Incident Log
To filter the record results check the boxes in the options below, for example to see all incidents that were a result of a dispensing error check the box labelled "Dispensing error".
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Incident date | Error type | Medication Name(s) | Level of harm |
Description | |
11/02/2013 | dispensing error | Methotrexate | 5 | wrong frequency wrong medicine label | View incident |
11/02/2013 | near miss | Ventolin Evohaler | 1 | PIL wrong or omitted | View incident |
06/02/2013 | dispensing error | Digoxin 125mcg Tab | 5 | wrong medicine label | View incident |
06/02/2013 | near miss | Glyceryl trinitrate | 5 | wrong medication | View incident |
29/01/2013 | dispensing error | Aerochamber plus with infant mask   Miconazole | 5 | wrong product | View incident |
13/02/2013 | dispensing error | simvastatin   clarithromycin | 4 | verbal direction to patient wrong or omitted interaction dispensed | View incident |
13/2/2013 | dispensing error | Praxilene 100mg Capsules | 5 | wrong frequency | View incident |
29/01/2013 | dispensing error | desloratadine | 1 | wrong quantity | View incident |
29/01/2013 | dispensing error | Qvar 100mcg Autohaler | 4 | wrong medication wrong frequency verbal direction to patient wrong or omitted wrong product | View incident |
12/02/2013 | dispensing error | Cyklokapron 500mg tablets | 1 | verbal direction to patient wrong or omitted wrong medicine label | View incident |
12/02/2013 | dispensing error | Nu-seals 75mg tablets   Praxilene 100mg capsul | 2 | wrong dose strength | View incident |
05/02/2013 | dispensing error | RAMIPRIL TABS   RAMIPRIL CAPS | 1 | wrong medication | View incident |
13/02/2013 | dispensing error | Erythromycin 250mg tablets   Simvastatin 10mg | 5 | verbal direction to patient wrong or omitted wrong medicine label | View incident |
20/02/2013 | dispensing error | absorbent cotton | 1 | wrong quantity | View incident |
06/02/2013 | dispensing error | Losartan Potassium | 5 | wrong dose strength | View incident |
27/02/2013 | dispensing error | Flucloxacillin 250mg | 4 | wrong quantity | View incident |
04/03/2013 | dispensing error | Temgesic 60mcg tablets | 5 | wrong frequency | View incident |
26/02/2013 | dispensing error | simple linctus | 1 | wrong dose strength wrong frequency | View incident |
01/03/2013 | dispensing error | sporanox | 3 | wrong medicine label | View incident |
04/03/2013 | dispensing error | Zomorph 10mg Capsules | 5 | wrong frequency | View incident |
6/3/2013 | dispensing error | oxynorm liquid 5mg/5ml | 5 | Legal issue | View incident |
27/2/2013 | dispensing error | trimethoprim 50mg/5ml | 1 | wrong dose strength | View incident |
4/3/2013 | dispensing error | Cyclizine | 3 | wrong quantity | View incident |
27/02/2013 | dispensing error | 5ml Amorolfine hydrochloride nail lacquer   15 | 5 | wrong product | View incident |
06/03/2013 | near miss | 28 Mirtazapine 30mg orodispersible tablets | 5 | wrong frequency wrong medicine label | View incident |
04/03/2013 | dispensing error | Promethazine Hydrochloride | 1 | wrong medicine label | View incident |
12/03/2013 | dispensing error | Temazepam | 1 | Prescription coded incorrectly | View incident |
12/03/2013 | dispensing error | Dihydrocodeine | 3 | wrong frequency Labelling errors | View incident |
06/03/2013 | dispensing error | Buprenorphine | 1 | Dispensed a prescription that was not legally valid | View incident |
06/03/2013 | near miss | Equasym XL 10mg Capsules | 4 | wrong frequency | View incident |
06/03/2013 | near miss | Zormorph 10 mg | 2 | wrong frequency | View incident |
27/03/2013 | dispensing error | Simple Linctus (200ml) | 3 | wrong dose strength wrong frequency | View incident |
4/3/2013 | dispensing error | 30mg MST continus tablets | 5 | mismatch | View incident |
05/03/2013 | dispensing error | Gabapentin 300mg Capsules | 5 | wrong frequency wrong quantity | View incident |
08/03/2013 | dispensing error | anafranil sr tablets | 4 | interaction dispensed wrong patient name on label | View incident |
