This case-control study examines postoperative outcomes following in Veterans Administration ambulatory surgery centers vs hospital outpatient departments in patients who underwent inguinal hernia surgery.
This national cohort study uses data from the Veterans Affairs National Surgical Quality Improvement Program to report noncardiac postoperative outcomes in the Veterans Affairs health system for the past 15 years.
This study examines if outcomes of veterans undergoing endoscopic endonasal skull base surgery in the VA system rival those in other published studies.
This study identifies whether lean processes can be used to improve wait times for surgical procedures in Veterans Affairs hospitals.
This retrospective study reports that postdischarge venous thromboembolism (VTE) rates in the 30 days after surgery are not decreased by higher inpatient surveillance rates but are associated with higher inpatient VTE rates. Thus, patient risk factors and case mix likely contribute to hospital VTE rates, and surveillance bias may reflect the underlying at-risk population.
This retrospective review finds that the primary factor for development of a successful TAVR program development is integration of the cardiac team.
Sarosi and colleagues examine the training outcomes of preliminary residents in a university and veterans affairs surgical residency and attempt to predict the characteristics that lead to successful placement into categorical general surgical residency.
Schweizer et al determine the excess costs associated with total, deep, and superficial surgical site infections (SSIs) among surgical patients from 129 Veterans Affairs (VA) hospitals. The Veterans Health Administration Decision Support System and VA Surgical Quality Improvement Program databases were used to assess costs associated with SSIs among surgical patients in fiscal year 2010.
Gayed et al describe the Joint Replacement Program system redesign project initiated following the Vision-Analysis-Team-Aim-Map-Measure-Change-Sustain (VA-TAMMCS) model to increase efficiency, decrease length of stay, and reduce non-VA care costs following total hip and knee replacements. Itani provides an invited commentary.
Kvasnovsky et al evaluated programmatic changes in Veterans Affairs (VA) medical centers to expand screening mammography, develop on-site breast care resources, and better coordinate care with non-VA facilities.
This randomized clinical trial compares the use of health care services, costs, and cost-effectiveness between patients undergoing open and endovascular repair of abdominal aortic aneurysm.