Comprehensive, non-punitive analytic approach for close calls and actual adverse events defined. Program Extensive hands-on training to truly understand a human factors and safety systems approach to close call and adverse event analysis. Computer assisted tool to aid implementation of comprehensive event analysis. Captures critical elements needed to ensure a thorough and effective job. Results in preventive actions that are superior to the status quo.
National implementation is now in progress throughout entire VA medical system.
As of this date, VA has trained 18 of the 22 VA VISNs. In May 2000 VA and NASA signed an agreement that has NASA operating the external and voluntary de-identified reporting system. Please do not leave questions regarding veterans benefits or services in this mail box. The page was last updated on 25 July 2001.