School of Pharmacy


Incident Log
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  
11/02/2013dispensing errorMethotrexate
5wrong frequency
wrong medicine label
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11/02/2013near missVentolin Evohaler
1PIL wrong or omitted
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06/02/2013dispensing errorDigoxin 125mcg Tab
5wrong medicine label
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06/02/2013near missGlyceryl trinitrate
5wrong medication
View incident
29/01/2013dispensing errorAerochamber plus with infant mask
 
Miconazole
5wrong product
View incident
13/02/2013dispensing errorsimvastatin
 
clarithromycin
4verbal direction to patient wrong or omitted
interaction dispensed
View incident
13/2/2013dispensing errorPraxilene 100mg Capsules
5wrong frequency
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29/01/2013dispensing errordesloratadine
1wrong quantity
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29/01/2013dispensing errorQvar 100mcg Autohaler
4wrong medication
wrong frequency
verbal direction to patient wrong or omitted
wrong product
View incident
12/02/2013dispensing errorCyklokapron 500mg tablets
1verbal direction to patient wrong or omitted
wrong medicine label
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12/02/2013dispensing errorNu-seals 75mg tablets
 
Praxilene 100mg capsul
2wrong dose strength
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05/02/2013dispensing errorRAMIPRIL TABS
 
RAMIPRIL CAPS
1wrong medication
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13/02/2013dispensing errorErythromycin 250mg tablets
 
Simvastatin 10mg
5verbal direction to patient wrong or omitted
wrong medicine label
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20/02/2013dispensing errorabsorbent cotton
1wrong quantity
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06/02/2013dispensing errorLosartan Potassium
5wrong dose strength
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27/02/2013dispensing errorFlucloxacillin 250mg
4wrong quantity
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04/03/2013dispensing errorTemgesic 60mcg tablets
5wrong frequency
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26/02/2013dispensing errorsimple linctus
1wrong dose strength
wrong frequency
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01/03/2013dispensing errorsporanox
3wrong medicine label
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04/03/2013dispensing errorZomorph 10mg Capsules
5wrong frequency
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6/3/2013dispensing erroroxynorm liquid 5mg/5ml
5Legal issue
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27/2/2013dispensing errortrimethoprim 50mg/5ml
1wrong dose strength
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4/3/2013dispensing errorCyclizine
3wrong quantity
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27/02/2013dispensing error5ml Amorolfine hydrochloride nail lacquer
 
15
5wrong product
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06/03/2013near miss28 Mirtazapine 30mg orodispersible tablets
5wrong frequency
wrong medicine label
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04/03/2013dispensing errorPromethazine Hydrochloride
1wrong medicine label
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12/03/2013dispensing errorTemazepam
1Prescription coded incorrectly
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12/03/2013dispensing errorDihydrocodeine
3wrong frequency
Labelling errors
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06/03/2013dispensing errorBuprenorphine
1Dispensed a prescription that was not legally valid
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06/03/2013near missEquasym XL 10mg Capsules
4wrong frequency
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06/03/2013near missZormorph 10 mg
2wrong frequency
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27/03/2013dispensing errorSimple Linctus (200ml)
3wrong dose strength
wrong frequency
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4/3/2013dispensing error30mg MST continus tablets
5mismatch
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05/03/2013dispensing errorGabapentin 300mg Capsules
5wrong frequency
wrong quantity
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08/03/2013dispensing erroranafranil sr tablets
4interaction dispensed
wrong patient name on label
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12/03/2013dispensing errorPrimolut N 5mg (norethisterone) tabs
1omitted dose
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20/03/2013near missMiconazole 20 mg/g oromucosal gel
2wrong dose strength
verbal direction to patient wrong or omitted
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20/03/2013dispensing errorTears Naturale eye drops
1Assumption ithi directions on label
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20/03/2013near missConcerta XL
2wrong medication
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13/03/2013near missDiazepam tablets 5mg
 
cefalexin 250mg caps
1Rx is out of date
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04/03/2013dispensing errorsonata caps
4verbal direction to patient wrong or omitted
wrong quantity
View incident
06/03/2013dispensing errorMST Continus
5wrong dose strength
wrong frequency
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19/04/2013dispensing errorEquasym XL 10mg
3wrong frequency
View incident
3/2/2014near missSalamol 5mg Steri-neb
 
Deltacortril e/c 5mg t
4wrong dose strength
wrong frequency
verbal direction to patient wrong or omitted
View incident
03/02/2014dispensing error1
4wrong dose strength
wrong frequency
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10/03/2014dispensing errorPhenoxymethyl penicillin
4wrong dose strength
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16/2/2015dispensing errorPlendil
4wrong dose strength
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23/02/2015dispensing errorFlagyl
5wrong dose strength
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23/02/15dispensing errorgalenphol paed linctus
 
phenergan elixir
5wrong dose strength
wrong frequency
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10/02/2016dispensing errorSimvastatin
2verbal direction to patient wrong or omitted
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22/02/2016dispensing errorArythmol 300mg tablets
 
Aspirin e/c 75 mg tab
5Wrong name on label
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03/02/1916dispensing errorIbuprofen Oral Suspension Sugar free 100mg/5ml
1wrong medicine label
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13/04/1916dispensing errorFemodette
1wrong quantity
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13/04/2016dispensing errorActiq lozenges 200 microgram
1CD reg error
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24/02/2016dispensing errorVentolin evohaler 100mcg/inhalation 200dose
3record keeping error
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01/03/2017dispensing errorDiamorphine Hydrochloride 10mg Solution for inject1Error in CD Register
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17/01/2017dispensing errorClotrimazole 1% cream
3medicine omitted
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10/01/2018dispensing errorNystatin oral suspension
 
