Case Studies: Government, Measurement and Reporting

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Sustaining a Culture of Safety in the U.S. Department of Veterans Affairs Health Care System

April 8, 2010 - This case study looks at the National Center for Patient Safety formed by the U.S. Department of Veterans Affairs in 1999 to foster an organizational culture of patient safety within its 153 hospitals and 783 community-based clinics.

Case Study

Case Study: NASA/VA Patient Safety Reporting System

January 20, 2005 - The Veterans Administration (VA) instituted an external, voluntary, confidential, and non-punitive Patient Safety Reporting System (PSRS) modeled on NASA's Aviation Safety Reporting System.

Case Study