Variations in the perception of trauma-related complications between attending surgeons, surgery residents, critical care nurses, and medical students

Abstract Background The morbidity and mortality conference (M&M) is a key component of the performance improvement process. The audience response system (ARS) has been shown to improve audience participation and promote more truthful responses in various settings. We implemented the ARS in our t...

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Bibliographic Details
Published in:The American journal of surgery 2009-06, Vol.197 (6), p.764-768
Main Authors: Dissanaike, Sharmila, M.D, Berry, Matthew, R.N, Ginos, Jason, B.A, Paige, Robert, Ph.D, McNabb, Wendi, R.N, Griswold, John, M.D
Format: Article
Language:English
Subjects:
Audience response system
Audiences
Biological and medical sciences
Categories
Classroom response systems
Complication scoring systems
Complications
Critical Care
Education, Medical
Fatalities
General aspects
General Surgery - education
Health participants
Illnesses
Internship and Residency
Medical personnel
Medical sciences
Medical Staff, Hospital
Medical students
Morbidity
Mortality
Nurses
Nursing Staff, Hospital - education
Patients
Pediatrics
Physicians
Prospective Studies
Public health. Hygiene
Public health. Hygiene-occupational medicine
Resident education
Review boards
Severity of Illness Index
Students
Students, Medical
Surgeons
Surgery
Trauma
Trauma centers
Trauma morbidity
Trauma mortality
Wounds and Injuries - complications
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Summary:Abstract Background The morbidity and mortality conference (M&M) is a key component of the performance improvement process. The audience response system (ARS) has been shown to improve audience participation and promote more truthful responses in various settings. We implemented the ARS in our trauma M&M and evaluated the responses we received from different categories of participants. Methods This was a prospective observational study undertaken between November 2006 and July 2007. Cases were graded based on the American College of Surgeons scoring system. We evaluated the responses of attending surgeons, residents, critical care nurses, and medical students using the ARS. Results We had 695 responses for complications and 936 responses for deaths. Residents consistently scored complications as more severe than other groups ( P = .03). There was no difference in the scoring of deaths. Conclusions Surgical residents assign higher severity to trauma-related complications than other groups when using an anonymous automated scoring system.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2008.05.015