AHRQ Patient Safety Network ► The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit.

AHRQ Patient Safety Network

Performing a standardized chart review on cases discussed during M&M conferences can uncover additional safety events, but others are only discovered during the discussion.
BMJ Qual Saf. 2014 Jul 18; [Epub ahead of print].

The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit.

Cifra CL, Jones KL, Ascenzi J, et al. BMJ Qual Saf. 2014 Jul 18; [Epub ahead of print].

In this study, applying standardized chart reviews for incidents discussed during morbidity and mortality conferences in a pediatric intensive care unit uncovered many previously unrecognized safety events. Conversely, the conferences revealed near misses and diagnostic errors that were not obvious in chart documentation.

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