Transforming the morbidity and mortality conference to promote safety and quality in a PICU.
Cifra CL, Bembea MM, Fackler JC, et al. Transforming the morbidity and mortality conference to promote safety and quality in a PICU. Crit Care Med. 2016;17(1):58-66. doi:10.1097/PCC.0000000000000539.
Traditional morbidity and mortality conferences were designed to focus on educational opportunities to learn from medical errors. In this study, introducing a structured systems-oriented morbidity and mortality conference in a pediatric intensive care unit led to higher attendance rates and more proposed local quality improvement interventions.