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PSNet: Patient Safety Network
Journal Article
Study

Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias vs. systems failures to diagnostic error.

Eichbaum Q, Adkins B, Craig-Owens L, et al. Diagnosis (Berlin, Germany). 2019;6:249-257.

Morbidity and mortality (M&M) conferences were traditionally promoted as a strategy to learn from adverse events. Researchers conducted a retrospective review of 49 M&M rounds cases in the pathology department of a single medical center and found that 36% of cases likely involved errors related to cognitive bias.