Search Privacy Violations, Breaches and Complaints
This database was last updated in December 2015 ago and should only be used as a historical snapshot. More recent data on breaches affecting 500 or more people is available at the U.S. Department of Health and Human Services’ Breach Portal.
VA Southwest Health Care Network (VISN 18)
Mentioned in a privacy incident report created by the U.S. Department of Veterans Affairs on February 19, 2011. Also cited in 228 other reports.
Report ID: SPE000000058592, U.S. Department of Veterans Affairs
Reported Entity: VISN 18 Phoenix, AZ
Issue:
PO was notified that medications and education sheets were intended for one Veteran and received by another by mail. On February 18, 2011, Veteran A returned medication and education sheets meant for Veteran B to CBOC Pharmacy. No medications had been taken in error by Veteran A, returning PHI and medications intact.Medication was caffeine/ergotamine. Correct medications were dispensed to both patients immediately after Pharmacy event triage. Returned PHI and meds discarded per protocol upon Pharmacy receipt 02/18/11. Appropriate notifications and investigation to ensue. Update: 02/22/11:Veteran B will receive a letter of notification.
Outcome:
ROC written by employee involved in providing medication to another Veteran in error. Re-education by Pharmacy Ass't Chief and performance improvement review of medication dispensing in this CBOC.