VA Southeast Network (VISN 7)

Issue: Outpatient Pharmacy Service was notified that a Veteran did not receive his medication sent via UPS (United Parcel Service). The Privacy Officer was informed by Outpatient Pharmacy Service that there has been a loss of a patient\xe2\x80\x99s methadone in the…

Outcome: The DOB is no longer on either the batch label or the RX label as a Date of Birth. It is now "masked" as 679-month-day. It would show up 6790102. This will be on BOTH the RX label and removed…

Issue: On 1/4/2011 Veteran #1 received a reminder by mail of an upcoming Mental Health appointment. The Veteran realized that a second Mental Health appointment letter which was intended for another Veteran was attached to his letter. The Greenville SC CBOC…

Outcome: Employees were educated on the need to safeguard patient information.

Issue: What Occurred: On 1/12/2011, Veteran #1 notified the Medical Specialty Care Clinic Administrative Officer that his VAMC appointment letter envelope included an enclosure with six upcoming medical appointments intended for another Veteran. According to Veteran #1, he intends to locate…

Outcome: Corrective Action: Employees have been educated on the need to safeguard patient information. Letter of notification was mailed to the Veteran on 1/21/2011. Please close out ticket.…

Issue: A Pharmacy envelope with medication mailed to a veteran was returned via USPS(United States Postal Service) opened to the Mail room without its contents. An opened envelope was received by the VA mail clerk via USPS contained all of the…

Outcome: TVAMC has communicated with ScriptPro, automatic prescription filling device vendor, with a request to reformat the date of birth on the prescription label and bag label so that it is not identifiable as a date of birth. Staff can be…

Issue: Veteran A received Veteran B's paperwork. Update: 01/07/11: Veteran B will receive a letter offering credit protection services since his full SSN and DOB was exsposed.…

Outcome: Document retrieved. Education provided to staff on verification process initiated by bene travel department. Credit monitoring ltr sent this morning. Please close ticket.…

Issue: Veteran #1 received his medication along with a UPS package containing medication intended for Veteran #2. Update: 01/06/11:Veteran B will receive a notification letter.…

Outcome: Employees are being educated on the importance of being vigilant when dispensing medications.