The Vascular Quality Initiative (VQI) was developed by the Society for Vascular Surgery in 2011 to improve the safety and effectiveness of 12 common vascular procedures (Box). The VQI operates within the structure of a patient safety organization, which protects the quality improvement activities as patient safety work product and thus provides a degree of privilege and confidentiality for the data. Because the VQI is a member of the Society for Vascular Surgery patient safety organization, comparisons with regional and national institutions can be performed.