In 2014, we developed a QI-directed Morbidity and Mortality (M&M) Conference, prioritizing discussion of individual and system failures, as well as development of action items to prevent failure recurrence. However, due to a reliance on individual electronic documents to store M&M data, our ability to assess trends in failures and action item implementation was hindered. To address this issue, in 2019, we created a secure electronic health record (EHR)-integrated web application (web app) to store M&M data. In this study, we assessed the impact of our web app on efficient review and tracking of M&M data, including system failure occurrence and closure of action items. Additionally, in 2021, it was discovered that a backlog of action items existed. To address this issue, we implemented a QI initiative to reduce the backlog, and used the web app to compare action item closure pre- and post-implementation. Use of the web app dramatically improved review of M&M data. During the study period, there was a 67.0% reduction in the occurrence of the most common system failures. Additionally, our QI initiative resulted in a 97.7% reduction in the duration of time to complete a single action item and a 61.1% increase in the on-time closure rate for action items. Integration of a web app into a QI-directed M&M Conference enhanced our ability to track system level failures and action item closure over time. Using this web app, we demonstrated that our M&M Conference achieved its intended goal of improving the quality of patient care. IV

中文翻译：

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电子健康记录集成的 Web 应用程序增强了 QI 导向的发病率和死亡率会议并提高了护理质量

2014 年，我们召开了以 QI 为导向的发病率和死亡率 (M&M) 会议，优先讨论个人和系统故障，以及制定防止故障再次发生的行动项目。然而，由于依赖单独的电子文档来存储 M&M 数据，我们评估故障趋势和行动项目实施的能力受到阻碍。为了解决这个问题，我们在 2019 年创建了一个安全电子健康记录 (EHR) 集成的 Web 应用程序 (Web 应用程序) 来存储 M&M 数据。在这项研究中，我们评估了我们的网络应用程序对 M&M 数据的有效审查和跟踪的影响，包括系统故障的发生和行动项目的关闭。此外，2021 年，我们发现存在积压的行动项目。为了解决这个问题，我们实施了 QI 计划来减少积压，并使用 Web 应用程序来比较实施前后的行动项目关闭情况。使用网络应用程序极大地改善了 M&M 数据的审查。在研究期间，最常见系统故障的发生率减少了 67.0%。此外，我们的 QI 计划还使完成单个行动项目的时间缩短了 97.7%，并将行动项目的准时结束率提高了 61.1%。将 Web 应用程序集成到 QI 导向的 M&M 会议中，增强了我们随着时间的推移跟踪系统级故障和行动项目关闭的能力。使用这个网络应用程序，我们证明了我们的 M&M 会议实现了提高患者护理质量的预期目标。四号