Description: 

The Anesthesiology Morbidity & Mortality Case Conference provides a safe forum for providers to evaluate and learn from systemic and individual errors, thereby leading to improved medical care for our patient population.

Target Audience: 

Physicians (MD or DO)

Learning Objectives

After completion of this activity, learners/ attendees should be able to:

1. Discuss challenging anesthesiology cases with other anesthesiologists to support reflection on how the anesthesiology care may have affected the patient's outcome.

2. Evaluate cases resulting in unexpected adverse outcomes and participate in case review.

3. Appraise risk of adverse events in future patients with similar clinical considerations to promote prompt management of patient complications.

4. Choose to self-report and discuss any anesthesia-related adverse events and near misses, so that all can learn from each other and support improved patient outcomes.

Assembly Bills 1195 & 241- Culturally Appropriate Care which is Free of Implicit Biases:

Learners are strongly encouraged to engage in self-directed learning related to the impact of implicit biases in this clinical area via the references provided below:

• Memari, M. & Kon, R. (2024). Confronting inequity in medicine: Adapting morbidity andmortality conferences to explore the impact of structural and social determinants of health on adverse outcomes. J GEN INTERN MED (2024). https://doi.org/10.1007/s11606-024-08616-x
• Goldhaber, N. H., Matson, J., Luo, W., Thareja, N., Lopez, N., Clary, B. M., & Mekeel, K. L. (2023). Case Bias Case Basis: Expanding Morbidity and Mortality Conference to Examine the Impact of Disparities in Surgical Care. Journal of surgical education, 80(12), 1755–1761. https://doi.org/10.1016/j.jsurg.2023.10.002
• Whitehead A. (2021). A Resident Morbidity and Mortality Conference Curriculum to Teach Identification of Cognitive Biases, Errors, and Debiasing Strategies. MedEdPORTAL : the journal of teaching and learning resources, 17, 11190. https://doi.org/10.15766/mep_2374-8265.11190

Disclosure of Financial or In-Kind Commercial Support & Conflict of Interest

No one involved in the planning or presentation of this educational activity have any relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. No financial or in-kind commercial support was received to produce or promote this educational activity.  

– Provider Designee/Verification:  Kerri Maya, MSL, RN