Learning from every death.
Huddleston JM, Diedrich DA, Kinsey GC, et al. Learning from every death. J Patient Saf. 2014;10(1):6-12. doi:10.1097/PTS.0000000000000053.
This commentary describes how design and implementation of an institutional mortality review system evolved over 10 years. The reporting program offers insights about how to promote and enhance organizational learning.