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. 2023 Sep;23(5):508-511.
doi: 10.7861/clinmed.2023-0161.

What can you learn as a foundation doctor from analysing deaths in hospital?

Zachary Tait  1 , Steve Bass  2 , Ollie Minton  2
Affiliations

What can you learn as a foundation doctor from analysing deaths in hospital?

Zachary Tait et al. Clin Med (Lond). 2023 Sep.

Abstract

Deaths in hospital represent a vital learning opportunity for both individual clinicians and the wider healthcare system. Many deaths are reviewed and discussed in morbidity and mortality meetings, with the Royal College of Physicians promoting Structured Judgement Review (SJR) methodology to support this discussion. An analysis of 1 year of SJRs in one hospital was undertaken, generating a toolkit to support junior doctors in evaluating in-hospital deaths. Here, the opportunities and limitations of this analysis are discussed, with consideration of ways to improve the uptake of SJR across the hospital team. These reviews exemplify one way of maximising learning from in-hospital deaths.

Keywords: foundation; mortality; quality improvement; structured judgement reviews.

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