Case Number 3691
Request Date 08/07/2014
Completion Date 07/08/2014

 

Details of the Request

For the years 2011, 2012, 2013 and to date in 2014 please provide the following information:

  1. How many drugs went missing each year and what the annual cost was to the trust with regards to the unaccounted for medication/drugs.
     
  2. Please detail the types and categories of all drugs that went missing for each year and specify the amount/volume for each category/type.
     
  3. Please list for each year, when each drug went missing, whether it was subsequently found, how it is thought to have gone missing (eg lost or stolen), from what hospital it went missing or was stolen from, what action was taken (eg police informed, trust inquiry) and who the perpetrator was (eg staff member, patient or member of the public).
     
  4. Please supply copies of any reports or incident logs referencing the missing drugs in each year and any alerts to staff members about the missing or stolen drugs.
     
  5. Please provide details of any suspected breaches of security or break-ins to drug stores during each year specified in this request (2011, 2012, 2013, and to date in 2014). Please include details of the number of incidents, when they took place and whether anything was stolen.

 

Details of the Response

1. How many drugs went missing each year and what the annual cost was to the trust with regards to the unaccounted for medication/drugs.

  2011 2012 2013 2014 to date
How many drugs went missing each year? 1 instance 8 instances 12 instances 3 instance
Cost of missing drugs ~£200 ~£102 ~£7 ~£?
Drug Types/ Categories Controlled Drug Controlled Drug Antiinfective Other? Controlled Drug Anxiolytic Antiinfective Other? Controlled Drug Other?

 

2. Please detail the types and categories of all drugs that went missing for each year and specify the amount/volume for each category/type.

2011

Midazolam Oromucosal solution (~50mg) unaccounted for reason for loss unknown [Cost <£200]

 

2012

Patient own drugs misplaced/lost when patient transferred between wards unaccounted for reason for loss unknown [Cost <£100]
Post-exposure prophylaxis pack missing error in records not missing and now recorded correctly [Cost £0.00]
Fentanyl PCA syringe missing subsequently accounted for incorrect record keeping [Cost £0.00]
Patient own drugs missing subsequently accounted for incorrect record keeping [Cost £0.00]
Zomorph 30mg Capsule (x1) missing subsequently accounted for incorrect record keeping [Cost £0.00]
MST 10mg Tablet (x1) missing unaccounted for reason for loss unknown [Cost <£1.00]
Midazolam 10mg Ampoule (2mL x1) missing subsequently accounted for incorrect record keeping [Cost £0.00]
MST 5mg Tablet (x1) missing unaccounted for reason for loss unknown [Cost <£1.00]

 

2013

OxyCodone Ampoule missing subsequently accounted for incorrect record keeping [Cost £0.00]
Oxycodone Oral Solution (34.5mL) missing discrepancy/losses overtime due to multiple transactions from same bottle [Cost <£5.00].
Fentanyl 100 micrograms Ampoule (x1) missing unaccounted for reason for loss unknown [Cost <£1.00]
Morphine 10mg Ampoule (x1) missing subsequently accounted for incorrect record keeping [Cost £0.00]
Patient own Zomorph 30mg Capsules missing subsequently accounted for incorrect record keeping [Cost £0.00]
Oxycodone Capsules (x9) missing subsequently accounted for incorrect record keeping [Cost £0.00]
Diazepam 2mg/5ml Syrup (100mL) missing subsequently accounted for incorrect record keeping [Cost £0.00]
Morphine 10mg Ampoule (x1) missing subsequently accounted for incorrect record keeping [Cost £0.00]
Amoxicillin 500mg missing (x1 box) unaccounted for reason for loss unknown [Cost <£1.00]
Alfentanil 500 micrograms/mL Ampoule (2mL) subsequently accounted for incorrect record keeping [Cost £0.00]
Patient’s discharge medicines missing subsequently accounted for incorrect record keeping [Cost £0.00]
Fentanyl 12 micrograms/hr patch (x2) missing subsequently accounted for incorrect record keeping [Cost £0.00]
Morphine 10mg Ampoule (x1) missing subsequently accounted for incorrect record keeping [Cost £0.00] 2014
Morphine Sulphate 30mg Tablets (x52) missing subsequently accounted for incorrect record keeping [Cost £0.00]
Patient’s own medicines missing unaccounted for reason for loss unknown   [Cost <£100]
Temazepam 10mg tablet (half a tablet) missing currently being investigated.    

 

3. Please list for each year, when each drug went missing, whether it was subsequently found, how it is thought to have gone missing (e.g. lost or stolen), from what hospital it went missing or was stolen from, what action was taken (e.g. police informed, trust inquiry) and who the perpetrator was (e.g. staff member, patient or member of the public).

All within our Trust: exact times and timelines not known. No perpetrators were ever identified to the best of our knowledge. There was no recurring pattern/trend. There was no police involvement in any of the incidents. However controlled drug incidents, as appropriate, were reported to the Local Intelligence Network (LIN).

 

4. Please supply copies of any reports or incident logs referencing the missing drugs in each year and any alerts to staff members about the missing or stolen drugs.

Incidents are reported on the Trust’s Datix incident system. Incidents are investigated as a matter of course.

Incident logs referencing missing drugs attached.

No alerts were issued to staff.

Please see attached Datix extract.

 

5. Please provide details of any suspected breaches of security or break-ins to drug stores during each year specified in this request (2011, 2012, 2013, and to date in 2014). Please include details of the number of incidents, when they took place and whether anything was stolen.

There have been no reports of suspected breaches of security or break-ins to drug stores during each of the years specified in the request.