South Texas Veterans Health Care System

Issue: Staff inadvertently handed a meal voucher to the wrong Veteran. Once the Veteran realized the error, it was immediately returned to the clerk and the correct one given to the Veteran. The meal voucher had name and last four of…

Outcome: Data not available.

Issue: Medications were given to wrong Veteran at Pharmacy window

Outcome: 06/12/14: The Incident Resolution Service Team has determined that Veteran A will be sent a notification letter.…

Issue: During an on-camera interview on the evening of 06/02/14 with 4 VHA employees (identities disguised), the News 4 Reporter from WOAI stated "last week a source with ties inside the San Antonio VA gave News 4 a partial recall delinquency…

Outcome: 06/09/14: This is still being investigated by the Privacy Office. The Privacy Officer (PO) has been in contact with the Reporter and is attempting to retrieve the information. As of 06/06/14, the Reporter has not provided the information requested. The…

Issue: A clerk gave a pre-med record note to the wrong patient when he was checked in. When the nurse called him back, he said he was not sure why it has eye drops listed on my medication list as he…

Outcome: 04/07/14: The Incident Resolution Team has determined that there was a policy violation. While there was an unauthorized access/disclosure of data, it has been determined that the incident has a low probability of a risk of compromise.…

Issue: Two Patients received the other's documents. Both Patients were in Outpatient Surgery this morning, the Nurse inadvertently handed doctors orders to the wrong Patient. Veteran immediately returned the document to the Pharmacy.…

Outcome: 03/27/14: The Incident Resolution Team has determined that Veteran A will be sent a letter offering credit protection services.…

Issue: A prescription for leg bag for Veteran A was inadvertently mailed to Veteran B. Item was returned.…

Outcome: 02/28/14: The Incident Resolution Team has determined that Veteran B will be sent a HIPAA notification letter due to Protected Health Information (PHI) being disclosed.…

Issue: Medications were given to wrong patient.

Outcome: 02/21/14: One patient will be sent a HIPAA notification letter.…

Issue: A GE Stress Test Machine with CPU and Monitor was sold as scrap to an individual. He stated once he was able to get it to work, he had access to a patient list (approximately 163 individuals). The Privacy Officer…

Outcome: 01/28/14: The DBCT determined that 143 letters offering credit protection services will be offered. It was sent out without being wiped because of lack of adherence to the media sanitization policy. The person who bought the machine was a vendor.…

Issue: An appointment list for Veteran B was given to Veteran A. The information has been returned to facility.

Outcome: 01/13/14: Veteran B will be sent a letter offering credit protection services due to full name and full SSN being disclosed.…

Issue: A Pharmacy Technician handed the wrong medications to wrong Veterans..

Outcome: 11/20/13: Veteran B will receive a HIPAA letter of notification.…