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Research Letter
May 2, 2018

Factors Associated With Emergency Department Visits and Hospital Admissions After Invasive Outpatient Procedures in the Veterans Health Administration

Author Affiliations
  • 1Center for Healthcare Organization and Implementation Research, Veterans Affairs (VA) Boston Healthcare System, Boston, Massachusetts
  • 2Department of Surgery, Boston University School of Medicine, Boston, Massachusetts
  • 3Center for Health Services Research in Primary Care, Durham VA Medical Center, Durham, North Carolina
  • 4Division of Gastroenterology, Department of Medicine, Duke University, Durham, North Carolina
  • 5Durham VA Medical Center, Durham, North Carolina
  • 6Department of Radiology, Duke University, Durham, North Carolina
  • 7Division of Cardiology, Department of Medicine, VA Eastern Colorado Health Care System, Denver, Colorado
  • 8Department of Cardiology, University of Colorado School of Medicine, Aurora
  • 9Department of Urology, New York University School of Medicine, New York
  • 10Department of Urology, VA New York Harbor, New York
  • 11Division of Podiatry, Department of Surgery, VA Boston Healthcare System, Boston, Massachusetts
  • 12Department of Medicine, Section of Infectious Diseases, VA Boston Healthcare System, Boston, Massachusetts
  • 13Harvard Medical School, Boston, Massachusetts
JAMA Surg. Published online May 2, 2018. doi:10.1001/jamasurg.2018.0874

Outpatient surgical care and invasive medical procedures are increasing. Prior research from the Veterans Health Administration (VHA) found that wrong-side or wrong-site adverse events were more common in the outpatient setting than the inpatient setting when the procedure was performed outside the operating room.1 Both inpatient and outpatient operating room–based surgical procedures are evaluated by the National Surgical Quality Improvement Program2; however, non–operating room outpatient invasive procedures are not assessed. To address this gap and inform future research, we measured the prevalence of postprocedure emergency department (ED) visits and admissions and explored the association of these outcomes with relevant patient, procedure, and facility factors.3

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