12/03/2013 | dispensing error | Primolut N 5mg (norethisterone) tabs | 1 | omitted dose | View incident |
20/03/2013 | near miss | Miconazole 20 mg/g oromucosal gel | 2 | wrong dose strength verbal direction to patient wrong or omitted | View incident |
20/03/2013 | dispensing error | Tears Naturale eye drops | 1 | Assumption ithi directions on label | View incident |
20/03/2013 | near miss | Concerta XL | 2 | wrong medication | View incident |
13/03/2013 | near miss | Diazepam tablets 5mg   cefalexin 250mg caps | 1 | Rx is out of date | View incident |
04/03/2013 | dispensing error | sonata caps | 4 | verbal direction to patient wrong or omitted wrong quantity | View incident |
06/03/2013 | dispensing error | MST Continus | 5 | wrong dose strength wrong frequency | View incident |
19/04/2013 | dispensing error | Equasym XL 10mg | 3 | wrong frequency | View incident |
3/2/2014 | near miss | Salamol 5mg Steri-neb   Deltacortril e/c 5mg t | 4 | wrong dose strength wrong frequency verbal direction to patient wrong or omitted | View incident |
03/02/2014 | dispensing error | 1 | 4 | wrong dose strength wrong frequency | View incident |
10/03/2014 | dispensing error | Phenoxymethyl penicillin | 4 | wrong dose strength | View incident |
16/2/2015 | dispensing error | Plendil | 4 | wrong dose strength | View incident |
23/02/2015 | dispensing error | Flagyl | 5 | wrong dose strength | View incident |
23/02/15 | dispensing error | galenphol paed linctus   phenergan elixir | 5 | wrong dose strength wrong frequency | View incident |
10/02/2016 | dispensing error | Simvastatin | 2 | verbal direction to patient wrong or omitted | View incident |
22/02/2016 | dispensing error | Arythmol 300mg tablets   Aspirin e/c 75 mg tab | 5 | Wrong name on label | View incident |
03/02/1916 | dispensing error | Ibuprofen Oral Suspension Sugar free 100mg/5ml | 1 | wrong medicine label | View incident |
13/04/1916 | dispensing error | Femodette | 1 | wrong quantity | View incident |
13/04/2016 | dispensing error | Actiq lozenges 200 microgram | 1 | CD reg error | View incident |
24/02/2016 | dispensing error | Ventolin evohaler 100mcg/inhalation 200dose | 3 | record keeping error | View incident |
01/03/2017 | dispensing error | Diamorphine Hydrochloride 10mg Solution for inject | 1 | Error in CD Register | View incident |
17/01/2017 | dispensing error | Clotrimazole 1% cream | 3 | medicine omitted | View incident |
10/01/2018 | dispensing error | Nystatin oral suspension   Daktacort | 2 | verbal direction to patient wrong or omitted | View incident |
09/01/2018 | dispensing error | 5 | wrong dose strength wrong frequency | View incident | |
08/01/2018 | dispensing error | Cefaclor 375mg MR tablets   Aciclovir cream 5% | 1 | Out of date Rx dispensed. | View incident |
17/01/2018 | near miss | Chlorhexidine mouthwash 0.2%   Erythromycin et | 2 | verbal direction to patient wrong or omitted wrong medicine label | View incident |
17/01/2018 | dispensing error | Ventolin 2.5mg nebules   Atrovent UDVs 500mcg/ | 2 | Incomplete recording of Atrovent and Ventolin expiry dates. | View incident |
24/01/2018 | near miss | Pocketpeak Peak Flow Meter Std Range | 1 | Mistake in recording the legal category of the product | View incident |
16/01/2018 | dispensing error | Airomir Autohaler   QVAR Autohaler | 1 | wrong medication wrong medicine label | View incident |
15/01/2018 | dispensing error | Ventolin Evohaler   Flixotide Evohaler 50 micr | 5 | Incorrect patient name on the label. | View incident |
15/01/2018 | near miss | Prednisolone 5mg tablets | 4 | wrong medication | View incident |
9/01/2018 | dispensing error | Amoxicillin S/F 3g sachets | 1 | medicine omitted | View incident |
09/01/2018 | dispensing error | Diazepam 2mg tablet | 5 | wrong frequency | View incident |
10/01/2018 | dispensing error | Trimethoprim suspension SF 50mg/5mL | 4 | wrong frequency | View incident |
17/01/2018 | dispensing error | Clarithromycin 250MG tablets | 4 | wrong medicine label | View incident |
23/01/2018 | near miss | Contour Next Strips | 4 | wrong product | View incident |
