The Morbidity and Mortality Conference: Opportunities for Enhancing Patient Safety

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dc.citation.firstpagee275en_US
dc.citation.issueNumber1en_US
dc.citation.journalTitleJournal of Patient Safetyen_US
dc.citation.lastpagee281en_US
dc.citation.volumeNumber18en_US
dc.contributor.authorLazzara, Elizabeth H.en_US
dc.contributor.authorSalisbury, Maryen_US
dc.contributor.authorHughes, Ashley M.en_US
dc.contributor.authorRogers, Jordan E.en_US
dc.contributor.authorKing, Heidi B.en_US
dc.contributor.authorSalas, Eduardoen_US
dc.date.accessioned2022-01-27T20:45:33Zen_US
dc.date.available2022-01-27T20:45:33Zen_US
dc.date.issued2022en_US
dc.description.abstractSince the 20th century, health care institutions have used morbidity and mortality conferences (MMCs) as a forum to discuss complicated cases and fatalities to capitalize on lessons learned. Medical technology, health care processes, and the teams who provide care have evolved over time, but the format of the MMC has remained relatively unchanged. The present article outlines 5 key areas for improvement within the MMC along with prescriptive and actionable recommendations for mitigating these challenges. This work incorporates the contributions of numerous researchers and practitioners from the educational, training, debrief, and health care fields. With the best practices and lessons learned from various domains in mind, we recommend optimizing the MMC by (1) encouraging a culture that leverages expertise from multiple sources, (2) allocating ample time for innovative thinking, (3) using a global approach that considers individual, team, and system-level factors, (4) leveraging learnings from errors as well as near misses, and (5) promoting communication, innovative thinking, and actionable planning. The 5 evidence-based recommendations herein serve to ensure that MMCs are structured learning events that promote, encourage, and support safe, reliable care. Furthermore, the outlined recommendations seek to capitalize upon the MMC’s opportunity to engage early discovery as well as proactive risk assessment and action-oriented solutions.en_US
dc.identifier.citationLazzara, Elizabeth H., Salisbury, Mary, Hughes, Ashley M., et al.. "The Morbidity and Mortality Conference: Opportunities for Enhancing Patient Safety." <i>Journal of Patient Safety,</i> 18, no. 1 (2022) Wolters Kluwer Health, Inc.: e275-e281. https://doi.org/10.1097/PTS.0000000000000765.en_US
dc.identifier.doihttps://doi.org/10.1097/PTS.0000000000000765en_US
dc.identifier.urihttps://hdl.handle.net/1911/111958en_US
dc.language.isoengen_US
dc.publisherWolters Kluwer Health, Inc.en_US
dc.titleThe Morbidity and Mortality Conference: Opportunities for Enhancing Patient Safetyen_US
dc.typeJournal articleen_US
dc.type.dcmiTexten_US
dc.type.publicationpublisher versionen_US
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