University of Wisconsin–Madison Medical College of Wisconsin

A ‘PEaRL’ of Support and Cooperative Learning: A Pilot Study Shifting the Sands of the Dreaded Morbidity and Mortality Conference

Sarah C. Yale, MD; Kelsey Porada, MA; Patrick J. McCarthy, MD, MME

WMJ. 2024;123(2):120-123

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Background: When unanticipated and/or poor patient outcomes occur, clinicians frequently experience guilt, anger, psychological distress, and fear, which can be intensified by traditional morbidity and mortality conferences.

Methods: The Pediatric Event Review and Learning (PEaRL) curriculum was developed to discuss unanticipated and/or poor patient outcomes and foster support while highlighting foundational safety concepts. Pre- and post-implementation evaluations of quarterly cased-based sessions were completed.

Results: All respondents endorsed that unanticipated and/or poor patient outcomes affected their mood, well-being, and functioning. Post-implementation of the PEaRL curriculum, significantly more respondents endorsed existence of a safe environment and structured format to discuss these outcomes, as well as feeling more supported.

Discussion: The PEaRL curriculum provides a valuable opportunity for trainees and experienced clinicians alike to explore and discuss unanticipated and/or poor patient outcomes while addressing key patient safety principles.

Author Affiliations: Department of Pediatrics, Section of Hospital Medicine Medical College of Wisconsin, Milwaukee, Wisconsin (Yale, Porada, McCarthy).
Corresponding Author: Sarah C. Yale, Children’s Corporate Center – 999 N 92nd St, Suite 560, Milwaukee, WI 53226; phone 414.337.7050; email; ORCID ID 0000-0002-2954-4808
Funding/Support: None declared.
Financial Disclosures: None declared.
Prior Presentations: An oral presentation of this pilot study was presented at the 2023 Pediatric Academic Society Meeting, April 27-May 1, 2023, Washington, DC.
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