Date of incident: 27/2/2013

Error type: dispensing error

Patient age: 9

Patient sex: female

Brief summary of incident: wrong strength included on the label, 50mg/ml instead of 50mg/5ml

Name of medication: trimethoprim 50mg/5ml;

Level of harm that could have occurred: 1

The reason you think the potential harm is at the level you have chosen:
The dosing instruction were still correct for the patient

Possible cause/contributory factors: time pressure

Reasons why incident occurred and actions required to prevent reoccurence:
double checking of the strength included on the label

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