Hospitals participating in a national quality improvement initiative were no more likely to improve surgical safety and outcomes than hospitals not participating in the program, according to a new study published in the Journal of the American Medical Association, Health Data Management reports. Details of Study A team of researchers from the University of Michigan Medical School compared the performance of 263 hospitals participating in the American College of Surgeons' National Surgical Quality Improvement Program with that of 526 hospitals not involved in the initiative. The study included data from more than 1.2 million Medicare beneficiaries who had undergone one of 11 major operations at the hospitals over a 10-year period.