Best Practices for Cardiac Catheterization Laboratory Morbidity and Mortality Conferences

James C Blankenship; Jacob A Doll; Faisal Latif; Alexander G Truesdell; Michael N Young; Uzoma N Ibebuogu; Saraschandra Vallabhajosyula; Sabeeda M Kadavath; Camila M Maestas; George Vetrovec; Frederick Welt

doi:10.1016/j.jcin.2022.10.017

Best Practices for Cardiac Catheterization Laboratory Morbidity and Mortality Conferences

JACC Cardiovasc Interv. 2023 Mar 13;16(5):503-514. doi: 10.1016/j.jcin.2022.10.017.

Affiliations

¹ Division of Cardiology, University of New Mexico, Albuquerque, New Mexico, USA. Electronic address: jblankenship@salud.unm.edu.
² University of Washington, Seattle, Washington, USA.
³ SSM Health St. Anthony Hospital, University of Oklahoma, Oklahoma City, Oklahoma, USA.
⁴ Virginia Heart/Inova Heart and Vascular Institute, Falls Church, Virginia, USA.
⁵ Dartmouth-Hitchcock Medical Center, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire, USA.
⁶ University of Tennessee Health Science Center, Memphis, Tennessee, USA.
⁷ Section of Cardiovascular Medicine, Department of Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
⁸ Vanderbilt University, Nashville, Tennessee, USA.
⁹ Virginia Commonwealth University Pauley Heart Center, Richmond, Virginia, USA.
¹⁰ Virginia Commonwealth University, Richmond, Virginia, USA.
¹¹ University of Utah, Salt Lake City, Utah, USA.

PMID: 36922035
DOI: 10.1016/j.jcin.2022.10.017

Abstract

Cardiac catheterization laboratory (CCL) morbidity and mortality conferences (MMCs) are a critical component of CCL quality improvement programs and are important for the education of cardiology trainees and the lifelong learning of CCL physicians and team members. Despite their fundamental role in the functioning of the CCL, no consensus exists on how CCL MMCs should identify and select cases for review, how they should be conducted, and how results should be used to improve CCL quality. In addition, medicolegal ramifications of CCL MMCs are not well understood. This document from the American College of Cardiology's Interventional Section attempts to clarify current issues and options in the conduct of CCL MMCs and to recommend best practices for their conduct.

Keywords: cath lab management; complications; morbidity and mortality.

Publication types

Review

MeSH terms

Cardiac Catheterization / adverse effects
Cardiology*
Consensus
Humans
Morbidity
Treatment Outcome