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The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit.

Cifra CL, Jones KL, Ascenzi J, et al. The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit. BMJ Qual Saf. 2014;23(11):930-8. doi:10.1136/bmjqs-2014-003000.

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August 20, 2014
Cifra CL, Jones KL, Ascenzi J, et al. BMJ Qual Saf. 2014;23:930-8.

In this study, applying standardized chart reviews for incidents discussed during morbidity and mortality conferences in a pediatric intensive care unit uncovered many previously unrecognized safety events. Conversely, the conferences revealed near misses and diagnostic errors that were not obvious in chart documentation.

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Cifra CL, Jones KL, Ascenzi J, et al. The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit. BMJ Qual Saf. 2014;23(11):930-8. doi:10.1136/bmjqs-2014-003000.