VA National Center for Patient Safety

symbol of the Veterans Healthcare Administration

The National Center for Patient Safety (NCPS) embodies the Department of Veterans Affairs (VA) uncompromising commitment to reducing and preventing adverse medical events while enhancing the care given our patients. The NCPS represents a unified and cohesive patient safety program, with active participation by all of the VA hospitals supported by dedicated patient safety managers. Our program is unique in healthcare; we focus on prevention not punishment, applying human factor analysis and the safety research of high reliability organizations (aviation and nuclear power) targeted at identifying and eliminating system vulnerabilities.

Contact Information Who we are - where you can reach us	Culture of Safety Creating a Culture of Safety
Safety Topics of Interest Ensuring Correct Surgery MRI Hazard Summary Healthcare Failure Mode and Effects Analysis (HFMEA™) Falls Prevention Toolkit	Root Cause Analysis The Process of Root Cause Analysis Triggering & Triage Questions Rules of Causation
NCPS Spotlight NCPS TIPS (Topics in Patient Safety) newsletter VHA National Patient Safety Improvement Handbook Papers and Publications	News Room Media Contact Fact Sheets, FAQ, News Releases Discussion Room Contribute your ideas and experiences Frequently Asked Questions
NCPS Glossary A listing of terms and definitions used in Root Cause Analysis	Reading Room - a Library of Links Safety Resources Human Factors Design Library Resources (Newspapers, Dictionary, Thesaurus) Dr. Thibault's Medical Resources on the Internet QuIC Participating Agencies
The VA National Center for Patient Safety was chosen as a winner of the prestigious 2001 Innovations in American Government Award.

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URL of this page: http://www.patientsafety.gov
Department of Veterans Affairs
Veterans Health Administration
National Center for Patient Safety
24 Frank Lloyd Wright Drive, Lobby M
PO Box 486
Ann Arbor, MI 48106-0486

Send web site suggestions/comments/technical difficulties to: NCPS Webmaster
Last Update: July 27, 2004