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PSNet: Patient Safety Network
Journal Article

Implementation of a structured hospital-wide morbidity and mortality rounds model.

Kwok ESH, Calder LA, Barlow-Krelina E, et al. BMJ quality & safety. 2017;26:439-448.

Morbidity and mortality conferences are a longstanding patient safety activity. This pre–post study assessed the impact of implementing a structured method to enhance morbidity and mortality rounds. Investigators found that discussion of cognitive biases and systems issues increased following the intervention, and they recommend wider dissemination of their morbidity and mortality rounds model.