A 'PEaRL' of Support and Cooperative Learning: A Pilot Study Shifting the Sands of the Dreaded Morbidity and Mortality Conference.

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2024-05-01

Sarah C Yale, Kelsey Porada, Patrick J McCarthy

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Abstract

Background: When unanticipated and/or poor patient outcomes occur, clinicians frequently experience guilt, anger, psychological distress, and fear, which can be intensified by traditional morbidity and mortality conferences.

Methods: The Pediatric Event Review and Learning (PEaRL) curriculum was developed to discuss unanticipated and/or poor patient outcomes and foster support while highlighting foundational safety concepts. Pre- and post-implementation evaluations of quarterly cased-based sessions were completed.

Results: All respondents endorsed that unanticipated and/or poor patient outcomes affected their mood, well-being, and functioning. Post-implementation of the PEaRL curriculum, significantly more respondents endorsed existence of a safe environment and structured format to discuss these outcomes, as well as feeling more supported.

Discussion: The PEaRL curriculum provides a valuable opportunity for trainees and experienced clinicians alike to explore and discuss unanticipated and/or poor patient outcomes while addressing key patient safety principles.

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支持与合作学习的 "PEaRL"：一项试点研究，改变了可怕的发病率和死亡率会议的现状。

背景：当患者出现意外和/或不良预后时，临床医生经常会感到内疚、愤怒、心理压力和恐惧：当患者出现意外和/或不良预后时，临床医生经常会感到内疚、愤怒、心理压力和恐惧，而传统的发病率和死亡率会议可能会加剧这种情况：方法：我们开发了儿科事件回顾与学习（PEaRL）课程，以讨论意外和/或不良患者结局，并在强调基本安全概念的同时促进支持。结果：所有受访者都认为儿科事件回顾与学习（PEaRL）课程能够帮助他们更好地了解意外和/或不良的患者预后，同时强调基本的安全概念：结果：所有受访者都认为，患者的意外和/或不良后果影响了他们的情绪、幸福感和工作能力。在实施 PEaRL 课程后，有更多的受访者表示有一个安全的环境和结构化的形式来讨论这些结果，并感觉得到了更多的支持：讨论：PEaRL 课程为受训者和经验丰富的临床医生提供了一个宝贵的机会，让他们在探讨关键的患者安全原则的同时，探讨和讨论意外和/或不良的患者治疗结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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WMJ : official publication of the State Medical Society of Wisconsin

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