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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;Epub Mar 13. doi:10.1097/pts.0000000000001224.

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May 8, 2024
Brook K, Agarwala AV, Tewfik GL. J Patient Saf. 2024;Epub Mar 13.
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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.

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Brook K, Agarwala AV, Tewfik GL. Reframing the morbidity and mortality conference: the impact of a just culture. J Patient Saf. 2024;Epub Mar 13. doi:10.1097/pts.0000000000001224.

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