Best Practices in Mortality Review - 2024 Quality Summit Presentation (Non-CE)-Best Practices in Mortality Review

Video Transcription

Video Summary

The session focused on best practices in mortality review, featuring talks by Dr. Jason Wasfi and Dr. Steven Bradley. Dr. Wasfi discussed the historical context and challenges of measuring and reporting mortality outcomes, highlighting issues with risk-adjustment and public reporting, which sometimes led to risk-averse behavior among physicians rather than improvements in patient care. He emphasized the importance of using these measurements to improve healthcare quality rather than as tools for blame.<br /><br />Dr. Bradley shifted the discussion to a more granular level, detailing how individual case reviews can identify root causes of adverse events and guide quality improvement efforts. He stressed the importance of multidisciplinary approaches, the need for a supportive culture to facilitate open discussions, and the utilization of standardized frameworks like root cause analysis and the Swiss cheese model to prevent future errors.<br /><br />During the Q&A session, various panelists addressed how to foster a culture of transparency, use risk stratification tools effectively, and engage providers as partners in quality improvement efforts instead of police. The discussion highlighted the need for trust in both the metrics used and the processes designed to enhance patient care.

Keywords

mortality review

best practices

risk-adjustment

quality improvement

root cause analysis

Swiss cheese model

multidisciplinary approaches

transparency culture

risk stratification