Incident Log
Date of incident: 20/03/2013
Error type: dispensing error
Patient age: None
Patient sex: female
Brief summary of incident: Assumption made within directions on label although SPC standard dose stated. Date from prescription not included in POR entry.
Name of medication: Tears Naturale eye drops;
Level of harm that could have occurred: 1
The reason you think the potential harm is at the level you have chosen:
It is an technical error on labelling, which will not not cause significant harm to patient as long as patient is counselled appropriately.
Possible cause/contributory factors: No clear direction on prescription.
Reasons why incident occurred and actions required to prevent reoccurence:
Confirm the dose with prescriber
Best description of this error/near miss:
Assumption ithi directions on label
Error type: dispensing error
Patient age: None
Patient sex: female
Brief summary of incident: Assumption made within directions on label although SPC standard dose stated. Date from prescription not included in POR entry.
Name of medication: Tears Naturale eye drops;
Level of harm that could have occurred: 1
The reason you think the potential harm is at the level you have chosen:
It is an technical error on labelling, which will not not cause significant harm to patient as long as patient is counselled appropriately.
Possible cause/contributory factors: No clear direction on prescription.
Reasons why incident occurred and actions required to prevent reoccurence:
Confirm the dose with prescriber
Best description of this error/near miss:
Assumption ithi directions on label