VA Eastern Colorado Health Care System(ECHCS)

Issue: A pharmacy technician switched two patients medications when mailing out prescriptions. Patient A received a prescription intended for Patient B. The information included was the patients name, address, and medications. Patient A will bring the information and medications back within…

Outcome: Data not available.

Issue: A pharmacy technician dispensed a medication to the wrong patient at the pharmacy dispensing window. This technician should have verified the patient full name and DOB prior to dispensing and also opened the bag to ensure that the medications in…

Outcome: 03/26/14: The Incident Resolution Team determined that the patient will receive a HIPAA Letter of notification.…

Issue: A pharmacy technician sent medical supplies to the wrong patient. Supplies and the Veterans name and address was disclosed inappropriately.…

Outcome: 03/21/14: The Incident Resolution Team has determined that a Veteran will be sent a HIPAA notification letter due to Protected Health Information (PHI) being disclosed.…

Issue: The Privacy Officer discovered that an employees supervisor had inappropriately accessed the employees electronic health record. The findings were referred to the assistant service chief and HR for action.…

Outcome: 03/05/14: The employee requested an access log and inquired why their supervisor was in their record. The section where the two employees work is not a part of patient care. The supervisor is not involved in patient care and does…

Issue: Pharmacy call center was alerted to a privacy breach due to two patients prescriptions being switched (information was patients name, address, and refills for medications that are on suspense).

Outcome: 03/03/14: The Incident Resolution Team has determined that Veteran A and B will be sent a HIPAA notification letter due to Protected Health Information (PHI) being disclosed.…

Issue: A VA employee found two labels containing a Patients name, full social security number, and date of birth on them. The labels were found near a parking lot next to the VA Medical Center.…

Outcome: 03/03/14: The Incident Resolution Team has determined that the patient will be offered credit protection services.…

Issue: A Patient called a community out based clinic to report that they had received another Veterans appointment letter in with theirs. The appointment letter contained the Veteran's name last four numbers of the social security number and address.…

Outcome: 02/27/14: The Incident Resolution Team has determined that a Veteran will be sent a notification letter.…

Issue: Pharmacy received a report that Veteran A received paperwork for Veteran B in his package.

Outcome: 02/13/14: Due to the disclosure of medication information, Veteran B will be sent a HIPAA notification letter.…

Issue: Veteran A received Veteran B's lab results in the mail.

Outcome: 01/28/14: Veteran B will be sent a notification letter.…

Issue: Patient As medical supplies were mailed to Patient B in error. Patient B received Patient As name, address, and medical supplies in the mail.…

Outcome: 01/16/14: Patient A will receive a HIPAA letter of notification.…