An innovative resident-driven mortality case review curriculum to teach and drive system-based practice improvements in the United States

  • Nila S. Radhakrishnan (Creator)
  • Margaret Lo (Creator)
  • Robert Leverence (Creator)
  • Eric Rosenberg (Creator)



Internal medicine residents at a tertiary care academic medical center reviewed 347 consecutive mortalities from March 2014 to September 2017. The residents used case review worksheets to categorize and track causes of mortality, and then debriefed with a faculty member. Selected cases were then presented at a larger interdepartmental meeting and action items were implemented.
Date made available2019
PublisherHarvard Dataverse

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