Morbidity and Mortality Case Presentations
Submissions Now Closed - Thank You!
Notification of acceptance or rejection: January 4, 2017
AAEM is excited to provide a proactive discussion of clinical cases which illustrates cognitive errors that will lead to improved patient safety and a reduction in diagnostic error. Graduate physicians are invited to submit their best Morbidity and Mortality cases. Residents are
encouraged to partner with a graduated physician to present the case!
Saturday, March 18, 2017 - Celebration 10
Cognitive Bias and System Based Errors as Barriers to the Correct Diagnosis of an Endocrine Emergency
When "Don't Just Do Something, Stand There" Fails
Under the Mango Tree
An Uncommon Cause of Headache
Selection criteria includes compliance with this format. Please submit your case as a PowerPoint presentation.
Participant: Senior Resident (if participating) and Faculty
20 minute presentation/five minutes for questions
- Brief presentation of the clinical scenario including date, patient volume, objective description of the patient and the family
- Communication issues: written, verbal, with patient, family, providers or consultants
- Knowledge base issues
- Affective bias (factors that made this patient difficult, or conversely, overly rewarding, to work with)
- Systems issues, to include ergonomic and information accessibility:
- Teamwork issues: failures, could improvement here have prevented the situation?
- Equipment issues
- Cognitive issues and bias (see Croskerry papers)
- Procedural complications
- Which issue was the single greatest contributor to the error in this case?
- What could the SYSTEM do better in order to preclude a similar situation in the past?
- Questions from the audience
M&M Case Submission Guidelines
Judges will select four cases based on their uniqueness, educational merit and relevance to emergency medicine. Patient identifiers should be appropriately masked, and all documents should be marked as PRIVILEGED and CONFIDENTIAL under one or more of the following federal laws: Health Care Quality Improvement Act of 1986 or Patient Safety and Quality Improvement Act of 2005.
If you have questions regarding submissions, please call AAEM at (800) 884-2236 or email Emily Marx at firstname.lastname@example.org.