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VHA National Center for Patient Safety

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VHA Leaders attend the High Reliability Organization (HRO) Summit.VHA's HRO journey officially begins
VHA’s journey to become a High Reliability Organization (HRO) kicked-off in February at the HRO Leadership Summit. The Summit brought together leaders from all levels of the organization to lead VHA’s HRO journey.
Nurse checking patient.VA hospitals outperform private hospitals
According to an independent Dartmouth study recently published in the Annals of Internal Medicine, Department of Veterans Affairs (VA) hospitals outperform private hospitals in most health care markets...
Decreasing preventable VTE outcomesDecreasing preventable VTE outcomes
The Veterans HCS of the Ozarks (VHSO) initially adopted a VTE prevention program in 2009 utilizing a “Three Bucket” model to stratify patients into low, moderate, or high risk groups based on known VTE risk factors.
The Patient Safety Centers of Inquiry (PSCI) program's goal is to develop, disseminate and implement clinically relevant innovations that improve patient safety throughout VAVA selects 10 Patient Safety Centers of Inquiry
The Patient Safety Centers of Inquiry (PSCI) program's goal is to develop, disseminate and implement clinically relevant innovations that improve patient safety throughout the Veterans Health Administration.
NCPS Field Office Director Peter D. Mills, PhDPsychologist aims to make mental health units safe
Most people looking at a hospital room see an environment designed to keep human beings alive. Peter Mills, PhD, sees a room that, for someone contemplating suicide, presents a host of opportunities to achieve that goal.
Patient Heart MonitorClinical Alarm Reduction: A Method for Success
Health care workers’ reliability on technology to care for patients. As clinicians experience alarm fatigue, they become overwhelmed, desensitized or immune to the alarms intended to notify them of potential harm.
The VA Ask A Pharmacist App is available at mobile.va.gov.Prescription Questions? Ask A Pharmacist
Veterans can use the Ask A Pharmacist Mobile Application to find resources, ask questions and know that their VA pharmacist or pharmacy technician will respond to their inquiry.
Nurse Checking PatientRAND study finds VA provides high-quality care
Veterans receive the same or better care at U.S. Department of Veterans Affairs (VA) medical facilities as patients at non-VA hospitals according to a recent RAND Corp. study.
A glucometer used to read blood glucose levels.VA Researchers Receive 2018 ECRI Award Runner-Up
A team of VA researchers were recognized as finalists in the ECRI Institute's 12th annual Health Devices Achievement Award. Researchers from the VA National Center for Patient Safety, VA Pittsburgh Healthcare System...
Chief Residents in Quality and Patient Safety teach a quality, process improvement and patient safety curriculum to residents.Standardizing timeouts at the Phoenix VA
The Phoenix VA Health Care System has a dedicated inpatient and outpatient Chief Resident in Quality and Patient Safety. The chief residents lead a curriculum teaching concepts in quality improvement and patient safety.

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