The morbidity and mortality meeting: time for a different approach?

Fraser J. Arch Dis Child. 2015 Nov 13; [Epub ahead of print].

Mortality and morbidity (M&M) conferences are established mechanisms to investigate care failures. Describing weaknesses of the traditional M&M conference model, this commentary advocates for a proactive risk management approach that considers the preventability of error and increases the focus on analysis, feedback, and continued learning as critical elements of improvement work.