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Journal Article > Commentary
Kravet SJ, Howell E, Wright SM. J Gen Intern Med. 2006;21:1192-1194.
The authors describe how they redesigned morbidity and mortality (M&M) conferences at their hospital to include a focus on systems failures and to address all six of the Accreditation Council for Graduate Medical Education (ACGME) core competencies.
Journal Article > Study
A descriptive study of morbidity and mortality conferences and their conformity to medical incident analysis models: results of the morbidity and mortality conference improvement study, phase 1.
Aboumatar HJ, Blackledge CG Jr, Dickson C, Heitmiller E, Freischlag J, Pronovost PJ. Am J Med Qual. 2007;22:232-238.
Morbidity and mortality ("M&M") conferences are standard components of training programs and are mandated by the Accreditation Council for Graduate Medical Education. Despite their ubiquity, a prior study of internal medicine and surgery conferences found that errors were discussed infrequently (particularly in internal medicine); thus, housestaff were being denied an important patient safety learning opportunity. In this study, researchers interviewed conference leaders from 12 departments at an academic hospital and found that only a minority identified patient safety and quality improvement as an important learning objective for the conference. Conferences generally did not include recommended elements for analyzing and learning from errors (e.g., assigning responsibility for follow-up). A prior article described how one residency program redesigned M&M to focus on patient safety and learning from errors.
Pain Management and Prescription Opioid-related Harms: Exploring the State of the Evidence: Proceedings of a Workshop—in Brief.
Forstag EH; Committee on Pain Management and Regulatory Strategies to Address Prescription Opioid Abuse; Health and Medicine Division. Washington, DC: National Academy of Science; 2016. ISBN: 9780309451901.
Efforts to ensure safe pain management in the context of the opioid epidemic have focused on prescribing behaviors and policies. This publication reports on the results of a workshop convened to explore factors that contribute to opioid overuse and to identify areas for improvement that require further research.