Date of incident: 10/01/2018

Error type: dispensing error

Patient age: 9

Patient sex: female

Brief summary of incident: incorrect dose on prescription went unnoticed

Name of medication: Trimethoprim suspension SF 50mg/5mL;

Level of harm that could have occurred: 4

The reason you think the potential harm is at the level you have chosen:
The dose given was twice the correct dose and so would cause toxicity to the degree where side effects would be observed

Possible cause/contributory factors: Poor time management led to panicking and overseeing the obvious overdose

Reasons why incident occurred and actions required to prevent reoccurence:
More attention to detail and better time management in the future

Best description of this error/near miss:
wrong frequency