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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.
Rocky Mountain Network (VISN 19)
Mentioned in a privacy incident report created by the U.S. Department of Veterans Affairs on February 24, 2012. Also cited in 133 other reports.
Report ID: SPE000000072148, U.S. Department of Veterans Affairs
Reported Entity: VISN 19 Fort Harrison, MT
Issue:
On 01/17/12, Patient A with similar last name received medication and a prescription for Patient B at the same time. patient A noticed the error and brought the incorrect medication back. Patient A did not take any incorrect medication and brought it back to pharmacy counter within 30 minutes. Patient B's full name and the name of the medication were disclosed. Update: 02/27/12:Patient B will receive a letter of notification.
Outcome:
Medication was returned within 30 minutes. Education and emphasis with the pharmacy chief on the importance of double checks in handing out medication at the window. Pharmacy Chief is also working with the pharmacy software vendor to find out why they were not alerted to the error in patients and medication.