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 NY/NJ Veterans Healthcare Network (VISN 3)

VISN 03 Montrose, NY

Mentioned in a privacy incident report created by the U.S. Department of Veterans Affairs on June 10, 2011. Also cited in 59 other reports.


Report ID: SPE000000063565, U.S. Department of Veterans Affairs

Reported Entity: VISN 03 Montrose, NY

Issue:

A VA dietician printed IMed consent for Clinical Treatment/Procedure, which contained informaiton on Patient A. Patient B reviewed the form and signed on page 3, not realizing that the form did not contain his personal information. The form contained full name, full SSN and Date of birth of patient A. When Dietician noticed this, the incorrect information was crossed out and Patient B's information was handwritten on page 1 and page 3 of the IMed Consent form. Update: 06/13/11:Veteran A will be sent a letter offering credit protection services.

Outcome:

Dietician was informed that all IMed consents should be verified with the patient. Crossing-out is not allowed and/or acceptable. Requested that Dietician request new IMed consent from Patient A. Provided with training regarding respective responsibilities relative to safeguarding sensitive information.

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