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Jul 15, 2014

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KERN MEDICAL CENTER

1700 MOUNT VERNON AVENUE BAKERSFIELD,CA 93306

Cited by the California Department of Public Health for violations of California’s Health and Safety Code relating to medical privacy during an inspection that began on July 15, 2014. Also cited in 23 other reports.


Report ID: 5VGI11.02, California Department of Public Health

Reported Entity: KERN MEDICAL CENTER

Issue:

Based on interview and record review, the facility failed to ensure a bottle of prescribed medication for one patient (Patient A) was labeled with her name and not of another patient (Patient B). This failure resulted in a breach of Patient B's information to persons outside of the facility.Findings:During a review of the initial breach report dated 7/11/14, a pharmacist (Pharm 1) informed the Quality Department Registered Nurse (RN 1), on 7/7/14, of an incident on 7/1/14, when Patient A returned the bottle of prescribed medication sent home with him/her but had Patient B's label (name, medication and prescription number) affixed on the bottle. During an interview with RN 1, on 7/15/14 on 12:18 PM, she stated a pharmacist (Pharm 2) filled Patient A's prescription and erroneously affixed Patient B's label on the bottle. A pharmacy technician (Tech 1) handed the bottle to Patient A on 7/1/14. RN 1 stated Patient A discovered the bottle of medication had another patient's label affixed on the bottle so he returned the bottle to the pharmacy on the same day. RN 1 verified Patient B was notified of the breach by a letter sent on 7/8/14.

Outcome:

Deficiency cited by the California Department of Public Health: Medical Record Availability

Related Reports:

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