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Military.com | Culture shift needed to combat patient safety failures at VA, watchdog says
The murder of seven veterans at a West Virginia Department of Veterans Affairs hospital and thousands of missed diagnoses by a pathologist who was drunk on the job at a Fayetteville, Arkansas, facility are signs that the Veterans Health Administration, or VHA, has significant leadership and cultural problems, according to the VA's top watchdog.
VA Inspector General Michael Missal said Wednesday that such egregious events should not be treated as "one-offs" but should be used as painful lessons to transform the culture at the department's medical centers, with many working well but others staffed by employees who are "complacent and disengaged."
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