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)

VISN 18 Phoenix, AZ

Mentioned in a privacy incident report created by the U.S. Department of Veterans Affairs on April 19, 2012. Also cited in 228 other reports.


Report ID: SPE000000074377, U.S. Department of Veterans Affairs

Reported Entity: VISN 18 Phoenix, AZ

Issue:

On 04/19/12, a Pharmacy supervisor reported that Veteran B received medication in the mail for Veteran A. UPS returned the medications to the pharmacy today for proper disposition. Additional event information pending. Further notification and investigation to ensue. Update: 04/19/12:Veteran B will be sent a letter of notification.

Outcome:

Medications were returned and had reissued correctly. Root cause of rx provided was identified as Pharmacy employee error. Both Veterans involved had same last name except for one alpha character. Failure to follow identification protocols. Re-education regarding identity verification and medication dispensing protocols by Pharmacy Supervisor.

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