m&m

[Audio] MORBIDITY AND MORTALITY NURSING CONFERENCE Tondo Medical Center Nursing Service 2023.

[Audio] THE OBJECTIVES The Morbidity and Mortality Nursing Conference aims to provide a safe venue for Nursing Service to identify areas of improvement and promote professionalism, ethical integrity, and transparency in assessing and improving patient care..

[Audio] BACKGROUND The aim is to facilitate effective M&M presentations and to improve presentation quality and learning outcomes for junior and senior attendees. These improvements are achieved using the 'SBAR' approach to standardizing clinical communications (Situation, Background, Assessment and Analysis, Review of literature and Recommendations). The toolkit also provides an assessment approach/instrument to evaluate the effectiveness of M&M presentations..

SITUATION Statement of the problem: •Adn:.ittmg •Stateaaaeül ofproeedu:re or overatten •Statement events:outoonnes t;riæeri-ne presentation BACKGROUND Clinv.al, tp •Patient History reason for •Labs and imaging studte:s. studies relevat:jz to outcome •Procedural details: tcehnieal Of phystoLog1eal d,ctatls yelated ta ouccotne PTBe•nt nan-procedural related to outcome •Recogniüon of the comp11eatLan: Slate hi.7'iv.AÅ•het1 was •Management ofthe compi:tntå.onv Deseribe bow the complication : history TCi.ClI-, past Esto:ry. ASSESSMLXTL&-XALVSTS E'.-aluatLon cfThat happened and why it happened • •vVhathxppeaed? E:ru analysts • *equeaee events leædu•g to adverse ' 'Buy did Cause Aüalyw: provide de•cttpuou of fundamental cause(s) of the adverse eureouae relationship to: Hutua.li Err -Error iti technique jLl.dgtoe:tiL. communication 2 Systems Errors tart " stem;orguuzat10'ü e.g.. 10',v uudcquate co-orduat:oa Panent related factors - Patsent disease or non-eompltauce —bane«l Proposed to similar problem • Identåfy hrnv problem could have beenpreveefed or better managed • Ident; fy fi Site Anaesthesia Group..

[Audio] GUIDANCE NOTES FOR IMPLEMENTING THE SBAR STANDARDIZED FORMAT IN M&M PRESENTATIONS (BASIC IMPLEMENTATION) For each presentation, one (or more) complication/s is/are selected by the M&M coordinator. Submission of the initial output will be on May 15, 2023, this will serve as the ORAL COLLOQUIUM before the GRAND CASE presentation on June 15, 2023 (1st M&M Nursing Conference) and is subject to change depending on certain circumstances that might occur. Ideally, these ought to be complications judged to carry the highest learning value for M&M attendees. The complications are presented in a formal 30 minute case presentation using the SBAR-standardized format. A set of 'SBAR' Microsoft PowerPoint presentation slides (templates) are available to allow easy structuring of the presentation. The case presentation is followed by a five minute (minimum, depending on case load to be discussed) discussion of the learning points and actions stemming from the case..

[Audio] ASSESSMENT & FEEDBACK TOOLKIT. PRESENTATION ASSESSMENT AND St.aterner* Adrn•ttinq d•aqnosis ASSESSMENT & FEEDBACK TOOLKIT Staternent Staternent outconw Presents relevant to related to States the w„as ANACVVS E Why WHAT events to adverse WHY Hm•n Error in errors: A•so€T.

moo•a Presents Oterature to actions to gevent future similar Identifies lehng gwyts frun case Identifies how pr&m codd have novotD USED ON tote: history ofptegnt uness PMH Bjst PSH mstcry. AN of the presentation scored the 5øtnt xales dtt* instrument '*me (a tkk can Nxed the fed rx presenter. ASSESSMENT & FEEDBACK TOOLKIT How to Score: 1.

[Audio] TEAMS FOR M&M NURSING CONFERENCE 1. Surgical (OR/ Surgery/SICU) 2. Maternal and Child (OB Complex) 3. Pediatric (Pedia Ward/ West Wing- Onco) 4. Medical (East Wing/ICU) 5. COVID Area (South Wing/ North Wing/ COVID Warehouse) 6. Emergency Department (ER Clean/ ER Warehouse/ OPD).

[Audio] GRAND AWARDS A plaque of appreciation Cash prize.

[Audio] THANK YOU For any questions call the Chief Nurse Office.