SHM Converge Scientific Abstract ePoster Gallery-A Teaming Approach to Improve the Morbidity & Mortality Conference

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This document describes a quality improvement initiative that used the “teaming” framework to redesign Morbidity and Mortality (M&M) conferences in an internal medicine residency program at Mayo Clinic. The authors note that although M&M conferences are common in residency education, their impact on both learning and patient safety is inconsistent. Because reviewing safety events involves variability and unpredictability, they applied “teaming,” a dynamic approach suited to complex, changing tasks.<br /><br />The project organized collaboration among the QI and Patient Safety (QIPS) Council, internal medicine residents, chief residents, and faculty. The process was divided into several components. In the “scoping” phase, the team identified needed expertise, collaborators, and responsibilities. In “structuring,” they created standardized tools such as a case-scoring sheet and a timeline for stakeholder interviews. In “sorting,” faculty mentors helped identify institutional experts before residents began interviews. The team also emphasized purpose by aligning the redesign with two goals: improving patient care and teaching quality improvement principles.<br /><br />The initiative also focused on the “software” aspects of teaming. To build psychological safety, they created discussion spaces where residents and attendings could openly share concerns and ideas. To embrace failure, they improved documentation by creating an online file-sharing system and assigning a meeting secretary. To put conflict to work, they encouraged diverse perspectives from both frontline clinicians and leaders to identify improvement opportunities.<br /><br />The authors conclude that using a dynamic teaming approach can successfully improve both education and patient care, and may help identify broader systems issues for future improvement.

Asset Subtitle

Gretchen A. Colbenson

Meta Tag

Author List Elizabeth W. Beiermann, Gretchen A. Colbenson, John Ratelle, Neela Nataraj

Category Innovations

Concept Teaming Framework

Concept Morbidity and mortality conference

Concept Psychological Safety

Concept QIPS Council

Concept Dynamic Teaming

Distinguished Non-Finalist

Presenter Organization Mayo Clinic

Presenting Author Gretchen A. Colbenson

Track Quality Improvement

Keywords

teaming framework

morbidity and mortality conferences

quality improvement

patient safety

internal medicine residency

Mayo Clinic

psychological safety

resident education

systems improvement

stakeholder collaboration

Teaming Framework

Morbidity and mortality conference

Psychological Safety

QIPS Council

Dynamic Teaming