Anatomy of Neglect

IT'S OFFICIAL: Poor outpatient care at Walter Reed Army Medical Center was delivered by an inadequately sized staff suffering from "compassion fatigue"; neglected by leaders who "should have been aware of the poor living conditions and administrative hurdles" and yet "failed to provide clear direction, or place proper priority, on the management of outpatients"; and worsened by "destabilizing" workforce changes and outdated policies on debilitating wounds. The failures were both systemic and specific, and there is plenty of blame to go around.
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