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PSNet: Patient Safety Network
Journal Article

Implementing hospital-based communication-and-resolution programs: lessons learned in New York City.

Mello MM, Senecal SK, Kuznetsov Y, et al. Health affairs (Project Hope). 2014;33:30-8.

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.