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 Health Care Upstate New York (VISN 2)

VISN 02 Syracuse, NY

Mentioned in a privacy incident report created by the U.S. Department of Veterans Affairs on December 10, 2012. Also cited in 132 other reports.


Report ID: PSETS0000083434, U.S. Department of Veterans Affairs

Reported Entity: VISN 02 Syracuse, NY

Issue:

The Outpatient Pharmacy Supervisor reported that a glucose meter was shipped in error to the wrong patient. The meter was discovered in the Patient A's home unopened by the Home Based Primary Care Nurse who returned it to the pharmacyt. The Outpatient Pharmacy Supervisor called the glucose meter vendor and nothing was sent to them in error. The Outpatient Pharmacy Supervisor believes the error was atrributed to the wrong shipping label being placed on the glucose meter when printed by the Technician who was filling the order. As a result, the pharmacy is considering changing the process to have the shipping label printed by the Pharmacist after checking the final order as this may prevent future errors. Update: 12/10/12:The patient who should have been sent the glucometer had their name, address, and medical supply information disclosed inappropriately and will be sent a HIPAA notification letter.

Outcome:

Outpatient Pharmacy Supervisor counseled the technician regarding the wrong shipping label being placed on the glucomenter and reiterated proper procedure to ensure the correct label is placed. Will also consider a process change with the Pharmacist placing the label after confirming the accuracy of the order if needed.

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