SBAR M&M: a feasible, reliable, and valid tool to assess the quality of, surgical morbidity and mortality conference presentations
Abstract Background The Surgical Morbidity and Mortality (M&M) conference is considered the golden hour of surgical education. However, evaluation methods for ensuring that quality M&M presentations efficiently contribute to resident education have not been clearly defined. To provide surgic...
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| Veröffentlicht in: | The American journal of surgery 2012, Vol.203 (1), p.26-31 |
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| creator | Mitchell, Erica L., M.D Lee, Dae Y., M.D Arora, Sonal, M.D., Ph.D Kwong, Karen L., M.D Liem, Timothy K., M.D Landry, Gregory L., M.D., M.R.C Moneta, Gregory L., M.D Sevdalis, Nick, Ph.D |
| description | Abstract Background The Surgical Morbidity and Mortality (M&M) conference is considered the golden hour of surgical education. However, evaluation methods for ensuring that quality M&M presentations efficiently contribute to resident education have not been clearly defined. To provide surgical trainees with the skills required to present a quality M&M presentation it is essential to have a robust tool to measure presentation skill and guide formative feedback. Methods A prospective observational study was conducted to develop an assessment tool for M&M conference. Literature review and expert consensus provided content for tool development. The tool, created using the situation, background, assessment, and recommendation format, was refined successively based on assessor feedback and assessed for reliability (internal consistency, interassessor reliability) and construct validity. Results Three successive iterations of the tool were developed. Internal consistency and interassessor reliability improved from the first to third versions. A trend also was shown for increasing construct validity with the third iteration of the tool. Conclusions A psychometrically robust assessment tool based on the situation, background, assessment, and recommendation format was developed and validated to identify and improve the overall quality and educational value of the surgical M&M conference. |
| doi_str_mv | 10.1016/j.amjsurg.2011.07.008 |
| format | Article |
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However, evaluation methods for ensuring that quality M&M presentations efficiently contribute to resident education have not been clearly defined. To provide surgical trainees with the skills required to present a quality M&M presentation it is essential to have a robust tool to measure presentation skill and guide formative feedback. Methods A prospective observational study was conducted to develop an assessment tool for M&M conference. Literature review and expert consensus provided content for tool development. The tool, created using the situation, background, assessment, and recommendation format, was refined successively based on assessor feedback and assessed for reliability (internal consistency, interassessor reliability) and construct validity. Results Three successive iterations of the tool were developed. Internal consistency and interassessor reliability improved from the first to third versions. A trend also was shown for increasing construct validity with the third iteration of the tool. Conclusions A psychometrically robust assessment tool based on the situation, background, assessment, and recommendation format was developed and validated to identify and improve the overall quality and educational value of the surgical M&M conference.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/j.amjsurg.2011.07.008</identifier><identifier>PMID: 22088267</identifier><identifier>CODEN: AJSUAB</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Assessment instrument ; Assessment tool ; Biological and medical sciences ; Caregivers ; Clinical Competence ; Communication ; Consistency ; Education ; Educational value ; Epidemiology ; Family medical history ; Feasibility Studies ; Feedback ; Format ; General aspects ; Health education ; Human error ; Humans ; Linear Models ; Literature reviews ; Medical Errors - prevention & control ; Medical residencies ; Medical sciences ; Morbidity ; Morbidity and mortality conference ; Morbidity and mortality presentations ; Mortality ; Patient Safety ; Prospective Studies ; Psychometrics ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Quality ; Quality assessment ; Quality Assurance, Health Care ; Quantitative psychology ; Reliability analysis ; Reproducibility of Results ; Safety Management - methods ; SBAR ; Surgery ; Surgical instruments ; Surgical M&M conference ; Surgical morbidity and mortality conference ; Surgical Procedures, Operative - education ; Surgical Procedures, Operative - standards ; Teaching methods ; Validity</subject><ispartof>The American journal of surgery, 2012, Vol.203 (1), p.26-31</ispartof><rights>Elsevier Inc.</rights><rights>2012 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Jan 1, 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c477t-501a0e45cdf8a34734f70148f8e99eeb23d995a8af22c788be301c87e566bcb83</citedby><cites>FETCH-LOGICAL-c477t-501a0e45cdf8a34734f70148f8e99eeb23d995a8af22c788be301c87e566bcb83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1925189751?