Date of incident: 13/02/2013

Error type: dispensing error

Patient age: 67

Patient sex: female

Brief summary of incident: Forgot to tell patient to hold simvastain while on and for two days after being on clarithromycin.

Name of medication: simvastatin; clarithromycin;

Level of harm that could have occurred: 4

The reason you think the potential harm is at the level you have chosen:
can cause severe myalgia, myopathy of muscles although not as severe as death

Possible cause/contributory factors: Not reading stockley properly

Reasons why incident occurred and actions required to prevent reoccurence:
Fully reading the stockley

Best description of this error/near miss:
verbal direction to patient wrong or omitted
interaction dispensed