; (B) the inclusion of the directives outlined in the 2011 fire safety alert of the Food and Drug Administration to mitigate risks relating to fires; and (C) the carrying out of a pilot project that tests and validates new operating room fire safety technology at multiple medical facilities of the Veterans Health Administration. (b) Report Not later than 90 days after the date of the enactment of this Act, the Secretary of Veterans Affairs shall submit to Congress a report containing the plans developed under subsection (a). 4. Never event defined In this Act, the term never event means an event involving the delivery of (or failure to deliver) hospital care or medical services furnished at a medical facility of the Department of Veterans Affairs in which there is an error in the care or services that is clearly identifiable, usually preventable, and serious in consequences to patients, and that indicates a deficiency in the safety and process controls of the care or services furnished with respect to the physician or medical facility involved. Such term includes operating room fires.