This bill directs the Department of Veterans Affairs (VA), through the Veterans Health Administration (VHA), the National Surgery Office, and the National Center for Patient Safety, to develop: (1) a system-wide plan to decrease never events that incorporates technological tools; and (2) an operating room fire safety plan that requires the reporting of operating room fires, the inclusion of certain directives to mitigate fire-related risks, and a pilot project that tests new operating room fire safety technology at multiple VHA medical facilities.

"Never event" means an event involving the delivery of (or failure to deliver) hospital care or medical services at a VA medical facility in which there is a serious error in patient care or services that is identifiable, usually preventable, and that indicates a deficiency in the safety and process controls with respect to the physician or medical facility involved. Such term includes operating room fires.