Federal Government Resources
Links to federal government agency and organization websites.
Quality Management
National Center for Patient Safety
National Center for Patient Safety
The Department of Veterans Affairs National Center for Patient Safety was established in 1999 to develop and nurture a culture of safety throughout the Veterans Health Administration. We are part of the VA Office of Quality, Safety and Value. Our goal is the nationwide reduction and prevention of inadvertent harm to patients as a result of their care. |
Root Cause Analysis
Root Cause Analysis
The goal of the root cause analysis process is to find out what happened, why it happened, and how to prevent it from happening again. Because our culture of safety is based on prevention, not punishment, teams investigate how well patient care systems function. We focus on the "how" and the "why" not on the "who". Through the application of Human Factors Engineering approaches, we aim to support human performance. |