The Morbiditäts- und Mortalitätskonferenz is a regular hospital meeting about complications and deaths. A case that went badly is presented, and the team asks what happened. In 2016 the German Medical Association published a guide for these meetings. It says the discussion should be sach- und nicht personenbezogen, about the matter and not about the person. It should concentrate on facts and processes, not on people. The aim is to work through critical events free of blame. It should be possible to ask “Why?”, and doctors in senior positions must be ready to have their own mistakes discussed. Among the obstacles the guide lists is a discussion that focuses on blame and individual mistakes.