Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome.
Kreckler S, Catchpole K, New SJ, et al. Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome. Ann Surg. 2009;250(6):1035-40. doi:10.1097/SLA.0b013e3181bd54c2.
This study found that compliance with specific care processes was poor and that risk for adverse events increased with longer hospitalizations and after a surgical intervention. The authors advocate for continued observation of process measures and incorporation of Toyota-type system changes.