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- Department of Veterans Affairs (VA)
- Root Cause Analysis
- Specific to High-Risk Drugs
- United States Federal Government
US Government Accountability Office. Washington, DC: US Government Accountability Office; 2004. Publication 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.