Evaluation of the Implementation of a Quality Improvement Program Through Morbidity and Mortality Reviews

NCT05286411 | Completed

• 1 other identifier: RMM_INO
• Study Type: observational
• Target: 13
• Locations: 1 country
• Sites: 1

Brief Summary

Morbidity and mortality reviews represent an opportunity to discuss adverse events and healthcare issues. Aim is to report the first experience of implementing a standardized procedure of morbidity and mortality reviews, and assess its impact on quality improvement.

Conditions

Quality Improvement

Keywords

morbidity and mortality reviews; implementation; quality improvement; patient safety

Outcome Measures

Primary Outcomes (1)

• Process assessment

  evaluation of the number of MMRs, numbers and categories of identified contributing factors, number and types of recommendations and number and types of implemented recommendations.

  one year

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients who underwent a curative surgical procedure for a digestive cancer in our department during the study period and who presented severe adverse events in 90 post operative day

You may qualify if:

• severe adverse events defined as postoperative morbidity \> 3a according to the Clavien Dindo grading system
• within the first 90 postoperative days of surgery
• Cases discussed in a morbidity and mortality review

You may not qualify if:

• Cases not discussed in a morbidity mortality review

Sponsors & Collaborators

• Moroccan Society of Surgery: lead

Study Sites (1)

National Institute of Oncology

Rabat, 10090, Morocco

Location

Related Publications (4)

• Houssaini K, Lahnaoui O, Souadka A, Majbar MA, Ghanam A, El Ahmadi B, Belkhadir Z, Amrani L, Mohsine R, Benkabbou A. Contributing factors to severe complications after liver resection: an aggregate root cause analysis in 105 consecutive patients. Patient Saf Surg. 2020 Sep 29;14:36. doi: 10.1186/s13037-020-00261-7. eCollection 2020.

  PMID: 33014137 BACKGROUND

• Souadka A, Benkabbou A, Al Ahmadi B, Boutayeb S, Majbar MA. Preparing African anticancer centres in the COVID-19 outbreak. Lancet Oncol. 2020 May;21(5):e237. doi: 10.1016/S1470-2045(20)30216-3. Epub 2020 Apr 3. No abstract available.

  PMID: 32251622 BACKGROUND

• Souadka A, Majbar MA, Essangri H, Amrani L, Benkabbou A, Mohsine R, Souadka A. Functional outcomes over time following perineal pseudocontinent colostomy reconstruction after abdominoperineal resection for ultralow rectal adenocarcinoma. J Surg Oncol. 2020 Sep;122(4):753-759. doi: 10.1002/jso.26074. Epub 2020 Jun 20.

  PMID: 32563198 BACKGROUND

• Majbar MA, Courtot L, Dahbi-Skali L, Rafik A, Jouppe PO, Moussata D, Benkabbou A, Mohsine R, Ouaissi M, Souadka A. Two-step pull-through colo-anal anastomosis aiming to avoid stoma in rectal cancer surgery: A "real life" study in a developing country. J Visc Surg. 2022 Jun;159(3):187-193. doi: 10.1016/j.jviscsurg.2021.04.004. Epub 2021 Jun 4.

  PMID: 34092526 BACKGROUND

Study Officials

• Oumayma Lahnaoui, MD

  National Institute of Oncology

  PRINCIPAL INVESTIGATOR

• Anass Majbar, MD

  National Institute of Oncology

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor MA Majbar

Study Record Dates

• First Submitted: March 9, 2022
• First Posted: March 18, 2022
• Study Start: January 1, 2019
• Primary Completion: December 31, 2019
• Study Completion: January 31, 2020
• Last Updated: April 5, 2022

Record last verified: 2022-03

Locations

MO (1)