• A Baumann, E Cuignet-Royer, H Bouaziz, J Borgo, F Claudot, J Torrens, G Audibert, R Amalberti, and P-M Mertes.
• Service d'anesthésie-réanimation, hôpital Central, CHU de Nancy, 29, avenue du Maréchal-de-Lattre-de-Tassigny, CO 60034, 54035 Nancy cedex, France. a.baumann@chu-nancy.fr
• Ann Fr Anesth Reanim. 2011 Dec 1;30(12):888-93.

ObjectivesAssessment of the morbidity mortality conferences (MMC) durableness in the Anaesthesiology and Surgical Intensive Care Department of the Urban Hospitals of Nancy University Hospital; evaluation of the proportion of medical education in the corrective actions implemented, and research for improvement ways.PatientsAll the cases of death and near-death in the operating room and all the cases deemed to be instructive or useful for security improvement.MethodRetrospective analysis of MMC activity since its initiation in 2005.ResultsDurability of MMC and good attendance rate have been sustained over time. As in the USA, MMCs result firstly in resident's education and continued medical education actions. Medical education actions represent 75% of all corrective measures, followed by changes in practices (62%), in procedures (48%) and in organisation (5%).DiscussionThe development process of a culture of the safety has been initiated and perpetuated. Some ways of improvement have been proposed: MMC must certainly be widened as well regarding to the categories of addressees, as the topics (any event deemed to be noteworthy for the safety of care) or the time scale of the analysis. Others propositions: preparation of the presentations with a colleague experienced in MMC; participation of external MMC experts; monitoring of local markers of security of care and of corrective measures efficiency; inclusion of MMC cases presentation in the trainees pedagogic objectives.Copyright © 2011 Elsevier Masson SAS. All rights reserved.

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