School of Pharmacy


Incident Log
Incident Log


Date of incident: 9/01/2018

Error type: dispensing error

Patient age: 31

Patient sex: female

Brief summary of incident: Patient is to be dispensed with Amoxicillin S/F 3g sachets. I have omitted S/F on the label of the product.

Name of medication: Amoxicillin S/F 3g sachets;

Level of harm that could have occurred: 1

The reason you think the potential harm is at the level you have chosen:
S/F stands for sugar free and omitting it will not cause patient any harm as the dosing was correct.

Possible cause/contributory factors: Time constraint

Reasons why incident occurred and actions required to prevent reoccurence:
I will read my label again and compare it with the prescription to ensure there are no mistakes before dispensing the item to patient.

Best description of this error/near miss:
medicine omitted



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