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VA Patient Safety Program: A Cultural Perspective at Four Medical Facilities.

General Accounting Office. Washington, DC: Government Printing Office; 2004. Report no. GAO-05-83.

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January 4, 2006
General Accounting Office. Washington, DC: Government Printing Office; 2004. Report no. GAO-05-83.

The Government Accountability Office studied patient safety programs at four Department of Veterans Affairs (VA) health facilities and recommends that the VA emphasize leadership action and open communication to support safety improvement.