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 December 19, 2011. Also cited in 228 other reports.


Report ID: SPE000000069791, U.S. Department of Veterans Affairs

Reported Entity: VISN 18 Phoenix, AZ

Issue:

A VA Pharmacy Supervisor reported to the Alternate Privacy Officer (PO) that Veteran A picked up a medication intended for Veteran B on 12/16/2011. Veteran A did receive their own medications and did not consume Veteran B's medications. Veteran A will return medication and paperwork to Pharmacy the next business day. Replacement medication was processed for Veteran B who had not yet picked up his medication. Appropriate notification and investigation to ensue. Update: 12/20/11:Veteran B will be sent a notification letter, as their name and medications were disclosed.

Outcome:

ROC written by staff indicates root cause analysis, correction of process, and future preventative measures. Pharmacy supervisor reinforced corrective measures with other staff.

Related Reports:

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