Alleged Deficiencies in the Management of Staff Exposure to a Patient with COVID-19 at the VA Portland Health Care System in Oregon [open pdf - 1MB]
From the Executive Summary: "The VA [Department of Veterans Affairs] Office of Inspector General (OIG) conducted a healthcare inspection in response to a request from the U.S. Office of Special Counsel to determine the validity of allegations related to staff's failure to use proper safety measures in the management of a patient with a confirmed case of COVID-19 [coronavirus disease 2019] and leaders' failure to take action following staff exposure to a patient diagnosed with COVID-19 in early March 2020 at the VA Portland Health Care System (facility) in Oregon. The allegations focused on staff's possible exposure during this patient's care and facility leaders' actions[.]"
Department of Veterans Affairs, Office of Inspector General, Healthcare Inspection Report No. 20-02240-248