Daktacort
2verbal direction to patient wrong or omitted
View incident
09/01/2018dispensing error5wrong dose strength
wrong frequency
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08/01/2018dispensing errorCefaclor 375mg MR tablets
 
Aciclovir cream 5%
1Out of date Rx dispensed.
View incident
17/01/2018near missChlorhexidine mouthwash 0.2%
 
Erythromycin et
2verbal direction to patient wrong or omitted
wrong medicine label
View incident
17/01/2018dispensing errorVentolin 2.5mg nebules
 
Atrovent UDVs 500mcg/
2Incomplete recording of Atrovent and Ventolin expiry dates.
View incident
24/01/2018near missPocketpeak Peak Flow Meter Std Range
1Mistake in recording the legal category of the product
View incident
16/01/2018dispensing errorAiromir Autohaler
 
QVAR Autohaler
1wrong medication
wrong medicine label
View incident
15/01/2018dispensing errorVentolin Evohaler
 
Flixotide Evohaler 50 micr
5Incorrect patient name on the label.
View incident
15/01/2018near missPrednisolone 5mg tablets
4wrong medication
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9/01/2018dispensing errorAmoxicillin S/F 3g sachets
1medicine omitted
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09/01/2018dispensing errorDiazepam 2mg tablet
5wrong frequency
View incident
10/01/2018dispensing errorTrimethoprim suspension SF 50mg/5mL
4wrong frequency
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17/01/2018dispensing errorClarithromycin 250MG tablets
4wrong medicine label
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23/01/2018near missContour Next Strips
4wrong product
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23/01/2018dispensing errorActiv Heal Hydrocolloid dressing
5wrong method of preparation or supply
View incident
30/01/2018dispensing errorPletal (cilostazol)
1wrong quantity
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30/01/2018near missNITROMIN SPRAY 200 DOSE
 
ASPIRIN DISPERSIBL
4Legally check mistake
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30/01/2018dispensing errorAtorvastatin 10 mg tablets
4wrong dose strength
View incident
10/01/2018dispensing erroramoxicilln tablets 250mg
 
amoxicillin tablets
2wrong dose strength
View incident
19/01/2018dispensing errorTheophylline (Uniphyllin)
 
Erythromycin
4interaction dispensed
View incident
20/02/2018dispensing errordihydorcodeine 30mg tablets
5wrong dose strength
wrong frequency
verbal direction to patient wrong or omitted
View incident
13/02/2018dispensing errorPethidine hydrochloride injection
5wrong dose strength
View incident
13/02/2018dispensing errorDiamorphine hydrochloride 10mg powder for solution5wrong dose strength
View incident
20/02/2018dispensing errorRitalin 10mg tablets
1Quantity not in words and figures for schedule 2 CD.
View incident
14/02/2018dispensing errorfluoxetine
1wrong warning labels
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14/02/2018dispensing errorCo-dydramol
3Not a legally valid requisition
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06/02/2019dispensing errorTetracycline 250mg
4wrong product
contra-indication
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20/02/2019dispensing errorSevredol 20mg tablets
1Schedule 2 controlled drug repeated on PCD1 form.
View incident
14/01/2020dispensing errorErythromycin Suspension 250mg/5mL
4Suspension not shaken.
View incident
21/01/2020dispensing errornystatin oral suspension
3verbal direction to patient wrong or omitted
View incident
15/01/2020dispensing errorNystatin oral suspension
3wrong dose strength
View incident
11/02/2020dispensing errormorphine
 
pethidine
5wrong dose strength
wrong medication
wrong frequency
wrong route of administration
View incident
14/01/2020dispensing errorfamvir 125mg tablets
 
rozex 0.75% gel
3legal requirement missing
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22/01/2020dispensing errorIstin 5mg Tablets
 
GTN 300mcg sublingual tabl
2wrong dose strength
wrong quantity
View incident
18/02/2020dispensing errorMidazolam 10mg/2ml injection ampoules
4wrong frequency
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04/02/2020dispensing errorPrednisolone 5mg
5wrong dose strength
wrong quantity
View incident
26/02/2020dispensing errorOxynorm 5mg/5ml SF Oral Solution
3verbal direction to patient wrong or omitted
View incident
19/01/2022dispensing errorItraconazole
 
Simvastatin
4verbal direction to patient wrong or omitted
interaction dispensed
View incident
12/01/2022dispensing errorIbuprofen 100mg/5ml oral suspension s/f
 
Acic
3wrong dose strength
wrong medication
wrong frequency
wrong medicine label
View incident
16/02/2022dispensing errorOramorph oral conc 20mg/ml
5wrong dose strength
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13/01/2023dispensing errorCo-amoxiclav
3wrong frequency
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11/01/2023dispensing errorCo-amoxiclav
 
Ibuprofen
4wrong dose strength
wrong frequency
View incident
11/01/2023dispensing errorNystatin
 
Ibuprofen
3wrong frequency
medicine omitted
wrong medicine label
wrong product
View incident
13/01/2023dispensing errorAskina Carbosorb
 
Metronidazole
4wrong dose strength
mismatch
View incident
18/01/2023dispensing errorNicorandil 10mg tablets
5wrong dose strength
wrong frequency
View incident
1/02/2023dispensing errorOxis 12mcg/dose turbhohale
4wrong frequency
View incident
18/01/2023dispensing errorGlyceryl trinitrate spray
5verbal direction to patient wrong or omitted
View incident
03/02/2023dispensing errorPhenoxymethylpenicillin
 
Clenil Modulite CFC
3wrong dose strength
View incident

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