Date of incident: 09/01/2018

Error type: dispensing error

Patient age: 31

Patient sex: female

Brief summary of incident: I have added the direction to take the medicine according to information provided in BNF instead of following the direction on prescription. Because i thought that mdu was not sufficient information for patient.

Name of medication: Diazepam 2mg tablet;

Level of harm that could have occurred: 5

The reason you think the potential harm is at the level you have chosen:
This is because I have given the wrong directions on how patient should take their medication.

Possible cause/contributory factors: Carelessness

Reasons why incident occurred and actions required to prevent reoccurence:
I will confirm with the prescriber about the directions if I have queries about it in the future

Best description of this error/near miss:
wrong frequency