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3548,4022,27922,27923,27924,45994,64384,64386,64388,72240</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25785112$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22088267$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mitchell, Erica L., M.D</creatorcontrib><creatorcontrib>Lee, Dae Y., M.D</creatorcontrib><creatorcontrib>Arora, Sonal, M.D., Ph.D</creatorcontrib><creatorcontrib>Kwong, Karen L., M.D</creatorcontrib><creatorcontrib>Liem, Timothy K., M.D</creatorcontrib><creatorcontrib>Landry, Gregory L., M.D., M.R.C</creatorcontrib><creatorcontrib>Moneta, Gregory L., M.D</creatorcontrib><creatorcontrib>Sevdalis, Nick, Ph.D</creatorcontrib><title>SBAR M&M: a feasible, reliable, and valid tool to assess the quality of, surgical morbidity and mortality conference presentations</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>Abstract Background The Surgical Morbidity and Mortality (M&M) conference is considered the golden hour of surgical education. However, evaluation methods for ensuring that quality M&M presentations efficiently contribute to resident education have not been clearly defined. To provide surgical trainees with the skills required to present a quality M&M presentation it is essential to have a robust tool to measure presentation skill and guide formative feedback. Methods A prospective observational study was conducted to develop an assessment tool for M&M conference. Literature review and expert consensus provided content for tool development. The tool, created using the situation, background, assessment, and recommendation format, was refined successively based on assessor feedback and assessed for reliability (internal consistency, interassessor reliability) and construct validity. Results Three successive iterations of the tool were developed. Internal consistency and interassessor reliability improved from the first to third versions. A trend also was shown for increasing construct validity with the third iteration of the tool. Conclusions A psychometrically robust assessment tool based on the situation, background, assessment, and recommendation format was developed and validated to identify and improve the overall quality and educational value of the surgical M&M conference.</description><subject>Assessment instrument</subject><subject>Assessment tool</subject><subject>Biological and medical sciences</subject><subject>Caregivers</subject><subject>Clinical Competence</subject><subject>Communication</subject><subject>Consistency</subject><subject>Education</subject><subject>Educational value</subject><subject>Epidemiology</subject><subject>Family medical history</subject><subject>Feasibility Studies</subject><subject>Feedback</subject><subject>Format</subject><subject>General aspects</subject><subject>Health education</subject><subject>Human error</subject><subject>Humans</subject><subject>Linear Models</subject><subject>Literature reviews</subject><subject>Medical Errors - prevention & control</subject><subject>Medical residencies</subject><subject>Medical sciences</subject><subject>Morbidity</subject><subject>Morbidity and mortality conference</subject><subject>Morbidity and mortality presentations</subject><subject>Mortality</subject><subject>Patient Safety</subject><subject>Prospective Studies</subject><subject>Psychometrics</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Quality</subject><subject>Quality assessment</subject><subject>Quality Assurance, Health Care</subject><subject>Quantitative psychology</subject><subject>Reliability analysis</subject><subject>Reproducibility of Results</subject><subject>Safety Management - methods</subject><subject>SBAR</subject><subject>Surgery</subject><subject>Surgical instruments</subject><subject>Surgical M&M conference</subject><subject>Surgical morbidity and mortality conference</subject><subject>Surgical Procedures, Operative - education</subject><subject>Surgical Procedures, Operative - standards</subject><subject>Teaching methods</subject><subject>Validity</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkk1v1DAQhiMEokvhJ4AsIeDSXTxOHNscQKXiS2qFROFsOc4EvGTjrSeptFd-OQ67UKkXLrbHft7ReN4pisfAV8Chfrleuc2apvR9JTjAiqsV5_pOsQCtzBK0Lu8WC865WJoa-FHxgGidQ4CqvF8cCcG1FrVaFL8u355-YRfPL14xxzp0FJoeT1jCPrg_Jze07Nr1oWVjjH1emCNCIjb-QHY15Zdxx2J3wuZagnc928TUhHa-nrU5GveQj0OHCQePbJuQcBjdGOJAD4t7nesJHx324-Lb-3dfzz4uzz9_-HR2er70lVLjUnJwHCvp2067slJl1SkOle40GoPYiLI1RjrtOiG80rrBkoPXCmVdN77R5XHxYp93m-LVhDTaTSCPfe8GjBNZA2Aqo4XM5NNb5DpOacjFWTBCgjZKQqbknvIpEiXs7DaFjUs7C9zOHtm1PXhkZ48sVzZ7lHVPDtmnZoPtP9VfUzLw7AA4yg3tkht8oBtOKi0BRObe7DnMXbsOmCz5MPe3DQn9aNsY_lvK61sZfB-G2cWfuEO6-bUlYbm9nAdqnicAzqWuofwN0kjHDg</recordid><startdate>2012</startdate><enddate>2012</enddate><creator>Mitchell, Erica L., M.D</creator><creator>Lee, Dae Y., M.D</creator><creator>Arora, Sonal, M.D., Ph.D</creator><creator>Kwong, Karen L., M.D</creator><creator>Liem, Timothy K., M.D</creator><creator>Landry, Gregory L., M.D., M.R.C</creator><creator>Moneta, Gregory L., M.D</creator><creator>Sevdalis, Nick, Ph.D</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>2012</creationdate><title>SBAR M&M: a feasible, reliable, and valid tool to assess the quality of, surgical morbidity and mortality conference presentations</title><author>Mitchell, Erica L., M.D ; Lee, Dae Y., M.D ; Arora, Sonal, M.D., Ph.D ; Kwong, Karen L., M.D ; Liem, Timothy K., M.D ; Landry, Gregory L., M.D., M.R.C ; Moneta, Gregory L., M.D ; Sevdalis, Nick, Ph.