Date of incident: 13/01/2023

Error type: dispensing error

Patient age: 81

Patient sex: female

Brief summary of incident: Wrong patient name on label Not querying size of dressing with prescriber

Name of medication: Askina Carbosorb; Metronidazole ;

Level of harm that could have occurred: 4

The reason you think the potential harm is at the level you have chosen:
Wrong patient name on label can result in harmful effects if given to wrong patient.

Possible cause/contributory factors: Carelessness

Reasons why incident occurred and actions required to prevent reoccurence:
Double check label, patient information and carefully undergo clinical check.

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