The Safer Delivery of Surgical Services Program (S3): explaining its differential effectiveness and exploring implications for improving quality in complex systems.
Flynn LC, McCulloch P, Morgan LJ, et al. The Safer Delivery of Surgical Services Program (S3): Explaining Its Differential Effectiveness and Exploring Implications for Improving Quality in Complex Systems. Ann Surg. 2016;264(6):997-1003.
This qualitative study sought to validate and understand the previously published results of the Safer Delivery of Surgical Services (S3) program, which showed that combining efforts aimed at improving the work system and safety culture was more efficacious than either approach alone. The investigators developed themes and lessons learned through semistructured interviews with hospital staff and the research team.