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PSNet: Patient Safety Network
Web Resource
Government Resource

Actions Needed to Address Employee Misconduct Process and Ensure Accountability.

Government Accountability Office; GAO; Veterans Administration.

Both organizational and individual accountability are required to ensure safe care. This analysis of Department of Veterans Affairs (VA) responses to whistle-blower concerns and reports of staff misconduct found that the VA has procedures for investigating these allegations but determined that the process was unreliable. The report outlines recommendations for improvement including ensuring whistle-blowers are treated fairly and assigning responsibilities across the hierarchy to ensure incidents receive the appropriate attention.