Implementing hospital-based communication-and-resolution programs: lessons learned in New York City.
Mello MM, Senecal SK, Kuznetsov Y, et al. Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. Health Aff (Millwood). 2014;33(1):30-8. doi:10.1377/hlthaff.2013.0849.
This study reports on an AHRQ-funded effort to establish communication-and-resolution protocols for general surgery in five New York City hospitals. The participating hospitals improved their incident disclosure but also encountered many critical obstacles to full implementation.