Incident Log
Date of incident: 23/01/2018
Error type: dispensing error
Patient age: 40
Patient sex: female
Brief summary of incident: The BSO code of Activ Heal Foam adhesive dressing was not correct, The Activ Heal Hydrocolloid are not listed in the drug tariff and therefore are not allowed on the Rx.
Name of medication: Activ Heal Hydrocolloid dressing;
Level of harm that could have occurred: 5
The reason you think the potential harm is at the level you have chosen:
The dressing is not allowed to dispensed.
Possible cause/contributory factors: The item that dispensed is not legal the law , because the dressing name is not stated in the drug tariff, means that the Activ Heal Hydrocolloid dressing is not allowed to dispensed.
Reasons why incident occurred and actions required to prevent reoccurence:
Read through the drug tariff carefully.
Best description of this error/near miss:
wrong method of preparation or supply
Error type: dispensing error
Patient age: 40
Patient sex: female
Brief summary of incident: The BSO code of Activ Heal Foam adhesive dressing was not correct, The Activ Heal Hydrocolloid are not listed in the drug tariff and therefore are not allowed on the Rx.
Name of medication: Activ Heal Hydrocolloid dressing;
Level of harm that could have occurred: 5
The reason you think the potential harm is at the level you have chosen:
The dressing is not allowed to dispensed.
Possible cause/contributory factors: The item that dispensed is not legal the law , because the dressing name is not stated in the drug tariff, means that the Activ Heal Hydrocolloid dressing is not allowed to dispensed.
Reasons why incident occurred and actions required to prevent reoccurence:
Read through the drug tariff carefully.
Best description of this error/near miss:
wrong method of preparation or supply