Date of incident: 05/03/2013

Error type: dispensing error

Patient age: 48

Patient sex: male

Brief summary of incident: Wrong quantity dispensed to patient. Directions on label were not the same as those on prescription.

Name of medication: Gabapentin 300mg Capsules;

Level of harm that could have occurred: 5

The reason you think the potential harm is at the level you have chosen:
Patient could have misinterpreted the directions on the label and taken an overdose.

Possible cause/contributory factors: Lapse in concentration

Reasons why incident occurred and actions required to prevent reoccurence:
Be more thorough when checking product and make sure to maintain full concentration during dispensing.

Best description of this error/near miss:
wrong frequency
wrong quantity