Key result
Implementation of the VA National Surgical Quality Improvement Program was associated with a 27% decrease in 30-day postoperative mortality and a 45% decrease in 30-day morbidity after major surgery.
Why the study?
Does the implementation of a national surgical quality improvement program reduce 30-day postoperative mortality and morbidity in patients undergoing major surgery?
Population
Patients undergoing major surgery in Veterans Affairs hospitals
Comparison
VA National Surgical Quality Improvement Program… vs Pre-implementation baseline (implied)
Design
Review
Follow-up
30-day
Authors
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May support surgical QI programs beyond VA; leaves open causality and generalizability.
Observational
Yes
Does the implementation of a national surgical quality improvement program reduce 30-day postoperative mortality and morbidity in patients undergoing major surgery?
Effect estimate: 27% decrease in mortality, 45% decrease in morbidity
The implementation of a national, data-driven surgical quality improvement program in the VA system was associated with substantial reductions in 30-day postoperative mortality and morbidity.
Shukri F. Khuri (2002) conducted an observational in Major surgery. VA National Surgical Quality Improvement Program (NSQIP) vs. Pre-NSQIP inception was evaluated on 30-day postoperative mortality and 30-day morbidity after major surgery (27% decrease in mortality, 45% decrease in morbidity). Implementation of the VA National Surgical Quality Improvement Program was associated with a 27% decrease in 30-day postoperative mortality and a 45% decrease in 30-day morbidity after major surgery.
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