COMMUNITY HOSPITAL OF SAN BERNARDINO

Issue: Based on observation, interview, and record review, the facility failed to ensure that 10 patients' (Patients A, B, C, D, E,F, G, H, I and J), confidential medical information was protected, when empty vials of morphine (a narcotic) were found…

Outcome: Deficiency cited by the California Department of Public Health: Patients' Rights

Issue: Based on interview, and record review, the facility failed to ensure the confidential treatment of protected health information (PHI) for Patient A, when the registered nurse (RN 1) failed to log out of her computer at the bedside, exposing medical…

Outcome: Deficiency cited by the California Department of Public Health: Patients' Rights

Issue: Based on interview and record review, the facility failed to ensure that the registered nurse (RN 1) assigned to Patient A, followed the facility policy and procedure for logging off of the computer once completed viewing Patient A's protected health…

Outcome: Deficiency cited by the California Department of Public Health: Nursing Service Policies and Procedures.

Issue: Based on interview and record review, the facility failed to maintain the confidentiality of Patient A's private health information (PHI), when a compact disc (CD) with his X-rays was inadvertently given to the parents of Patient B, who was being…

Outcome: Deficiency cited by the California Department of Public Health: Patients' Rights

Issue: Based on interview and record review the facility failed to safeguard the protected health information (PHI) of Patient A when the medical records (MR) clerk handed a record to the mother of another patient with the same last name without…

Outcome: Deficiency cited by the California Department of Public Health: Patients' Rights

Issue: Based on interview and record review, the facility failed to ensure that protected health information (PHI) for 3 patients (Patient A, B and C) was maintained in a confidential manner. Patients A and B had their PHI on an intravenous…

Outcome: Deficiency cited by the California Department of Public Health: Patients' Rights

Issue: 1. Based on interview and record review, the facility failed to maintain the confidentiality of Patient A's medical record and account number when the nurse entered the wrong account data onto another patient's discharge documents. This resulted in a breach…

Outcome: Deficiency cited by the California Department of Public Health: Patients' Rights

Issue: Based on interview and record review, the facility failed to ensure that the emergency room (ER) clerk followed facility protocols in identifying a patient prior to entering them into the computer. This breach resulted in Patient A being treated under…

Outcome: Deficiency cited by the California Department of Public Health: Patients' Rights

Issue: Based on interview and record review, the facility failed to ensure the confidentiality of Patient A's protected health information (PHI) which resulted in a physician's order to "hold Coumadin "(a blood thinner), was misfiled and sent with Patient B's clinical…

Outcome: Deficiency cited by the California Department of Public Health: Patients' Rights

Issue: Based on interview and record review, the facility failed to protect Patient A's protected health information (PHI) when her clinical record was sent to another patient. This had the potential to result in identity theft and was a breach of…

Outcome: Deficiency cited by the California Department of Public Health: PATIENT RIGHTS: CONFIDENTIALITY OF RECORDS