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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: 36RB11.02, California Department of Public Health

Reported Entity: KERN MEDICAL CENTER

Issue:

Based on interview and record review, the facility failed to notify one patient (Patient B) of an inadvertent disclosure of her medical information no later than five business days of its detection. The date of this incident was on 6/3/14; detected by the pharmacy department on 6/3/14; and a letter notifying Patient B of the breach was sent on 7/9/14, resulting in a twenty-day delay.Findings:During a review of the initial breach report dated 7/11/14, Patient A and Patient B have the same last name. Each had a prescription for the same medication but of different dosages. Patient A received and went home with Patient B's medication. The facility called Patient A and asked her to return the bottle of medication belonging to Patient B. Patient A failed to return the medications even after seven calls from the facility's pharmacy department. Patient B's prescribed bottle of medication which was erroneously given to Patient A had her name, medication and the prescriber's name printed on the label. During an interview with the Quality Department Registered Nurse (RN 1), on 7/15/14 at 12:16 PM, she stated a Pharmacy Technician (Tech 1), handed Patient B's bottle of medication to Patient A on 6/3/14. Patient B came to pick up her prescription and was told her medication was already picked up. The pharmacy department discovered Patient B's bottle of medication was erroneously given to Patient A.During a subsequent interview with RN 1, on 7/16/14 at 9:32 AM, she stated Pharm 1 reported this breach incident via e-mail to RN 1' s supervisor and human resources department. She stated this e-mail was forwarded to her on 7/7/14. RN 1 verified a letter was sent to Patient B notifying her of the breach on 7/9/14. RN 1 was informed the facility incurred a twenty-day delay in notifying Patient B of this incident.

Outcome:

Deficiency cited by the California Department of Public Health: Health & Safety Code 1280

Related Reports:

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