Interdisciplinary Quality Improvement Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues in a VA hospital: design and outcomes.

Wendy H. Gerstein; Judith Ledford; Jacqueline Cooper; Melissa G. Lloyd; Timothy Moore; Farzana Harji; Vivian Twitty; Annette Brooks; Rosalinda C. Oliver; James M. Goff

Study

Interdisciplinary Quality Improvement Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues in a VA hospital: design and outcomes.

November 12, 2014

Gerstein WH, Ledford J, Cooper J, et al. Am J Med Qual. 2016;31(2):162-168.

View more articles from the same authors.

This study describes the implementation of a systems-focused morbidity and mortality conference at a Veterans Health Administration medical center designed to augment patient care and promote interdisciplinary teamwork and transparency, while addressing residency requirements. The intervention demonstrated lasting improvements in systems issues, consistent with prior data using this learning format.

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