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 June 1, 2012. Also cited in 228 other reports.


Report ID: SPE000000076255, U.S. Department of Veterans Affairs

Reported Entity: VISN 18 Phoenix, AZ

Issue:

Today, Pharmacy Supervisor reported that Veteran Bs wife picked up Veteran As medication at the Pharmacy window. Veteran Bs medication was received in addition to the controlled medication for Veteran A: morphine 30 mg and 60 mg. Both Veterans had the same last name. Upon receipt, Veteran B realized that this was not his medication and returned Veteran As medication/educational materials, the same morning.Root cause: Failure to follow Veteran identity protocol for medication dispensing. Repeat issue. Report of contact in progress by employee. Additional notification and investigation to ensue. Update: 06/01/12:Veteran A will receive a HIPAA letter of notification.

Outcome:

Root cause: Failure to follow Veteran identity protocol for medication dispensing. Repeat issue. Report of contact in progress by employee. Additional notification and investigation to ensue.Appropriate HR disciplinary actions in progress. Education with employee regarding Privacy consequence.

Related Reports:

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