All doctors are aware that records of what is done to patients need to be maintained properly, but this is not the case for veterans under the care of the Veterans Administration. They do not have a logical record keeping system in place in case there is a recall on any item they need to implant into patients. If there is a recall, which has occurred, they have to spend extra time trying to figure out where the implant went and how to track down the patient. Such a situation can be terrible if the implanted device can cause health issues or even death. GAO Report Here, via the GAO report , is what they found. “ Multiple Veterans Health Administration (VHA) offices are involved in overseeing implantable medical devices received by veterans. VHA's National Center for Patient Safety, the lead office for patient safety issues, is responsible for monitoring device safety issues. This office evaluates patient risk when safety issues are identified and collaborates with VHA's clin...