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Patient safety the VA way: One hospital can point the way for others to follow

The efforts by the U.S. Department of Veterans Affairs (VA) to improve patient safety are paying huge dividends for the hundreds of hospitals participating in its system of adverse-event reporting and analysis, suggesting that other health care providers could benefit from adopting the same techniques.

These tools show cause of close calls, adverse events

These are the categories of triage questions used by the Veterans Affairs National Center for Patient Safety (NCPS) to help health care providers determine what really led to an adverse event or close call.