Group 1 - The health bureau of Tongzi County, Zunyi, Guizhou, issued a situation report regarding a public complaint about a vaccine substitution at a community health service center [1] - An investigation revealed that on December 17, a patient named Zhao received a rabies vaccine from Chengdu Kanghua Biological Products Co., Ltd., priced at 310 yuan per dose [2] - A nurse mistakenly entered the tracking code of a different vaccine from Shandong Yidu Biotechnology Co., Ltd., which costs 80 yuan per dose, leading to discrepancies in the vaccination information system [2]

Investigation Summary - On December 17, a patient named Zhao visited the Hai Xiao Street Community Health Service Center for a rabies vaccine after being bitten by a dog. The vaccine administered was from Chengdu Kanghua Biological Products Co., priced at 310 yuan per dose. However, a nurse mistakenly scanned the packaging of a different vaccine from Shandong Yidu Biotechnology Co., which costs 80 yuan per dose, leading to a discrepancy in the vaccination information system [2] - On the same day, three individuals received rabies vaccinations at the center. The inventory records showed that there were 67 doses of the Yidu vaccine and 9 doses of the Kanghua vaccine prior to the vaccinations. After Zhao's vaccination, the inventory for the Kanghua vaccine was reduced to 8 doses, confirming that no drug replacement occurred [2] Handling Measures - Following the incident, the director of the health center, Ma, apologized to Zhao's family for the error made by the nurse. The health bureau issued a reprimand to both the director and the deputy director, deducting one month's performance salary for each. The nurses involved received criticism and a deduction of three months' performance salary [3] Future Actions - The health bureau plans to implement stricter internal management regulations across all medical institutions in the county to prevent similar incidents in the future [4]

Investigation Summary - On December 17, a patient named Zhao visited the Hai School Street Community Health Service Center for a rabies vaccine after being bitten by a dog. The vaccine administered was from Chengdu Kanghua Biological Products Co., priced at 310 yuan per dose. However, a nurse mistakenly scanned the packaging of a different vaccine from Shandong Yidu Biotechnology Co., which costs 80 yuan per dose, leading to a discrepancy in the vaccination information system [2][3] - On December 16, the inventory showed 67 doses of the vaccine from Shandong Yidu, and on December 17, after two doses were administered, 65 doses remained. For Chengdu Kanghua's vaccine, there were 9 doses on December 16, and after Zhao's vaccination, 8 doses remained. The investigation confirmed that there was no actual change of medication [2] Handling Measures - Following the incident, the director of the health center, Ma, apologized to Zhao's family for the error. The health bureau issued a reprimand to both the director and the deputy director, deducting one month's performance salary. The nurses involved received criticism and a deduction of three months' performance salary [3] - The health bureau plans to strengthen internal management regulations across all medical institutions in the county to prevent similar incidents in the future [4]