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Posted by Ruma Rajbhandari

The Morbidity and Mortality (M&M) Conference Program at Bayalpata Hospital is unique for two reasons: 1) it takes place in a small hospital in an extremely resource-poor area of the world, and 2) it involves all levels of hospital staff, from clinical to administrative and managerial.  Further details of the program can be found here.

The following M&M describes the case of a young pregnant woman who was found to be Hepatitis B positive.  The discussion of the case delves into the hospital’s struggle to provide better Antenatal Care and to prevent Hepatitis B infection in the neonate.

Please see the full text of the mortality and morbidity review here.

[NOTE: This report is a part of our “Morbidity and Mortality Conference Program” initiative, which is aimed at cataloguing and reflecting on the underlying causal pathways in cases of excess morbidity or mortality. This work is supported in part by grants from the Lovejoy Foundation at Children’s Hospital Boston, Massachusetts, USA, and from the Partners Healthcare Center of Excellence on Quality and Patient Safety.]

Ruma Rajbhandari is a physician at Boston’s Brigham and Women’s Hospital.  She volunteers with the Nick Simons Institute and Nyaya Health.

One Response to “Morbidity and Mortality Case Review”

  1. Agathe says:

    Hi! Thank you for your blog!
    What do you mean by “Our staff members are not vaccinated against Hepatitis B vaccine” (under “Equipment and Machinery”)? why should one be vaccinated against another vaccine?

    Thanks ! All the best for the practice in Bayalpata!


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