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VA is risking veterans' lives by not tracking implants properly



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 clinical program offices to develop VHA's response. National program offices for clinical specialties such as the National Cardiac Device Surveillance Program and the National Surgery Office are also responsible for overseeing cardiac electronic and orthopedic devices, respectively.”

GAO found that VHA is unable to ensure that all non-biological implantable medical devices are tracked to individual patients. Such tracking is important so that when a safety issue occurs VHA can ensure patients are notified and receive appropriate care. For the two clinical specialties reviewed, the National Cardiac Surveillance Program was able to effectively track cardiac electronic devices to individual patients, but the National Surgery Office was not able to effectively do so for orthopedic devices. VHA policy requires tracking outside the medical record for cardiac devices but does not require it for orthopedic devices. Accordingly, this gap adversely affects VHA's ability to ensure such tracking is occurring.”

GAO also found VHA has not fully assessed, across all specialties, its ability to ensure that non-biological implantable medical devices can be effectively tracked to individual patients. Officials with the National Center for Patient Safety and others have recognized the need to develop better tracking capabilities across VHA. An assessment of VHA's ability to track all non-biological implantable medical devices across all clinical specialties could help the agency target and prioritize the most critical devices. This would help ensure these patients receive appropriate care in the event of safety issues.”

It would seem that yet again, the one agency tasked with making sure the men and women who are willing to die for this nation are treated like garbage. There have been recalls and veterans have not had timely, if any, notice that this was the case. There is plenty of money to waste on criminal invaders, but there is no common sense when it comes to the care of those willing to serve the nation.


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