Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns.
Approach to Improving Safety
Setting of Care
Tracking concerns related to individual clinician performance has the potential to uncover opportunities for clinician skill and system safety enhancements. This report highlights weaknesses in the peer reporting processes of Veterans Affairs medical centers and offers recommendations to improve the quality and timeliness of reporting to ensure safety of patients in the VA system.