Reframing the morbidity and mortality conference: the impact of a just culture.
Brook K, Agarwala AV, Tewfik GL. Reframing the morbidity and mortality conference: the impact of a just culture. J Patient Saf. 2024;40(4):280-287. doi:10.1097/pts.0000000000001224.
Morbidity and mortality (M&M) conferences have long been part of medical learning. This commentary describes the historical "blame and shame" nature of early M&M conferences and outlines processes to shift them to a just culture. The ideal M&M conference should have a robust case selection process with a focus on system errors, a clear structure, and defined goals with an interdisciplinary and interprofessional audience.