Date of incident: 12/02/2013

Error type: dispensing error

Patient age: 58

Patient sex: female

Brief summary of incident: Stated the wrong strengh on the label for Nu-seals as 100mg instead of 75mg. Stated incorrect quantities for both Nu-seals and Praxilene. Instead of writing the number of tables/capsules in the top left corner, I stated quantity as 1 (as in one box)

Name of medication: Nu-seals 75mg tablets; Praxilene 100mg capsul

Level of harm that could have occurred: 2

The reason you think the potential harm is at the level you have chosen:
The correct strength was dispensed and given to the patient who was counselled on taking one tablet and the label states clearly take ONE tablet in the MORNING.

Possible cause/contributory factors: Praxilene capsules were 100mg so I must have looked at the wrong one.

Reasons why incident occurred and actions required to prevent reoccurence:
Check labels more accurately and compare against the prescription. I now know to state the actual number of tablets given out in the top left corner.

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