Innovations: Health Care Quality, Government

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Case Study: Creating a Culture of Safety in the U.S. Department of Veterans Affairs Health Care System

September 26, 2008 - The Veterans Health Administration, a component of the Department of Veterans Affairs, operates the nation's largest integrated health care system, providing care to more than 5.1 million veterans and 7.6 million enrollees at more than 1,300 sites of care nationwide.

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

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