Lessons Learned? Building a Culture of Patient Safety Within the Veterans Health Administration. | PSNet

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Congressional Testimony

Lessons Learned? Building a Culture of Patient Safety Within the Veterans Health Administration.

November 10, 2021

US House of Representatives Committee on Veterans' Affairs Subcommittee on Health. 117th Cong. 1^st Sess (2021).

The Veterans Health Administration is a large complex system that faces various challenges to safe care provision. At this hearing, government administrators testified on current gaps that detract from safe care in the Veteran’s health system. The experts discussed several high-profile misconduct and systemic failure incidents, suggested that the culture and leadership within the system overall enables latency of issues, and outlined actions being taken to address weaknesses.

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