Date of incident: 23/01/2018

Error type: near miss

Patient age: 45

Patient sex: male

Brief summary of incident: Wrong item dispensed. Contour Next Strips were dispensed, while the Rx was Contour test strips.

Name of medication: Contour Next Strips ;

Level of harm that could have occurred: 4

The reason you think the potential harm is at the level you have chosen:
It is wrong product dispensed to the patient, the function of the product may different.

Possible cause/contributory factors: The glucose level measured may not accurate

Reasons why incident occurred and actions required to prevent reoccurence:
Double check the name of item when before dispensing the medicine

Best description of this error/near miss:
wrong product