Title: Mortality Review System
Case Number: 2011-078
Innovators: Jeanne M. Huddleston M.D.; Dennis M. Manning M.D.; Corey M. Mc Glone; Mark J. Enzler M.D.; Daniel A. Diedrich M.D.; Gail C. Kinsey R.N., C.N.S.
Description
Patient deaths that occur in hospitals can provide insight into potential improvements for safer healthcare delivery. Careful review can begin to show patterns, trends, and opportunities for improvement, education, and support. Meaningful mortality reviews can also allow identification of patients at risk for an adverse event. Morbidity and mortality reviews have long been practiced in medicine, but can suffer from lack of process consistency and from lack of a systems-based approach. Mayo Clinic investigators have developed a web-based application designed to facilitate the process of reviewing mortality cases. This system allows enterprise-wide, standardized peer review of deaths and is capable of handling review from multiple sites. The electronic tool includes reconciliation of information obtained from reviewers, central recording of information into a registry, committee meeting and review process information, work flow management, and data capture and reporting. Use of this system can result in improved understanding, measurable data, basis for improvement, and the ability to identify and quantify unanticipated deaths and adverse events, and to classify and quantify system level changes which will improve mortality rate.
Application
An electronic tool (work flow management, data collection and analysis) to provide a meaningful mortality review mechanism to improve medical management, and examine adverse events, complications, and errors that have led to illness or death in patients
Stage of Development
The Mortality Review System implemented at Mayo Clinic in 2006. More than 5000 consecutive deaths have been reviewed. Implementation of the review system has led to a statistical reduction in mortality rate through statistically significant decreases in triage errors, system delays impacting timely diagnoses, and failure-to-rescue deteriorating patients.
Intellectual Property
Existing software in use at Mayo Clinic
References
If you lose the patient, don't lose the lessons. TMIT High Performer Webinar Slide Sets and Audio Transcripts
Patent Status: None
Licensing Contact
Barb J. Keller, 507-266-6080
keller.barbara@mayo.edu
Categories
Technology Area/Equipment
Technology Category/Other
Technology Category/Medical Device
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