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Inadequate Care Coordination at the VA Southern Nevada Healthcare System in Las Vegas
Manage episode 429500471 series 3333001
In the latest episode of Veteran Oversight Now, a VA OIG healthcare inspection hotline director discusses allegations that facility staff at the VA Southern Nevada Healthcare System in Las Vegas delayed ordering medications following an elderly patient’s discharge from a community hospital. The OIG substantiated that inadequate care coordination led to a delay in ordering discharge medications and found deficiencies in facility staff's response to the patient’s death by suicide.
“If you go by the timeline, this is 17 days after the patient’s first visit to the emergency room with the shortness of breath problems. . . . Unfortunately, the patient completed suicide that same day without receiving the medication.” – Trina Rollins, VA Office of Inspector General, Office of Healthcare Inspections, Hotline Director
This podcast edition also includes highlights of the VA OIG’s work from June 2024.
Related Report: Care Concerns and Failure to Coordinate Community Care for a Patient at the VA Southern Nevada Healthcare System in Las Vegas
29 episodios
Manage episode 429500471 series 3333001
In the latest episode of Veteran Oversight Now, a VA OIG healthcare inspection hotline director discusses allegations that facility staff at the VA Southern Nevada Healthcare System in Las Vegas delayed ordering medications following an elderly patient’s discharge from a community hospital. The OIG substantiated that inadequate care coordination led to a delay in ordering discharge medications and found deficiencies in facility staff's response to the patient’s death by suicide.
“If you go by the timeline, this is 17 days after the patient’s first visit to the emergency room with the shortness of breath problems. . . . Unfortunately, the patient completed suicide that same day without receiving the medication.” – Trina Rollins, VA Office of Inspector General, Office of Healthcare Inspections, Hotline Director
This podcast edition also includes highlights of the VA OIG’s work from June 2024.
Related Report: Care Concerns and Failure to Coordinate Community Care for a Patient at the VA Southern Nevada Healthcare System in Las Vegas
29 episodios
All episodes
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1 Patients Delayed Care Due to Failure to Follow Behavior Health Consult and Scheduling Process 23:15
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1 IG Missal Reflects on Inspector General 45th Anniversary and Latest Semiannual Report to Congress 36:21
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1 Veteran Suicide at Outpatient Clinic in South Carolina Highlights Tragic Missteps in Patient Care 47:21
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1 Oversight, Employee Participation Critical to Patient Safety Programs Says Healthcare Hotline Director 38:50
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