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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.
VA Mail Order Pharmacy, Lancaster, TX (CMOP)
Mentioned in a privacy incident report created by the U.S. Department of Veterans Affairs on May 24, 2011. Also cited in 39 other reports.
Report ID: SPE000000062931, U.S. Department of Veterans Affairs
Reported Entity: VHA CMOP Dallas, TX
Issue:
Patient A received documents belonging to Patient B. Both veterans have the same last name and their orders were packed on the same day about one hour apart. The orders were packed by two different technicians located nine stations apart. This distance would limit the possibility of mixing the documents. It was noted on the day of processing these orders that a computer error occurred . The information technology staff explained that the error, occurring at the precise time, could have resulted in an unnoticed printing error. The packer of Veteran B's order did not alert the supervisor regarding lack of documents printing and there was no evidence showing reprinting of documents. Packers are not required to review the documents printed before placing them into the package. Therefore; this order was completed correctly. Veteran A was instructed to destroy the documents belonging to Veteran B. Action has been taken at Dallas Consolidated Mail Outpatient Pharmacy (CMOP) to prevent this error from reoccurring. Update: 05/24/11:Patient B will be sent a notification letter, due to full name and medication type being exposed.
Outcome:
Packers were retrained in proper packing procedures.