Date of incident: 13/02/2018

Error type: dispensing error

Patient age: Elaine Erskine

Patient sex: female

Brief summary of incident: No ampoule size on requisition

Name of medication: Pethidine hydrochloride injection;

Level of harm that could have occurred: 5

The reason you think the potential harm is at the level you have chosen:
Wrong strength could be given to patient

Possible cause/contributory factors: Strength could be wrong

Reasons why incident occurred and actions required to prevent reoccurence:
Check what ampoule size is available

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