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: SPE000000069795, U.S. Department of Veterans Affairs

Reported Entity: VISN 18 Phoenix, AZ

Issue:

Pharmacy Supervisor reports that Veteran A reports receiving a bottle of medication/education sheets for Veteran B in the mail. This was one of three package was addressed to Veteran A. However, there was one prescription and educational material for Veteran B included. Veteran B had not yet picked up or been mailed his medication so this was reprocessed by the Pharmacy for him. The medication and educational material will be retrieved from Veteran A via UPS. Update: 01/04/12:Veteran B will receive a letter of notification.

Outcome:

Employee provided with counseling regarding event. Chief indicates that root cause is a known FMEA issue. Purchase request has been entered into the equipment package to address root cause issues. Service Chief also indicates that quality measures have been reinforced with staff where incident occurred.

Related Reports:

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