Intern Med 2002;136:850—2. [18] Anderson RE, Fox RC, Hill RB. Medical uncertainty and the autopsy: occult benefits for students. Hum Pathol 1990;21:128—35. [19] Beckwith JB. The value of the pediatric postmortem examination. Pediatr Clin North Am 1989;36:29—36. [20] Rastan AJ, Gummert JF, Lachmann N, Walther T, Schmitt DV, Falk V, Doll N, Caffier P, Richter MM, Wittekind C, Mohr FW. Significant value of autopsy for quality management in cardiac surgery. J Thorac Cardiovasc Surg 2005;129:1292—300. [21] Kant I. Critique of pure reason. Dover Publication; 2003, AK, III, 424. [22] Naylor CD. Grey zones of clinical practice: some limits to evidence-based medicine. Lancet 1995;345:840—2. [23] Hochman JS, Sleeper LA, Webb JG, Sanborn TA, White HD, Talley JD, Buller CE, Jacobs AK, Slater JN, Col J, McKinlay SM, LeJemtel TH. Early revascularization in acute myocardial infarction complicated by cardiogenic shock. SHOCK Investigators. Should we emergently revascularize occluded coronaries for cardiogenic shock. N Engl J Med 1999;341: 625—34. [24] Hochman JS, Sleeper LA, White HD, Dzavik V, Wong SC, Menon V, Webb JG, Steingart R, Picard MH, Menegus MA, Boland J, Sanborn T, Buller CE, Modur S, Forman R, Desvigne-Nickens P, Jacobs AK, Slater JN, LeJemtel TH, SHOCK Investigators. Should we emergently revascularize occluded coronaries for cardiogenic shock. JAMA 2001;285: 190—2.

[1]  C. Hervé,et al.  Mortality meetings: ethical considerations and adherence to evidence-based practice from 6 years of experience in a mixed cardiac department. , 2011, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[2]  R. Turnage,et al.  Reviews of liability claims against surgeons: what have they revealed? , 2009, Advances in surgery.

[3]  Anders Larsson,et al.  Use of multiple biomarkers to improve the prediction of death from cardiovascular causes. , 2008, The New England journal of medicine.

[4]  F Dean Griffen,et al.  The American College of Surgeons' closed claims study: new insights for improving care. , 2007, Journal of the American College of Surgeons.

[5]  Catherine Yoon,et al.  Analysis of surgical errors in closed malpractice claims at 4 liability insurers. , 2006, Surgery.

[6]  P. Collinson,et al.  Plasma DNA concentration as a predictor of mortality and sepsis in critically ill patients , 2006, Critical care.

[7]  N. Doll,et al.  Significant value of autopsy for quality management in cardiac surgery. , 2005, The Journal of thoracic and cardiovascular surgery.

[8]  Kaveh G Shojania,et al.  Learning from Our Mistakes: Quality Grand Rounds, a New Case-Based Series on Medical Errors and Patient Safety , 2002, Annals of Internal Medicine.

[9]  L. Sleeper,et al.  Trends in cardiogenic shock: report from the SHOCK Study. The SHould we emergently revascularize Occluded Coronaries for cardiogenic shocK? , 2001, European heart journal.

[10]  J. Reason,et al.  Human factors and cardiac surgery: a multicenter study. , 2000, The Journal of thoracic and cardiovascular surgery.

[11]  H. White,et al.  Early revascularization in acute myocardial infarction complicated by cardiogenic shock. SHOCK Investigators. Should We Emergently Revascularize Occluded Coronaries for Cardiogenic Shock. , 1999, The New England journal of medicine.

[12]  M. Singer,et al.  Unexpected Deaths and Referrals to Intensive Care of Patients on General Wards – Are Some Cases Potentially Avoidable? , 1999, Journal of the Royal College of Physicians of London.

[13]  C. Naylor Grey zones of clinical practice: some limits to evidence-based medicine , 1995, The Lancet.

[14]  R. Anderson,et al.  Medical uncertainty and the autopsy: occult benefits for students. , 1990, Human pathology.

[15]  J. Beckwith The value of the pediatric postmortem examination. , 1989, Pediatric clinics of North America.