16 hours ago · Department of Veterans Affairs OIG Report Description: The VA Office of Inspector General (OIG) conducted an inspection to review the care of an unresponsive patient by Emergency Department staff and the subsequent response of leaders at the Malcom Randall VA Medical Center (facility), after the patient’s death at the University of Florida Health Shands … >> Go To The Portal
Department of Veterans Affairs OIG Report Description: The OIG assessed allegations that a patient’s care was delayed and mismanaged in the facility’s Emergency Department resulting in the patient’s death, and facility leaders ignored complaints of inadequate Emergency Department nurse staffing levels.
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Norwood VA Medical Center, the OIG identified concerns with facility staff not feeling supported by leaders, an inefficient hiring process, and inadequate communication of policies, among other administrative issues. The OIG made 27 recommendations, two of which remained open as of June 14, 2021.
OIG reports are available at www.va.gov/oig VA OIG website Title Failure of a Primary Care Provider to Complete Electronic Health Record Documentation and Inadequate Oversight at the Charlie Norwood VA Medical Center in Augusta, Georgia Author Office of the Inspector General and Assistant Inspector General for Healthcare Inspections
The OIG identified concerns with compliance with VHA and facility requirements related to nursing practices documentation, evaluation of the circumstances surrounding the respiratory care for a patient, processes for securing sitters, and nurse staff assignment practices. The OIG made six recommendations, which were closed as of June 14, 2021. 12
The OIG received the names of 220 of the provider’s patients that were identified by the complainant or facility leaders as having documentation deficiencies. The provider failed to complete progress notes within the facility required time frame of 72 hours. 6
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