KeyLIME+ [23] M&M rounds 2.0
Sep 2, 2025
Amit Chopra, an emergency medicine resident passionate about simulation and quality improvement, talks with Andrew Petrosoniak, an emergency physician and trauma team leader. They discuss the evolution of M&M rounds, advocating for a systemic approach over individual blame. Highlighted topics include incorporating video reviews for enhanced learning and performance analysis, alongside the potential of AI in scaling these practices. The duo emphasizes the value of learning from both successes and failures to improve healthcare systems efficiently.
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M&Ms Need A Systems Upgrade
- Traditional M&M rounds often focus on individual blame and miss system-level learning opportunities.
- Reimagining M&Ms with systems thinking can turn them into powerful performance-improvement events.
Use Structured Human Factors Analysis
- Use structured human factors frameworks instead of ad-hoc blame to analyze cases.
- Apply consistent frameworks like HFACS or SEEEPS to deepen understanding and guide change.
HRO Principles Apply To Hospitals
- High-reliability organizations emphasize sensitivity to operations and reluctance to simplify complex work.
- Hospitals must adopt those principles to truly manage safety in complex clinical environments.