Incident Log
Date of incident: 20/02/2018
Error type: dispensing error
Patient age: 7
Patient sex: male
Brief summary of incident: Quantity not in words and figures.
Name of medication: Ritalin 10mg tablets;
Level of harm that could have occurred: 1
The reason you think the potential harm is at the level you have chosen:
Agreed dose for patient was correct with presciber before dispensing. As this is a schedule 2 drug, it is a legal requirement to have the quantity in words and figures.
Possible cause/contributory factors: Overlooked.
Reasons why incident occurred and actions required to prevent reoccurence:
Ensure prescriptions for schedule 2 and 3 control drugs have the quantity written in words and figures. I will be more thorough in my clinical checks and pay greater attention to detail.
Best description of this error/near miss:
Quantity not in words and figures for schedule 2 CD.
Error type: dispensing error
Patient age: 7
Patient sex: male
Brief summary of incident: Quantity not in words and figures.
Name of medication: Ritalin 10mg tablets;
Level of harm that could have occurred: 1
The reason you think the potential harm is at the level you have chosen:
Agreed dose for patient was correct with presciber before dispensing. As this is a schedule 2 drug, it is a legal requirement to have the quantity in words and figures.
Possible cause/contributory factors: Overlooked.
Reasons why incident occurred and actions required to prevent reoccurence:
Ensure prescriptions for schedule 2 and 3 control drugs have the quantity written in words and figures. I will be more thorough in my clinical checks and pay greater attention to detail.
Best description of this error/near miss:
Quantity not in words and figures for schedule 2 CD.