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VA - 20-03635-217 - 8
Closed
· 2021-08-18
From report
Report
Deficiencies in COVID-19 Screening and Facility Response for a Patient Who Died at the Michael E. DeBakey VA Medical Center in Houston, Texas
OIG report number
20-03635-217
Recommendation number
8
Recommendation text
The Michael E. DeBakey VA Medical Center Director ensures leaders complete root cause analyses within 45 days of leaders’ awareness of applicable adverse events.