School of Pharmacy


Incident Log
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



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