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Diane Publishing Books
VA Health Care: Improvements Needed in Processes Used to Address Providersńˇ╗ Actions That Contribute to Adverse Events
Debra A. Draper (au)
Adverse events -- clinical incidents that may pose the risk of injury to a patient as the result of a medical intervention rather than the patientńˇ╗s underlying health condition -- can occur in all health care delivery settings. Department of Veterans Affairs (VA) medical centers (VAMCs) can use one or more of the protected (confidential and nonpunitive) and nonprotected processes to evaluate the role of individual providers in adverse events. This report reviewed the extent to which processes used to respond to adverse events are carried out across VAMCs. It examined (1) VAMCsńˇ╗ adherence to VAńˇ╗s Veterans Health Admin.ńˇ╗s (VVHAńˇ╗s) protected peer review process, and the extent to which VHA monitors this process; and (2) VAMCsńˇ╗ adherence to VHAńˇ╗s nonprotected processes and the extent to which VHA monitors these processes. Tables and figures. This is a print on demand report.
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Karluk: The Great Untold Story of Arctic Exploration
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