Date of incident: 13/01/2023

Error type: dispensing error

Patient age: 3 years old

Patient sex: female

Brief summary of incident: Read the wrong part of the BNF in which I looked at the 400/57 suspension and not the 125/31 suspension which meant I dispensed a underdose as the medication should of been given 3 times a day and not the 2 times a day I dispensed

Name of medication: Co-amoxiclav ;

Level of harm that could have occurred: 3

The reason you think the potential harm is at the level you have chosen:
Patients infection would not of cleared and subsequently the patients carer would need to take her back to the doctors to receive more treatment

Possible cause/contributory factors: First assessed dispensing class meaning nerves got the better of me

Reasons why incident occurred and actions required to prevent reoccurence:
I will now check the BNF and the emc to determine the correct dosing regime. Additionally, I will take deep breaths before the class in order to enable me to calm myself.

Best description of this error/near miss:
wrong frequency