|Title:||Poor Emergency Department Care of a Patient at the Baltimore VA Medical Center in Maryland|
|VA Office:||Veterans Health Administration (VHA)
|Report Author:||Office of Healthcare Inspections
|Report Type:||Hotline Healthcare Inspection
The VA Office of Inspector General (OIG) conducted a healthcare inspection to assess an allegation that a patient received poor care in the Emergency Department at the Baltimore VA Medical Center (facility) in Maryland, which resulted in an amputation at the patient’s left forearm at a non-VA hospital days later. The OIG identified additional concerns related to the patient’s primary care provider not maintaining the patient’s problem list in the electronic health record and Emergency Department providers’ failure to address the patient’s second chief complaint of knee pain.