The number and class of antibiotics administered after surgery, preoperative length of stay, procedural characteristics, surgical program complexity, and patient comorbidities are associated with postoperative CDI in the VHA.

Key Points Question Are reported rates of incorrect surgery changing in the US Veterans Health Administration (VHA)? Findings This quality improvement study found that VHA-reported surgical adverse events have continued to trend downward from 1.74 to 0.47 per 100 000 procedures between 2000 and 2017. In this context, dentistry, neurosurgery, and ophthalmology remain a challenge. Meaning The VHA is holding the gains with preventing incorrect surgical procedures while continuing to work in selected areas of continued challenge.

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