Diverging from a traditional “M&M” format, this quarterly conference series offers a psychologically safe atmosphere to discuss unexpected or adverse patient outcomes, with a focus on support, learning, and practice improvement. A case is discussed in detail focusing not only on medical aspects, but also on psychosocial aspects and personal impact on physicians and other providers.
- Physicians
- Nurse Practitioners
- Physician Assistants
- Define and explain key patient safety terms, including adverse event, near miss, and root cause analysis.
- Analyze clinical and system processes to identify potential sources of error.
- Recognize and categorize key types of medical errors.
- Describe the different types of cognitive errors that contribute to medical mistakes.
- Demonstrate effective teamwork skills in conducting error analysis and root cause analysis.
- Construct and label an Ishikawa (fishbone) diagram to identify root causes of a medication error.
- Analyze one’s own practice and local system to identify targets for improving processes and outcomes of care.
- Develop a concrete action plan to prevent similar errors in the future.
- Demonstrate collaborative teamwork skills using a shared learning model with peers to address patient safety events.
In accordance with the ACCME® Standards for Integrity and Independence in Accredited Continuing Education, Standard 3, all persons in control of content must disclose any relevant financial relationships. It is the policy of the Medical College of Wisconsin to identify, mitigate and disclose the absence or presence of all relevant financial relationships with ineligible companies held by the speakers/presenters, authors, planners, and other persons who may influence content of this accredited continuing education. The following in control of content had no relevant financial relationships to disclose.
The following persons in control of content disclosed the following financial relationships which were reviewed and mitigated via the MCW conflict of interest mitigation process.
Elizabeth Smits, MD
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ACCME Accreditation Statement:
The Medical College of Wisconsin is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
AMA Credit Designation Statement:
The Medical College of Wisconsin designates this live activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Hours of Participation for Allied Health Care Professionals:
The Medical College of Wisconsin designates this activity for up to 1.00 hours of participation for continuing education for allied health professionals.
MOC Part II:
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn up to 1 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.
Participation shared with through PARS:
Individual participants’ information will be shared with ABP through the ACCME Program and Activity Reporting System (PARS).
- 1.00 AMA PRA Category 1 Credit(s)™AMA PRA Category 1 Credit(s)™
- 1.00 Hours of ParticipationHours of Participation credit.

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