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

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

October 20, 2014

Cifra CL, Jones KL, Ascenzi J, et al. BMJ Qual Saf. 2014;23(11):930-8.

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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.

PubMed citation

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