PMID: 20112658Feb 2, 2010Paper

Using patient safety morbidity and mortality conferences to promote transparency and a culture of safety

Joint Commission Journal on Quality and Patient Safety
Marilyn K SzekendiGary A Noskin

Abstract

Although creating a culture of safety to support clinicians and improve the quality of patient care is a common goal among health care organizations, it can be difficult to envision specific efforts to directly influence organizational culture. To promote transparency and reinforce a nonpunitive attitude throughout the organization, a forum for the open, interdisciplinary discussion of patient safety problems--the Patient Safety Morbidity and Mortality (M&M) Conference--was created at Northwestern Memorial Hospital (Chicago). The intent of the M&M conference was to inform frontline providers about adverse events that occur at the hospital and to engage their input in root cause analysis, thereby encouraging reporting and promoting systems-based thinking among clinicians. Convened under the purview of the organization's quality program, and modeled on the traditional M&M conferences historically used by physicians, the conference is a monthly live meeting at which case studies are presented for retrospective (root cause) analysis by an interdisciplinary audience. Since its start in 2003, approximately 60 patient safety M&M programs have been presented. Audiences typically represent a mix of physicians, nurses, pharmacists, manag...Continue Reading

Citations

May 18, 2012·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality
Apr 18, 2013·BMJ Quality & Safety·Alissa L RussRobert L Wears
Oct 23, 2015·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Christina L CifraMarlene R Miller
Jul 23, 2016·Canadian Journal of Gastroenterology & Hepatology·Xin XiongAlan N Barkun
Jan 12, 2017·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Manel MallouliThouraya Ajmi
Nov 23, 2016·Postgraduate Medical Journal·J George
May 1, 2012·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Jason M KaneEric Wald
Apr 26, 2012·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Gaëlle BalPatrice François
Mar 19, 2014·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Lisa A CalderJason R Frank
Jul 12, 2014·Critical Care Medicine·Christina L CifraMarlene R Miller
Nov 4, 2015·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·David Katz, Allan S Detsky
Mar 8, 2016·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Vicki L MassonLynn C Sadler
Mar 22, 2018·Frontiers in Veterinary Science·Daniel S J PangJessica M Pang
Sep 5, 2019·Journal of Health Organization and Management·Paraskevi Angelopoulou, Efharis Panagopoulou
Jun 11, 2016·Teaching and Learning in Medicine·Alexander Gregor, David Taylor
Oct 22, 2014·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Wendy H GersteinJames M Goff
Apr 8, 2016·Clinical Nurse Specialist CNS·Kathleen Evanovich ZavotskyElizabeth Russer
Sep 25, 2018·Journal of Interprofessional Care·Elizabeth AndersonDaniel Kinnair
Jan 22, 2013·Annual Review of Public Health·Sara J Singer, Timothy J Vogus
Oct 23, 2015·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Bernhard FreyBarbara Brotschi
Aug 20, 2016·Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry·Tobias WasserLouis Trevisan

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