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PSNet: Patient Safety Network
Journal Article
Study

Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome.

Kreckler S, Catchpole KR, New SJ, et al. Annals of surgery. 2009;250:1035-40.

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.