ArticleJournal of general internal medicine2024
Equity M&M - Adaptation of the Morbidity and Mortality Conference to Analyze and Confront Structural Inequity in Internal Medicine.
Article in Journal of general internal medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Reframing Maslow to Comprehensively Consider the Needs of All Trainees.Perspectives on medical education · 2026Article
- Integrating equity into incident reporting and patient concerns systems: a critical interpretive synthesis.BMJ quality & safety · 2025Review
- Evaluating medical learners' experiences with health literacy at a southeastern medical school.BMC medical education · 2025Article
- Confronting Inequity in Medicine: Adapting Morbidity and Mortality Conferences to Explore the Impact of Structural and Social Determinants of Health on Adverse Outcomes.Journal of general internal medicine · 2024Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundAt morbidity and mortality (M&M) conferences, medical teams review cases for medical education and system improvement. Adverse outcomes are often driven by social inequity, but processes to analyze such outcomes are lacking.
aimAdapt quality improvement and patient safety (QIPS) tools in the M&M format to systematically analyze adverse patient outcomes rooted in social and structural determinants of health (SSDH).
settingOne-hour conferences conducted in health systems in Seattle, WA, and Dallas, TX.
participantsEquity M&M conferences were held 11 times, each with approximately 45 participants comprised of internal medicine trainees, faculty, and non-medical staff. PROGRAM DESCRIPTION: Conferences included a case narrative and counternarrative highlighting SSDH, an equity-framed root cause analysis, and potential interventions. PROGRAM EVALUATION: Conferences were received well across both institutions. Following conferences, most respondents reported increased identification of opportunities for action towards equity (88.5%) and confidence in discussing equity issues with colleagues (92.3%). DISCUSSION: Equity M&M conferences are a structured tool for deconstructing and confronting structural inequity that leads to adverse patient outcomes. Evaluations demonstrate educational impact on participants. Anecdotal examples suggest institutional impact. Other health systems could adopt this model for similar advocacy and system improvement.
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