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c477t-501a0e45cdf8a34734f70148f8e99eeb23d995a8af22c788be301c87e566bcb83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Assessment instrument</topic><topic>Assessment tool</topic><topic>Biological and medical sciences</topic><topic>Caregivers</topic><topic>Clinical Competence</topic><topic>Communication</topic><topic>Consistency</topic><topic>Education</topic><topic>Educational value</topic><topic>Epidemiology</topic><topic>Family medical history</topic><topic>Feasibility Studies</topic><topic>Feedback</topic><topic>Format</topic><topic>General aspects</topic><topic>Health education</topic><topic>Human error</topic><topic>Humans</topic><topic>Linear Models</topic><topic>Literature reviews</topic><topic>Medical Errors - prevention & control</topic><topic>Medical residencies</topic><topic>Medical sciences</topic><topic>Morbidity</topic><topic>Morbidity and mortality conference</topic><topic>Morbidity and mortality presentations</topic><topic>Mortality</topic><topic>Patient Safety</topic><topic>Prospective Studies</topic><topic>Psychometrics</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Quality</topic><topic>Quality assessment</topic><topic>Quality Assurance, Health Care</topic><topic>Quantitative psychology</topic><topic>Reliability analysis</topic><topic>Reproducibility of Results</topic><topic>Safety Management - methods</topic><topic>SBAR</topic><topic>Surgery</topic><topic>Surgical instruments</topic><topic>Surgical M&M conference</topic><topic>Surgical morbidity and mortality conference</topic><topic>Surgical Procedures, Operative - education</topic><topic>Surgical Procedures, Operative - standards</topic><topic>Teaching methods</topic><topic>Validity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mitchell, Erica L., M.D</creatorcontrib><creatorcontrib>Lee, Dae Y., M.D</creatorcontrib><creatorcontrib>Arora, Sonal, M.D., Ph.D</creatorcontrib><creatorcontrib>Kwong, Karen L., M.D</creatorcontrib><creatorcontrib>Liem, Timothy K., M.D</creatorcontrib><creatorcontrib>Landry, Gregory L., M.D., M.R.C</creatorcontrib><creatorcontrib>Moneta, Gregory L., M.D</creatorcontrib><creatorcontrib>Sevdalis, Nick, Ph.D</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mitchell, Erica L., M.D</au><au>Lee, Dae Y., M.D</au><au>Arora, Sonal, M.D., Ph.D</au><au>Kwong, Karen L., M.D</au><au>Liem, Timothy K., M.D</au><au>Landry, Gregory L., M.D., M.R.C</au><au>Moneta, Gregory L., M.D</au><au>Sevdalis, Nick, Ph.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>SBAR M&M: a feasible, reliable, and valid tool to assess the quality of, surgical morbidity and mortality conference presentations</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>2012</date><risdate>2012</risdate><volume>203</volume><issue>1</issue><spage>26</spage><epage>31</epage><pages>26-31</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><coden>AJSUAB</coden><abstract>Abstract Background The Surgical Morbidity and Mortality (M&M) conference is considered the golden hour of surgical education. However, evaluation methods for ensuring that quality M&M presentations efficiently contribute to resident education have not been clearly defined. To provide surgical trainees with the skills required to present a quality M&M presentation it is essential to have a robust tool to measure presentation skill and guide formative feedback. Methods A prospective observational study was conducted to develop an assessment tool for M&M conference. Literature review and expert consensus provided content for tool development. The tool, created using the situation, background, assessment, and recommendation format, was refined successively based on assessor feedback and assessed for reliability (internal consistency, interassessor reliability) and construct validity. Results Three successive iterations of the tool were developed. Internal consistency and interassessor reliability improved from the first to third versions. A trend also was shown for increasing construct validity with the third iteration of the tool. Conclusions A psychometrically robust assessment tool based on the situation, background, assessment, and recommendation format was developed and validated to identify and improve the overall quality and educational value of the surgical M&M conference.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>22088267</pmid><doi>10.1016/j.amjsurg.2011.07.008</doi><tpages>6</tpages></addata></record> |
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| subjects | Assessment instrument Assessment tool Biological and medical sciences Caregivers Clinical Competence Communication Consistency Education Educational value Epidemiology Family medical history Feasibility Studies Feedback Format General aspects Health education Human error Humans Linear Models Literature reviews Medical Errors - prevention & control Medical residencies Medical sciences Morbidity Morbidity and mortality conference Morbidity and mortality presentations Mortality Patient Safety Prospective Studies Psychometrics Public health. Hygiene Public health. Hygiene-occupational medicine Quality Quality assessment Quality Assurance, Health Care Quantitative psychology Reliability analysis Reproducibility of Results Safety Management - methods SBAR Surgery Surgical instruments Surgical M&M conference Surgical morbidity and mortality conference Surgical Procedures, Operative - education Surgical Procedures, Operative - standards Teaching methods Validity |
| title | SBAR M&M: a feasible, reliable, and valid tool to assess the quality of, surgical morbidity and mortality conference presentations |
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