As the Free Beacon reported, this isn’t a good thing:
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.
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