Lessons Learned after Patient Death following a Fall in a Las Vegas VA Outpatient Clinic

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Veteran Oversight Now

VA OIG

37 episodes

1 month ago

Veteran Oversight Now is an official podcast of the Department of Veteran Affairs, Office of Inspector General. Each episode features interviews with key stakeholders, discussions on high-impact reports, and highlights of recent oversight work. Listen regularly for the inside story on how the VA OIG investigates crimes and wrongdoings, audits programs that provide benefits and services to veterans, and inspects medical facilities to ensure our nation’s veterans receive safe and timely health care.

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Lessons Learned after Patient Death following a Fall in a Las Vegas VA Outpatient Clinic

Veteran Oversight Now

31 minutes

2 years ago

Lessons Learned after Patient Death following a Fall in a Las Vegas VA Outpatient Clinic

In this latest episode of Veteran Oversight Now, a VA OIG healthcare inspection hotline director discusses the lessons learned in the care of a veteran who died after a fall in a VA outpatient clinic, part of the Southern Nevada Healthcare System in Las Vegas. This edition also includes highlights of the VA OIG’s work from August 2023.

“Since [the incident] happened, the facility has made several adjustments to ensure that in an emergency situation that staff is knowledgeable of the processes that they need to implement and carry out that will hopefully result in a better outcome.”

– Trina Rollins, VA Office of Inspector General, Office of Healthcare Inspections, Hotline Director

Published: 6/28/2023

Report #22-02725-132