Incident Log
Date of incident: 30/01/2018
Error type: dispensing error
Patient age: 71
Patient sex: male
Brief summary of incident: The directions for atorvastatin was wrong. I incorrectly labelled it as "Take TWO tablets DAILY" instead of "Take ONE tablet DAILY". This therefore, resulted in a dosing error.
Name of medication: Atorvastatin 10 mg tablets;
Level of harm that could have occurred: 4
The reason you think the potential harm is at the level you have chosen:
20 mg of statin would not cause fatal results but it still is an error and should be avoided as much as possible.
Possible cause/contributory factors: Distracted
Reasons why incident occurred and actions required to prevent reoccurence:
I will try my best to focus at the task and make sure to constantly check everything before dispensing it to the patient.
Best description of this error/near miss:
wrong dose strength
Error type: dispensing error
Patient age: 71
Patient sex: male
Brief summary of incident: The directions for atorvastatin was wrong. I incorrectly labelled it as "Take TWO tablets DAILY" instead of "Take ONE tablet DAILY". This therefore, resulted in a dosing error.
Name of medication: Atorvastatin 10 mg tablets;
Level of harm that could have occurred: 4
The reason you think the potential harm is at the level you have chosen:
20 mg of statin would not cause fatal results but it still is an error and should be avoided as much as possible.
Possible cause/contributory factors: Distracted
Reasons why incident occurred and actions required to prevent reoccurence:
I will try my best to focus at the task and make sure to constantly check everything before dispensing it to the patient.
Best description of this error/near miss:
wrong dose strength