We visited the facilities which had been the subject of considerable media attention: the Bruce W. Carter VAMC (Miami) in Miami, FL; the Tennessee Valley Healthcare System-Murfreesboro campus (Murfreesboro); and the Charlie Norwood VA Medical Center (Augusta) in Augusta, GA. We reviewed applicable regulations, policies, procedures, and guidelines. Furthermore, 26 inspectors conducted unannounced onsite visits for the total of 42 probability-based randomly selected VHA facilities to examine pertinent endoscope reprocessing documentation.
Because of the unannounced nature of the inspections and for cost-efficiency, a stratified clustering sample design was employed to maximize the number of facilities that could be inspected in a single day. Two probability-based random samples of VHA endoscope reprocessing facilities were selected from the study populations for the unannounced onsite inspection: one for colonoscope reprocessing and another for ENT endoscope reprocessing. With probability sampling, each unit in the study population has a known positive probability of selection. This property of probability sampling avoids selection bias and allows use of statistical theory to make valid inferences from the sample to the study population.
Conclusions and Recommendations
Facilities have not complied with management directives to ensure compliance with reprocessing of endoscopes, resulting in a risk of infectious disease to veterans. Reprocessing of endoscopes requires a standardized, monitored approach to ensure that these instruments are safe for use in patient care.
The failure of medical facilities to comply on such a large scale with repeated alerts and directives suggests fundamental defects in organizational structure.
http://www.va.gov/oig/54/reports/VAOIG-09-01784-146.pdf
CHATTANOOGA, Tenn. — An attorney is preparing to ask the U.S. Department of Veterans Affairs to pay disability benefits and damages for hospital mistakes that may have exposed veterans to infectious body fluids — a complaint that he said could ultimately multiply into many more such demands.
The attorney, Mike Sheppard of Nashville, said he is preparing to file claims with the VA for about 60 veterans, including three women.
Among them are veterans who have tested positive for HIV and hepatitis and others who suffered emotional distress after the VA provided them with initial positive blood tests for infections that turned out to be wrong.
Sheppard also said other veterans among the roughly 10,000 affected former patients at VA hospitals in Murfreesboro, Tenn., Miami and Augusta, Ga., are likely to seek compensation beyond the VA's offer of free medical care.
"I've gotten calls from all over the country," he said
The Associated Press: Vets affected by VA hospital errors to file claims
Today’s New York Times reports: “A unit in Philadelphia operating with virtually no outside scrutiny botched 92 of 116 prostate cancer treatments over a span of more than six years.” Dr. Gary D. Kao, according to the report, ran a “rogue” cancer unit which covered up botched procedures in which radioactive “seeds” intended for the cancerous prostate landed in the bladder or near the rectum. Dr. Kao’s team rewrote treatment plans, according to the Times, to cover up his bad aim.
“For patients with prostate cancer, it is a common surgical procedure: a doctor implants dozens of radioactive seeds to attack the disease. But when Dr. Gary D. Kao treated one patient at the veterans’ hospital in Philadelphia, his aim was more than a little off.”
VA Hospital Botches Prostate Treatments, Report | PSA Rising Prostate Cancer Blog
I'm going to say this, if you compare the VA to the way it was 25 years ago it looks great, and has come a long way to improve itself from the shamless way it treated our nations warriors. However, if you wish to use the VA as some kind of model to hold up as a model for Govt. run healthcare I would suggest you may want to look somewhere else.