Incident Log
Date of incident: 24/01/2018
Error type: near miss
Patient age: 22
Patient sex: female
Brief summary of incident: An error was made when recording the legal category of a peak flow meter. It was recorded as a GSL product when the product does not have a legal category.
Name of medication: Pocketpeak Peak Flow Meter Std Range;
Level of harm that could have occurred: 1
The reason you think the potential harm is at the level you have chosen:
No potential harm could be caused to the patient in recording the product as a GSL.
Possible cause/contributory factors: Not knowing how to find out the legal category of the product.
Reasons why incident occurred and actions required to prevent reoccurence:
Know in future that if the legal category is not stated, then the product does not have one.
Best description of this error/near miss:
Mistake in recording the legal category of the product
Error type: near miss
Patient age: 22
Patient sex: female
Brief summary of incident: An error was made when recording the legal category of a peak flow meter. It was recorded as a GSL product when the product does not have a legal category.
Name of medication: Pocketpeak Peak Flow Meter Std Range;
Level of harm that could have occurred: 1
The reason you think the potential harm is at the level you have chosen:
No potential harm could be caused to the patient in recording the product as a GSL.
Possible cause/contributory factors: Not knowing how to find out the legal category of the product.
Reasons why incident occurred and actions required to prevent reoccurence:
Know in future that if the legal category is not stated, then the product does not have one.
Best description of this error/near miss:
Mistake in recording the legal category of the product