The Department of Veterans Affairs (VA) policy on disclosure of adverse medical events was praised as a "valuable resource for all health care institutions" in an article in a recent issue of the New England Journal of Medicine. "At VA we strive every day to deliver superior health care," said Dr. Robert Petzel, VA's Under Secretary for Health. "When mistakes occur, we immediately acknowledge them and learn how we can do better in the future." Adverse events, such as incomplete cleaning of medical instruments, may affect significant numbers of patients over time...
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