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HRD-81-70 1 (1981-04-16)

handle is hein.gao/gaobabbuk0001 and id is 1 raw text is: UNITED STATES GENERAL ACCOUNTING OFFICE WASHINGTON, D.C. 20548 HUMAN RESOURCES DIVISION B-202636 APRIL 16,1981 The Honorable John Leboutillier En HE. House of Representatives 3S -....114921 Dear Mr. Leboutillier: Subject: Lbileged Irregularities at the Veterans Administration Medical Center, Manhattan, New York9(HRD-81-70) Your predecessor requested that we review the Veterans Administration's (VA's) investigation of alleged irregularities involving the surgical service at the Manhattan VA Medical Cen- ter. As arranged with his office, our review focused on (1) the adequacy of the investigation conducted by VA's Office of In- spector General (OIG) and (2) whether the Manhattan VA Medical Center has corrected the problems identified by the OIG. The allegations involved were anonymously reported to VA's OIG in April 1979, and included charges that --surgical, therapeutic, or diagnostic procedures were being performed without informed patient consent and --surgical procedures were being performed on weekends by medical school residents without an attending physician present, which resulted in amputations, loss of life, and lack of documentation of the events. Additional allegations concerning questionable activities of the surgical service at the Manhattan Center were made in a series of news articles published in the New York Post. VA'S INVESTIGATION VA's OIG investigation was conducted at the Manhattan Center from April 10 through August 17, 1979. In addition to interview- ing numerous center officials, employees, and former patients, the OIG selected 60 medical records for review from the center's sur- gical log and decedent affairs log for January 1978 to May 1979. Also, medical records of three patients specifically identified by the anonymous caller were selected for review. (401902)

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