Journal Article
Commentary

Reforming the Veterans Health Administration—beyond palliation of symptoms.

Giroir BP; Wilensky GR.

The Veterans Health Administration faces a myriad of challenges to providing safe care. This commentary highlights the importance of using a systems approach to address problems rather than treating each issue as an isolated case. The authors recommend ways to improve the safety of VHA services, including creating new classifications for leaders, committing to a culture of safety, and improving interoperability of electronic record systems.