Accepted for Publication: May 26, 2011.
Author Contributions: Dr Young-Xu and Ms Neily had full access to all the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. Study concept and design: Neily, Mills, Berger, Paull, and Bagian. Acquisition of data: Carney, West, Mazzia, and Paull. Analysis and interpretation of data: Young-Xu and Berger. Drafting of the manuscript: Young-Xu. Critical revision of the manuscript for important intellectual content: Neily, Mills, Carney, West, Berger, Mazzia, Paull, and Bagian. Statistical analysis: Young-Xu. Administrative, technical, and material support: Mills, West, Mazzia, Paull, and Bagian. Study supervision: Neily, Berger, Mazzia, Paull, and Bagian.
Financial Disclosure: None reported.
Funding/Support: This material is the result of work supported with resources and the use of facilities at the VHA National Center for Patient Safety, Ann Arbor, Michigan, and Field Office in White River Junction, Vermont, and the Michael E. DeBakey VA Medical Center, Houston, Texas.
Role of the Sponsors: The design and conduct of the study; collection, management, analysis, and interpretation of the data; and preparation, review, or approval of the manuscript was done as part of the work of VHA employees and there was no other sponsor or funding agency.
Disclaimer: The opinions expressed are those of the authors and not necessarily those of the Department of Veterans Affairs or the United States government.
Additional Contributions: Members of the VA Surgical Quality Data Use Group served as scientific advisors and performed critical review of data use and analysis presented in this article. Shoshana Boar, MS, supported the VHA Medical Team Training program by coordinating all the training programs, scheduling, and taking notes during all follow-up interviews, and Lori Robinson, RN, MS, served as one of the instructors for the VHA Medical Team Training program. Mss Boar and Robinson work for the Department of Veterans Affairs and received no other compensation related to this study.