TY - JOUR AU - Heslin, M. J. AU - Taylor, B. AU - Hawn, M. T. PY - 2014 DA - 2014// TI - A 100% departmental mortality review improves observed-to-expected mortality ratios and university HealthSystem consortium rankings JO - J Am Coll Surg VL - 218 UR - https://doi.org/10.1016/j.jamcollsurg.2013.12.023 DO - 10.1016/j.jamcollsurg.2013.12.023 ID - Heslin2014 ER - TY - JOUR AU - George, J. PY - 2017 DA - 2017// TI - Medical morbidity and mortality conferences: past, present and future JO - J Postgrad Med J VL - 93 UR - https://doi.org/10.1136/postgradmedj-2016-134103 DO - 10.1136/postgradmedj-2016-134103 ID - George2017 ER - TY - JOUR AU - Ferreira, K. S. AU - Lynch, K. AU - Ryder, B. A. PY - 2019 DA - 2019// TI - Lessons learned from the surgical morbidity and mortality conference JO - J Surg Educ VL - 76 UR - https://doi.org/10.1016/j.jsurg.2018.07.002 DO - 10.1016/j.jsurg.2018.07.002 ID - Ferreira2019 ER - TY - JOUR AU - Leeds, I. L. AU - DiBrito, S. R. AU - Jones, C. D. AU - Higgins, R. S. D. AU - Haut, E. R. PY - 2018 DA - 2018// TI - Using audience response Systems for Real-Time Learning Assessments during Surgical Morbidity and Mortality Conference JO - J Surg Educ. VL - 75 UR - https://doi.org/10.1016/j.jsurg.2018.05.010 DO - 10.1016/j.jsurg.2018.05.010 ID - Leeds2018 ER - TY - BOOK PY - 2014 DA - 2014// TI - Good surgical practice PB - RCS CY - London ID - ref5 ER - TY - BOOK PY - 2013 DA - 2013// TI - Foundation trust public inquiry PB - TSO (The Stationery Office CY - London ID - ref6 ER - TY - STD TI - Learning from Bristol: The report of the public inquiry into Children’s heart surgery at the Bristol Royal Infirmary 1984–1995. London: TSO (The Stationery Office); 2001. ID - ref7 ER - TY - JOUR AU - Higginson, J. AU - Walters, R. AU - Fulop, N. PY - 2012 DA - 2012// TI - Mortality and morbidity meetings: an untapped resource for improving the governance of patient safety? JO - BMJ Qual Saf VL - 21 UR - https://doi.org/10.1136/bmjqs-2011-000603 DO - 10.1136/bmjqs-2011-000603 ID - Higginson2012 ER - TY - STD TI - Kennedy I. Morbidity and Mortality Meetings. A guide to good practice. London: RCS; 2015. ID - ref9 ER - TY - JOUR AU - Phillips, J. S. AU - Montgomery, P. Q. PY - 2009 DA - 2009// TI - Scale-invariance, global warfare and the monthly morbidity and mortality meeting JO - Clin Otolaryngol VL - 34 UR - https://doi.org/10.1111/j.1749-4486.2008.01859.x DO - 10.1111/j.1749-4486.2008.01859.x ID - Phillips2009 ER - TY - STD TI - Jansson PS, Schuur JD, Baker O, et al. Anonymity decreases the punitive nature of a departmental morbidity and mortality conference. J Patient Saf. 2018. https://doi.org/10.1097/PTS.0000000000000555. ID - ref11 ER - TY - JOUR AU - Flynn-O’Brien, K. T. AU - Mandell, S. P. AU - Eaton, E. V. AU - Schleyer, A. M. AU - McIntyre, L. K. PY - 2015 DA - 2015// TI - Surgery and medicine residents’ perspectives of morbidity and mortality conference: an interdisciplinary approach to improve ACGME Core competency compliance JO - J Surg Educ VL - 72 UR - https://doi.org/10.1016/j.jsurg.2015.05.015 DO - 10.1016/j.jsurg.2015.05.015 ID - Flynn-O’Brien2015 ER - TY - JOUR AU - Singh, H. AU - Durani, P. AU - Dias, J. J. PY - 2019 DA - 2019// TI - Enhanced morbidity and mortality meeting and patient safety education for specialty trainees JO - J Patient Saf VL - 15 UR - https://doi.org/10.1097/PTS.0000000000000208 DO - 10.1097/PTS.0000000000000208 ID - Singh2019 ER - TY - CHAP AU - Donaldson, L. PY - 2000 DA - 2000// TI - An organisation with a memory BT - Report of an expert group on learning from adverse events in the NHS chaired by the chief medical officer PB - TSO (The Stationery Office CY - London ID - Donaldson2000 ER - TY - JOUR AU - Wheeler, R. PY - 2014 DA - 2014// TI - Prosecuting surgeons for manslaughter JO - Ann R Coll Surg Engl VL - 96 UR - https://doi.org/10.1308/rcsbull.2014.96.4.108 DO - 10.1308/rcsbull.2014.96.4.108 ID - Wheeler2014 ER - TY - JOUR AU - Helo, S. AU - C-AE, M. PY - 2017 DA - 2017// TI - Complications: acknowledging, managing, and coping with human error JO - Transl Androl Urol VL - 6 UR - https://doi.org/10.21037/tau.2017.06.28 DO - 10.21037/tau.2017.06.28 ID - Helo2017 ER - TY - JOUR AU - Cohen, D. PY - 2017 DA - 2017// TI - Back to blame: the Bawa-Garba case and the patient safety agenda JO - BMJ VL - 359 UR - https://doi.org/10.1136/bmj.j5534 DO - 10.1136/bmj.j5534 ID - Cohen2017 ER - TY - STD TI - Nicholl D. The role of reflection in the post Bawa-Garba era: Royal College of Physicians; 2018. Available from: https://www.rcplondon.ac.uk/news/role-reflection-post-bawa-garba-era UR - https://www.rcplondon.ac.uk/news/role-reflection-post-bawa-garba-era ID - ref18 ER - TY - STD TI - General Medical Council. Factsheet: Dr Bawa-Garba’s case. London: GMC; 2018. Available from: https://www.gmc-uk.org/-/media/documents/20180419-factsheet---dr-bawa-garba-case-final_pdf-74385491.pdf. UR - https://www.gmc-uk.org/-/media/documents/20180419-factsheet---dr-bawa-garba-case-final_pdf-74385491.pdf ID - ref19 ER - TY - JOUR AU - Fraser, J. PY - 2016 DA - 2016// TI - The morbidity and mortality meeting: time for a different approach? JO - Arch Dis Child VL - 101 UR - https://doi.org/10.1136/archdischild-2015-309536 DO - 10.1136/archdischild-2015-309536 ID - Fraser2016 ER - TY - JOUR AU - Endicott, K. M. AU - Zettervall, S. L. AU - Rettig, R. L. PY - 2019 DA - 2019// TI - Use of structured presentation formatting and NSQIP guidelines improves quality of surgical morbidity and mortality conference JO - J Surg Res VL - 233 UR - https://doi.org/10.1016/j.jss.2018.07.059 DO - 10.1016/j.jss.2018.07.059 ID - Endicott2019 ER - TY - JOUR AU - Spielman, D. AU - Hsueh, W. AU - Choi, K. AU - Bent, J. PY - 2017 DA - 2017// TI - From morbidity and mortality to quality improvement: effects of a structured and interactive otolaryngology conference JO - OTO Open VL - 1 UR - https://doi.org/10.1177/2473974X17692775 DO - 10.1177/2473974X17692775 ID - Spielman2017 ER - TY - JOUR AU - Tignanelli, C. J. AU - Embree, G. G. R. AU - Barzin, A. PY - 2017 DA - 2017// TI - House staff–led interdisciplinary morbidity and mortality conference promotes systematic improvement JO - J Surg Res VL - 214 UR - https://doi.org/10.1016/j.jss.2017.02.065 DO - 10.1016/j.jss.2017.02.065 ID - Tignanelli2017 ER - TY - JOUR AU - Goolsarran, N. AU - Garcia, C. PY - 2016 DA - 2016// TI - Changing the culture of the morbidity and mortality conference JO - Med Educ VL - 50 UR - https://doi.org/10.1111/medu.13199 DO - 10.1111/medu.13199 ID - Goolsarran2016 ER - TY - JOUR AU - Sacks, G. D. AU - Lawson, E. H. AU - Tillou, A. AU - Hines, O. J. PY - 2015 DA - 2015// TI - Morbidity and mortality conference 2.0 JO - Ann Surg VL - 262 UR - https://doi.org/10.1097/SLA.0000000000001268 DO - 10.1097/SLA.0000000000001268 ID - Sacks2015 ER - TY - BOOK PY - 2017 DA - 2017// TI - ACGME Common Program Requirements Section VI ID - ref26 ER - TY - JOUR AU - Hoffman, R. L. AU - Morris, J. B. AU - Kelz, R. R. PY - 2017 DA - 2017// TI - The “quality minute”—a new, brief, and structured technique for quality improvement education during the morbidity and mortality conference JO - JAMA Surg VL - 152 UR - https://doi.org/10.1001/jamasurg.2017.2229 DO - 10.1001/jamasurg.2017.2229 ID - Hoffman2017 ER - TY - JOUR AU - Mehta, S. AU - Singh, H. P. AU - Dias, J. J. PY - 2016 DA - 2016// TI - Effect of patient safety incident review and reflection in an extended morbidity and mortality meeting JO - Int J Risk Saf Med VL - 28 UR - https://doi.org/10.3233/JRS-160720 DO - 10.3233/JRS-160720 ID - Mehta2016 ER - TY - JOUR AU - Birkmeyer, N. J. O. AU - Finks, J. F. AU - Greenberg, C. K. PY - 2013 DA - 2013// TI - Safety culture and complications after bariatric surgery JO - Ann Surg VL - 257 UR - https://doi.org/10.1097/SLA.0b013e31826c0085 DO - 10.1097/SLA.0b013e31826c0085 ID - Birkmeyer2013 ER -