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ORIGINAL ARTICLE Association Between Implementation of a Medical Team Training Program and Surgical Morbidity Yinong Young-Xu, ScD, MA, MS; Julia Neily, RN, MS, MPH; Peter D. Mills, PhD, MS; Brian T. Carney, MD; Priscilla West, MPH; David H. Berger, MD, MHCM; Lisa M. Mazzia, MD; Douglas E. Paull, MD; James P. Bagian, MD Objective: To determine whether there is an associa- Results: Facilities in the MTT program (n=42) had a significant decrease of 17% in observed annual surgical tion between the Veterans Health Administration morbidity rate (rate ratio, 0.83; 95% CI, 0.79-0.88; P=.01). Medical Team Training (MTT) program and surgical Facilities not trained (n=32) had an insignificant de- morbidity. crease of 6% in observed morbidity (rate ratio, 0.94; 95% CI, 0.86-1.05; P=.11). After adjusting for surgical risk, Design, Setting, and Participants: A retrospective we found a decrease of 15% in morbidity rate for facili- health services study was conducted with a contempo- ties in the MTT program and a decrease of 10% for those raneous control group. Outcome data were obtained from not yet in the program. The risk-adjusted annual surgi- the Veterans Health Administration Surgical Quality Im- cal morbidity rate declined in both groups, and the de- provement
JAMA Surgery – American Medical Association
Published: Dec 1, 2011
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