34 hours ago · Failure to Provide Emergency Care to a Patient and Leaders’ Inadequate Response to that Failure at the Malcom Randall VA Medical Center in Gainesville, Florida. 5/31/2022 | 20-04443-167 | Summary | Report. >> Go To The Portal
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 Hospital (Shands).
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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 VA OIG 20-00354-178 | Page 5 | July 1, 2021 Scope and Methodology The OIG initiated the inspection on February 12, 2020.
The Charlie Norwood VA Medical Center Director confirms that the Chief of the Health Information Management program monitors documentation to include patient care episodes without an associated progress note as part of the ongoing electronic health record review process, and takes action as warranted. 2.
Title Department of Veterans Affairs Office of Inspector General Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System, Report #14-02603-267 Author VA Office of Inspector General Subject
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
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