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Posted on 30 May 2023

We're inviting expressions of interest from Victorian rural, regional, and metropolitan health services to participate in a pilot program to standardise Morbidity & Mortality meetings (M&Ms) using a systems-focused framework. 

If your health service takes part in the M&M pilot study, your service’s feedback will play a vital role in assisting us to develop, and finalise a standardised framework and accompanying toolkit for all Victorian health services to use. This standardisation will contribute to improved consistency and reduced variability in the quality of M&M reviews and generated recommendations, and it will enable more sustainable systems-change to prevent patient harm in your organisation. 

About the systems-focused M&M framework pilot

M&M meetings have long been established within healthcare and are an invaluable way to review the quality of care delivered to patients and identify improvement opportunities. 

The M&M Pilot will trial a systems-focused framework and a structured approach to M&M patient safety event reviews, an accompanying toolkit to assist with implementing the framework in M&M meetings, and guides to improve organisational oversight and governance.  

This standardised approach will guide clinicians to examine the complex systems interactions, encourage team psychological safety (just culture), and may increase the likelihood of future adverse event reporting. It will also help identify and subsequently theme system issues for broader organisational improvement and the delivery of high quality and safe patient care.  

Your role

As a health service enrolled in the M&M pilot, you will:

  • receive education on the use of the framework and toolkit prior to the pilot commencing
  • have access to our developed systems-focused framework and toolkit for your service to trial for a minimum of two M&M meetings. For for larger organisations, a minimum of two departments need to participate in the pilot
  • provide baseline information on current practice in your health service through a pre-pilot survey
  • standardise your M&M meetings to improve the quality and consistency of reviews and recommendations, and increase staff psychological safety through increased evaluation of the systems factors that contribute to patient safety events
  • enable your service to initiate sustainable systems-change and prevent future harm in your organisation 
  • provide feedback via further surveys during, and at the end of the pilot on the framework. Feedback received will contribute to the development of the final framework that will be published for all Victorian health services to access and use. 

To apply

  • Please read the formal EOI information pack, which includes further details on how to apply
  • Email your completed expression of interest form to

Applications close 11:59 pm Sunday 18 June 2022