VA Mail Order Pharmacy, Lancaster, TX (CMOP)

Issue: Patient A's medications were found loose by the mail distributor and returned to the Dallas Consolidated Mail Outpatient Pharmacy (CMOP). The mail distributor returned two bottles without patient documents or packaging. The patient stated the package was not open or…

Outcome: All packers/technicians were retrained in proper packing procedures. Patient Notification Letter mailed on 4/13/2011.…

Issue: Patient A and Patient B had loose medication found by the mail distributor. The medication was returned by the mail distributor and was processed at the Dallas Consolidated Mail Outpatient Pharmacy (CMOP) only through verification. According to operation events the…

Outcome: CMOP will monitor and enforce standing procedural guidelines and proper packing procedures with all technicians. Patient Notification Letters were mailed on 4/13/2011.…

Issue: Patient A's medication was found loose by the mail distributor. Patient's name and type of medication was compromised. The medication was returned to Dallas CMOP without the patient documents and package. CMOP investigation concludes that the technician did not complete…

Outcome: The employee is a new hire and was retrained in proper packing procedures. Patient Notification Letter mailed on 4/12/2011.…

Issue: Patient A's medication was found loose in the bottom of the mail distributors return bag. It was returned without packaging and patient documents. The package was recalled and returned to the CMOP. Noted upon inspection of the package was a…

Outcome: The packaging error has been reported to Medline for investigation and corrective actions. Patient Notification Letter mailed and copy attached.…

Issue: Patient A received a two prescriptions intended for Patient B. Patient Bs name and type of medication was compromised. Patient A reported the incident to the medical center and a replacement has been requested for Patient B. Dallas Consolidated Mail…

Outcome: Patient Notification Letter mailed on 3/23/2011. CMOP packer has been counseled and retrained in proper packing procedures. Please close this ticket.…

Issue: Patient A received a prescription intended for Patient B. Patient Bs name and type of medication was compromised. Patient A reported the incident to the medical center and a replacement has been requested for Patient B. Dallas Consolidated Mail Outpatient…

Outcome: Patient Notification Letter mailed on 3/23/2011. CMOP packer has been counseled and retrained in proper packing procedures. Please close this ticket.…

Issue: Patient A received a prescription intended for Patient B. Patient Bs name and type of medication was compromised. Patient A reported the incident to the medical center and a replacement has been requested for Patient B. Dallas Consolidated Mail Outpatient…

Outcome: Patient Notification Letter mailed on 3/23/2011. CMOP packer has been counseled and retrained in proper packing procedures. Please close this ticket.…

Issue: Loose prescriptions were returned from the mail distribution center as a result of improper packaging. The Dallas Consolidated Mail Outpatient Pharmacy (CMOP) employee did not complete the packing process as instructed . As a result of an improper seal on…

Outcome: Patient Notification Letter mailed on 3/23/2011. CMOP packer has been counseled and retrained in proper packing procedures. Please close this ticket.…

Issue: A labeled prescription was found without proper packaging in a gaylord (a big wheeled basket used by the mail distributor to hold packages) at the mail distribution center. Dallas Consolidated Mail Outpatient Pharmacy (CMOP) operation events for this order indicates…

Outcome: Patient Notification Letter mailed on 3/23/2011. CMOP packer has been counseled and retrained in proper packing procedures. Please close this ticket.…

Issue: Patient A prescription was found loose by the mail distributor. Patient A's name and type of medication was compromised. The mail distributor returned the prescription to the Dallas Consolidated Mail Outpatient Pharmacy (CMOP). According to documented process events, the order…

Outcome: Patient Notification Letter mailed on 3/23/2011. CMOP packer has been counseled and retrained in proper packing procedures. Please close this ticket.…