Adverse event (1 - 2 of 2 items)
Veterans' Health Care: Oversight of Tissue Product Safety
GAO-14-463T: Published: Apr 2, 2014. Publicly Released: Apr 2, 2014.
Data from the Veteran's Health Administration (VHA), within the Department of Veterans Affairs (VA), do not show evidence of VHA receiving contaminated tissue products, although, it is difficult to link adverse events in recipients to such products. VA's National Center for Patient Safety (NCPS), which began operation in 1999, has not issued any patient safety alerts—mandates for action to addre...
VA Health Care: Additional Guidance, Training, and Oversight Needed to Improve Clinical Contract Monitoring
GAO-14-54: Published: Oct 31, 2013. Publicly Released: Oct 31, 2013.
All 12 contracts GAO reviewed from the four Department of Veterans Affairs' (VA) medical centers (VAMC) visited contained performance requirements consistent with VA acquisition policy. However, the performance requirements lacked detail in six categories: type of provider or care; credentialing and privileging; clinical practice standards; medical record documentation; business processes; and acc...