Caring about safety

How will the Patient Safety Reporting System work?

A VA doctor, nurse or other staff member at a VA hospital will fill

out a form describing in narrative form the incident or close call. At the

bottom of a perforated, removable section, the person will include his or

her name and phone number.

An analyst at NASA's Ames Research Center with expertise in the medical

field (for example, a retired physician) will read the report and call the

person filing the report if there are any additional questions. The analyst

will then remove the section that identifies the person who reported the

problem and input the information into a database using standard definitions

and criteria.

Several products will be used to mine the data for patterns that may

not be immediately apparent. Advisories and newsletters, as well as full

reports and formal changes, will be produced using the data.

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