VAOIG, Incorrect Ultrasound Report, Failure to Document Patient Pain Assessments

Report Summary, Report Number 10-03313-08, 10/14/2010

Healthcare Inspection Quality of Care Issues St. Louis VA Medical Center, St. Louis, Missouri and Minneapolis VA Health Care System, Minneapolis, Minnesota

The OIG conducted an inspection to determine the validity of allegations by a patient regarding quality of care at the St. Louis VA Medical Center, John Cochran Division, St. Louis, MO. Although we did not substantiate the allegation, we did identify aspects of care needing improvement. We recommended that the Minneapolis VA Health Care System Director of Radiology and Chief of Staff correct the medical record and disclose to the patient the facts surrounding an incorrect 2009 ultrasound report. We also recommended that St. Louis VA Medical Center staff document patient pain assessments as required.