Incident Log
Date of incident: 15/01/2018
Error type: near miss
Patient age: N/A
Patient sex:
Brief summary of incident: The wrong form of prednisolone dispensed
Name of medication: Prednisolone 5mg tablets;
Level of harm that could have occurred: 4
The reason you think the potential harm is at the level you have chosen:
The medicines should be prednisolone 5mg tabs instead of prednisolone GR 5mg tabs
Possible cause/contributory factors: I did not pay close attention to the different forms of drugs in the dispensary
Reasons why incident occurred and actions required to prevent reoccurence:
I will be more careful when select medicines in the dispensary and be aware of the different form of medicines available.
Best description of this error/near miss:
wrong medication
Error type: near miss
Patient age: N/A
Patient sex:
Brief summary of incident: The wrong form of prednisolone dispensed
Name of medication: Prednisolone 5mg tablets;
Level of harm that could have occurred: 4
The reason you think the potential harm is at the level you have chosen:
The medicines should be prednisolone 5mg tabs instead of prednisolone GR 5mg tabs
Possible cause/contributory factors: I did not pay close attention to the different forms of drugs in the dispensary
Reasons why incident occurred and actions required to prevent reoccurence:
I will be more careful when select medicines in the dispensary and be aware of the different form of medicines available.
Best description of this error/near miss:
wrong medication