Reclaiming the morbidity and mortality conference: between Codman and Kundera

Area of Science:

• Healthcare quality improvement
• Medical education
• Philosophy of medicine

Background:

• Growing concerns regarding the format and direction of traditional Morbidity and Mortality (M&M) conferences.
• The evolving landscape of healthcare safety, emphasizing systems-based approaches.

Purpose of the Study:

• To explore the fundamental nature and purpose of the M&M conference.
• To propose a philosophical framework and definition for the M&M conference.
• To advocate for an expanded objective beyond solely improving health outcomes.

Main Methods:

• Historical analysis of M&M conferences.
• Literary and philosophical perspectives on medical practice.
• Examination of the integration of systems-based safety approaches.

Main Results:

• Current M&M conference goals focusing on future health outcomes are deemed insufficient.
• The concept of 'transcending hubris' is identified as a critical, yet often overlooked, objective.
• A need for a redefined philosophical basis for M&M conferences is established.

Conclusions:

• The M&M conference should aim to transcend hubris, fostering humility and deeper learning.
• A robust philosophical framework is necessary to guide the evolution of M&M conferences.
• Rethinking the M&M conference's purpose can enhance its value in healthcare safety and professional development.