Date of incident: 10/01/2018

Error type: dispensing error

Patient age: James Leeson

Patient sex: male

Brief summary of incident: dispensed 250mg instead of 500mg tablets

Name of medication: amoxicilln tablets 250mg; amoxicillin tablets

Level of harm that could have occurred: 2

The reason you think the potential harm is at the level you have chosen:
due to the antibiotic being of a lower strength than intended, no harm would have came to the patient however it may not have treated the bacterial infection as intended

Possible cause/contributory factors: not clinically checking my product before dispensing

Reasons why incident occurred and actions required to prevent reoccurence:
perform a thorough clinical check of the item to be dispensed before dispensing, including reading the label

Best description of this error/near miss:
wrong dose strength