All Reports

Date Issued
|
Report Number
25-00194-239
|
Topics:  Patient Care Services Operations ● Patient Safety

Open Recommendation Image, SquareOpenClosed and Implemented Recommendation Image, CheckmarkClosed-ImplementedNot Implemented Recommendation Image, X character'Closed-Not Implemented
No. 1
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
Closure Date: 2/10/2026

Facility leaders ensure staff follow facility policies and maintain a cleanenvironment.

No. 2
Open Recommendation Image, Square
to Veterans Health Administration (VHA)

Facility leaders ensure staff develop service-level workflows for the communication of urgent, noncritical test results.

No. 3
Open Recommendation Image, Square
to Veterans Health Administration (VHA)

Executive leaders monitor the effectiveness of the patient notification process.