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Rosenbaum L. New Engl J Med. 2015;373:1385-1388.
Rosenbaum L. Scoring no goal—further adventures in transparency. New Engl J Med. 2015; 373: 1385-1388
This commentary explores challenges to monitoring and rating surgeon performance and discusses current strategies to enhance transparency on surgical care quality, such as the National Surgical Quality Improvement Program, the Surgeon Scorecard, and private assessment initiatives.
2015 MHA Patient Safety and Quality Annual Report.
Okemos, MI: Michigan Health & Hospital Association; October 2015.
Ambulatory Surgery Center Survey on Patient Safety Culture.
Rockville, MD: Agency for Healthcare Research and Quality; April 2016.
The Safer Delivery of Surgical Services Program (S3): explaining its differential effectiveness and exploring implications for improving quality in complex systems.
Flynn LC, McCulloch PG, Morgan LJ, et al. Ann Surg. 2016;264:997-1003.
Outcomes of daytime procedures performed by attending surgeons after night work.
Govindarajan A, Urbach DR, Kumar M, et al. N Engl J Med. 2015;373:845-853.
Preventability of hospital-acquired venous thromboembolism.
Haut ER, Lau BD, Kraus PS, et al. JAMA Surg. 2015;150:912-915.
National incidence of medication error in surgical patients before and after Accreditation Council for Graduate Medical Education duty-hour reform.
Vadera S, Griffith SD, Rosenbaum BP, et al. J Surg Educ. 2015;72:1209-1216.
Association of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality.
Etzioni DA, Wasif N, Dueck AC, et al. JAMA. 2015;313:505-511.
Patient safety improvement interventions in children's surgery: a systematic review.
Macdonald AL, Sevdalis N. J Pediatr Surg. 2017;52:504-511.
Managing the risks of concurrent surgeries.
Mello MM, Livingston EH. JAMA. 2016;315:1563-1564.
How well is quality improvement described in the perioperative care literature? A systematic review.
Jones EL, Lees N, Martin G, Dixon-Woods M. Jt Comm J Qual Patient Saf. 2016;42:196-216.
Rating the raters: the inconsistent quality of health care performance measurement.
Shahian DM, Normand ST, Friedberg MW, Hutter MM, Pronovost PJ. Ann Surg. 2016;264:36-38.
Understanding why quality initiatives succeed or fail: a sociotechnical systems perspective.
Wiegmann DA. Ann Surg. 2016;263:9-11.
In Conversation With… Kaveh Shojania, MD
In Conversation With… Lorri Zipperer, MA
Introducing the Redesigned AHRQ Patient Safety Network
Robert M. Wachter, MD
Understanding and confronting our mistakes: the epidemiology of error in radiology and strategies for error reduction.
Bruno MA, Walker EA, Abujudeh HH. Radiographics. 2015;35:1668-1676.
SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process.
Ogrinc G, Davies L, Goodman D, Batalden P, Davidoff F, Stevens D. BMJ Qual Saf. 2016;25:986-992.
Safety-II and resilience: the way ahead in patient safety in anaesthesiology.
Staender S. Curr Opin Anaesthesiol. 2015;28:735-739.
Characterising 'near miss' events in complex laparoscopic surgery through video analysis.
Bonrath EM, Gordon LE, Grantcharov TP. BMJ Qual Saf. 2015;24:516-521.
Unplanned return to theater: a quality of care and risk management index?
Pujol N, Merrer J, Lemaire B, et al. Orthop Traumatol Surg Res. 2015;101:399-403.
National hospital ratings systems share few common scores and may generate confusion instead of clarity.
Austin JM, Jha AK, Romano PS, et al. Health Aff (Millwood). 2015;34:423-430.
Quality Improvement in Neurosurgery.
Rolston JD, Han SJ, Parsa AT, eds. Neurosurg Clin N Am. 2015;26:143-322.
Association of hospital participation in a quality reporting program with surgical outcomes and expenditures for Medicare beneficiaries.
Osborne NH, Nicholas LH, Ryan AM, Thumma JR, Dimick JB. JAMA. 2015;313:496-504.
Underlying reasons associated with hospital readmission following surgery in the United States.
Merkow RP, Ju MH, Chung JW, et al. JAMA. 2015;313:483-495.
Using a quantitative risk register to promote learning from a patient safety reporting system.
Mansfield JG, Caplan RA, Campos JS, Dreis DF, Furman C. Jt Comm J Qual Patient Saf. 2015;41:76-86.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
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