Poster 578 M&M Rehab: A Novel Approach to Morbidity and Mortality Conferences in PM&R Residency Programs

Abstract

the educational initiative. 2. Calculation of the total number of medications, PIMs, and the ABS score at the time of admission, transfer, and discharge with statistical comparison at each point of patient care. Results or Clinical Course: Analysis of 22 patients was conducted and compared to data collected pre-and post-intervention.Total number of medications decreased from 13.08 to 11.75 (10.18%), the number of PIM's decreased from 3.77 to 2.80 (25.73%), and the ABS score decreased from 1.84 to 1.65 (10.22%). Conclusions: The use of the MAT in combination with polypharmacy rounds, appears to be an effective means to encourage appropriate prescribing practices for reducing the total number of medications, PIMs, and the ABS score at discharge in patients over the age of 65.

Morbidity and Mortality Rounds in Rehabilitation—Benefits for Enhancing Quality Beyond Just the “M&M”

“…Departmental MMRs do, however, lend themselves well to integration with medical education, as residents would often be tasked with preparing and presenting cases for discussion. Quality gaps identified during the MMR can also lead to resident‐led QI project ideas, furthering integration with other residency activities [8].…”

“…With the ever‐increasing focus on patient safety in health care, MMRs have been adopted across many specialties as a forum for critical incident review using a systems‐based approach to identify root causes of quality and safety gaps, and improve future care delivery [4‐6]. However, the literature contains only 2 reports of MMRs introduced into rehabilitation settings [7,8]. This article will review the rationale for MMRs in Physical Medicine and Rehabilitation (PM&R), how to design and implement them, and their potential benefits and costs, based on experience implementing an MMR model called “Quality and Patient Safety Rounds” (QPSRs) in the Stroke Rehabilitation Program at University Health Network–Toronto Rehabilitation Institute.…”