23/01/2018 | dispensing error | Activ Heal Hydrocolloid dressing | 5 | wrong method of preparation or supply | View incident |
30/01/2018 | dispensing error | Pletal (cilostazol) | 1 | wrong quantity | View incident |
30/01/2018 | near miss | NITROMIN SPRAY 200 DOSE   ASPIRIN DISPERSIBL | 4 | Legally check mistake | View incident |
30/01/2018 | dispensing error | Atorvastatin 10 mg tablets | 4 | wrong dose strength | View incident |
10/01/2018 | dispensing error | amoxicilln tablets 250mg   amoxicillin tablets | 2 | wrong dose strength | View incident |
19/01/2018 | dispensing error | Theophylline (Uniphyllin)   Erythromycin | 4 | interaction dispensed | View incident |
20/02/2018 | dispensing error | dihydorcodeine 30mg tablets | 5 | wrong dose strength wrong frequency verbal direction to patient wrong or omitted | View incident |
13/02/2018 | dispensing error | Pethidine hydrochloride injection | 5 | wrong dose strength | View incident |
13/02/2018 | dispensing error | Diamorphine hydrochloride 10mg powder for solution | 5 | wrong dose strength | View incident |
20/02/2018 | dispensing error | Ritalin 10mg tablets | 1 | Quantity not in words and figures for schedule 2 CD. | View incident |
14/02/2018 | dispensing error | fluoxetine | 1 | wrong warning labels | View incident |
14/02/2018 | dispensing error | Co-dydramol | 3 | Not a legally valid requisition | View incident |
06/02/2019 | dispensing error | Tetracycline 250mg | 4 | wrong product contra-indication | View incident |
20/02/2019 | dispensing error | Sevredol 20mg tablets | 1 | Schedule 2 controlled drug repeated on PCD1 form. | View incident |
14/01/2020 | dispensing error | Erythromycin Suspension 250mg/5mL | 4 | Suspension not shaken. | View incident |
21/01/2020 | dispensing error | nystatin oral suspension | 3 | verbal direction to patient wrong or omitted | View incident |
15/01/2020 | dispensing error | Nystatin oral suspension | 3 | wrong dose strength | View incident |
11/02/2020 | dispensing error | morphine   pethidine | 5 | wrong dose strength wrong medication wrong frequency wrong route of administration | View incident |
14/01/2020 | dispensing error | famvir 125mg tablets   rozex 0.75% gel | 3 | legal requirement missing | View incident |
22/01/2020 | dispensing error | Istin 5mg Tablets   GTN 300mcg sublingual tabl | 2 | wrong dose strength wrong quantity | View incident |
18/02/2020 | dispensing error | Midazolam 10mg/2ml injection ampoules | 4 | wrong frequency | View incident |
04/02/2020 | dispensing error | Prednisolone 5mg | 5 | wrong dose strength wrong quantity | View incident |
26/02/2020 | dispensing error | Oxynorm 5mg/5ml SF Oral Solution | 3 | verbal direction to patient wrong or omitted | View incident |
19/01/2022 | dispensing error | Itraconazole   Simvastatin | 4 | verbal direction to patient wrong or omitted interaction dispensed | View incident |
12/01/2022 | dispensing error | Ibuprofen 100mg/5ml oral suspension s/f   Acic | 3 | wrong dose strength wrong medication wrong frequency wrong medicine label | View incident |
16/02/2022 | dispensing error | Oramorph oral conc 20mg/ml | 5 | wrong dose strength | View incident |
13/01/2023 | dispensing error | Co-amoxiclav | 3 | wrong frequency | View incident |
11/01/2023 | dispensing error | Co-amoxiclav   Ibuprofen | 4 | wrong dose strength wrong frequency | View incident |
11/01/2023 | dispensing error | Nystatin   Ibuprofen | 3 | wrong frequency medicine omitted wrong medicine label wrong product | View incident |
13/01/2023 | dispensing error | Askina Carbosorb   Metronidazole | 4 | wrong dose strength mismatch | View incident |
18/01/2023 | dispensing error | Nicorandil 10mg tablets | 5 | wrong dose strength wrong frequency | View incident |
1/02/2023 | dispensing error | Oxis 12mcg/dose turbhohale | 4 | wrong frequency | View incident |
18/01/2023 | dispensing error | Glyceryl trinitrate spray | 5 | verbal direction to patient wrong or omitted | View incident |
03/02/2023 | dispensing error | Phenoxymethylpenicillin   Clenil Modulite CFC | 3 | wrong dose strength | View incident |