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Audit: VA Examined 18% Fewer Medical Errors Since 2010

September 04, 2015

As the VA wallows in scandal, more damning information is coming out regarding how are nation’s heroes are being treated.

Since 2010 there has been an 18% decrease in a procedure known as a “root-cause analysis,” which is supposed to follow an adverse event. An adverse event is: “incidents that pose a risk of injury to a patient as the result of a medical intervention or the lack of an appropriate intervention.”


What so troubling is that these events have risen 7% in that same time frame!

These revelations come from an audit done by the Government Accountability Office, who said:

“[It’s] unclear whether the 18 percent decrease in total RCAs completed from fiscal year 2010 to fiscal year 2014 is a negative trend reflecting less reporting of serious adverse events, or a positive trend reflecting fewer serious adverse events that would require an RCA.” 

What’s clear is the VA needs to get its act together ASAP. Our vets deserve MUCH better!


From the Washington Free Beacon:

A new audit shows that the Department of Veterans Affairs has decreased its efforts to determine the cause of medical mistakes over the course of a four-year period despite a host of scandals, failures, and deaths plaguing the department-run medical centers in recent years.

The Government Accountability Office, tasked with reviewing the VA’s processes and procedures for responding to adverse events that occur within its health care system, found that the VA failed to make use of an oversight procedure known as a root-cause analysis. The agency performed these analyses 18 percent less in fiscal year 2014 than in 2010.

Read more at the Washington Free Beacon

What needs to be done to fix the problems at the VA? Let us know in the comments below!