OIG: VA EHR system issues have led to patient harm, one patient death

EHR Intelligence March 25, 2024
Hannah Nelson

Three new OIG reports underscore challenges with the VA EHR system, including a scheduling system error and pharmacy-related patient safety issues.

A system error in the new Department of Veterans Affairs (VA) EHR contributed to the accidental overdose of a patient in 2022, according to a VA Office of Inspector General (OIG) report.

The patient died approximately seven weeks after a missed appointment at the VA Central Ohio Healthcare System in Columbus.

The OIG conducted an internal review of the patient’s care to assess the adequacy of mental health evaluations of the patient, supervision of a psychologist, and caring communications management.

The OIG found that due to the system error, the EHR did not route the patient’s missed appointment to...

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