View Entire Collection
By Clinical Topic
Diabetes – Summer 2012
Future of Nursing Initiative
Heart Failure - Fall 2011
Influenza - Winter 2011
Nursing Ethics - Fall 2011
Trauma - Fall 2010
Traumatic Brain Injury - Fall 2010
Fluids & Electrolytes
WEDNESDAY, Dec. 21 (HealthDay News) -- The Veterans Health Administration Medical Team Training (MTT) program is associated with a significant decrease in the annual surgical morbidity rate, according to a study published in the December issue of the Archives of Surgery.
Yinong Young-Xu, Sc.D., from the Department for Veterans Affairs in White River Junction, Vt., and colleagues examined whether the MTT program was associated with surgical morbidity. The analysis included 119,383 sampled procedures from Veterans Health Administration facilities, including 42 facilities in the MTT program and 32 facilities which did not receive training. The rate of change in annual surgical morbidity rate one year after facilities enrolled in the MTT program was compared with the rate one year before and with the rate in non-MTT sites.
The investigators found that there was a significant decrease in the observed annual surgical morbidity rate in facilities in the MTT program, compared with an insignificant decrease in the facilities that were not trained (17 percent [P = 0.01] and 6 percent [P = 0.11], respectively). There was a 15 and 10 percent decrease in the morbidity rate for facilities in the MTT and those not in the program, respectively, after adjusting for surgical risk. After propensity score matching, both groups showed a decline in the risk-adjusted annual surgical morbidity rate, but the decline was 20 percent steeper in the MTT group. For specific morbidity outcomes, such as surgical infection, the decline in annual surgical morbidity rates was also steeper for the MTT group.
"The Veterans Health Administration MTT program is associated with decreased surgical morbidity," the authors write.
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)
Sign up for our free enewsletters to stay up-to-date in your area of practice - or take a look at an archive of prior issues
Join our CESaver program to earn up to 100 contact hours for only $34.95
Explore a world of online resources
Back to Top