This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the Jonathan M. Wainwright Memorial VA Medical Center in Walla Walla, Washington.
This evaluation focused on five key content domains:
• Culture
• Environment of care
• Patient safety
• Primary care
• Veteran-centered safety net
The OIG issued nine recommendations for VA to correct identified deficiencies in two domains:
1. Environment of care
• Signs and maps
• Emergency generator and fire door inspection and testing
• Environment of care committee meetings
• Mental Health Residential Rehabilitation Treatment Program area cleanliness
• Hands-free sanitizer dispensers
• Guidance for shelter-in-place supplies
2. Patient safety
• Service-level workflows for the communication of test results
• Process to monitor the communication of test results
• Improvement actions from root cause analyses
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United States
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United States
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United States