Date of incident: 05/02/2013

Error type: dispensing error

Patient age: 62

Patient sex: female

Brief summary of incident: WRONG FORM OF RAMIPRIL DISPENSED. ALTHOUGH THIS WILL NOT BE CLINICALLY HARMFUL MORE CARE SHOULD BE TAKEN BECAUSE -20 MARKS

Name of medication: RAMIPRIL TABS; RAMIPRIL CAPS;

Level of harm that could have occurred: 1

The reason you think the potential harm is at the level you have chosen:
CORRECT STRENGTH, JUST WRONG FORM

Possible cause/contributory factors: USED TO SEEING CAPSULES COMPARED TO TABS DISPENSED

Reasons why incident occurred and actions required to prevent reoccurence:
CARE WHEN DISPENSING, AND EXTRA CARE WITH FINAL CHECK

Best description of this error/near miss:
wrong medication