NASHVILLE, Tenn. (AP) — A new report is criticizing two middle Tennessee veterans' hospitals for not doing enough to prevent harm to patients.

The Tennessean reports that the Office of the Inspector General survey comes two years after the Veterans Affairs hospital in Murfreesboro was cited for potentially exposing thousands of vets to infection from unclean colonoscopy equipment.

The report says the Tennessee Valley Health Care System, which runs the VA hospitals in Nashville and Murfreesboro, needs to improve its quality management. That same failure was noted in 2009.

The report said that the hospitals needed to do a better job of tracking patients who are resuscitated, monitoring the competency of its new doctors and using peer reviews more often when questions occur about medical decisions.

Tennessee Valley said the failures had nothing to do with patient care.