Date of incident: 4/3/2013

Error type: dispensing error

Patient age: X (not included on script)

Patient sex: female

Brief summary of incident: Incorrect name on the label dispensed

Name of medication: 30mg MST continus tablets;

Level of harm that could have occurred: 5

The reason you think the potential harm is at the level you have chosen:
The wrong medication could have went to the wrong patient.

Possible cause/contributory factors: Rushing to complete labels. Not paying attention that there are in fact two people receiving two medications

Reasons why incident occurred and actions required to prevent reoccurence:
Carefully check labels before dispensing, calm myself not to rush

Best description of this error/near miss:
mismatch