morbidity & mortality

completely forgot to mention this short review on morbidity & mortality rounds (though they seem to be more commonly referred to as “conferences” in the literature). hope this turns out to a useful resource. traditionally, m&m rounds/ conferences have often been a forum for blaming and shaming, but they are much more useful as a way to learn from mistakes, without limiting evaluations of what happened to the person/people at the sharp end. as described by Reason in his classic swiss cheese model of error, there are usually lots of underlying factors contributing to error. alongside the paper, we included a couple of powerpoint presentations (in english and french) in the supplementary showing how a case might be presented for m&m rounds.