Incident Log
Date of incident: 04/03/2013
Error type: dispensing error
Patient age: 56
Patient sex: male
Brief summary of incident: 28 sonata caps was requested by the Rxber. however, due to not reading the BNF carefully, i missed the part where it says it can only be used one daily for up to 14 days only. due to this error, i dispensed 14 caps and make an owing for another 14caps to the patient.
Name of medication: sonata caps;
Level of harm that could have occurred: 4
The reason you think the potential harm is at the level you have chosen:
patient might get an overdose if the patient was dispensed with 28 caps
Possible cause/contributory factors: not reading the BNF carefully
Reasons why incident occurred and actions required to prevent reoccurence:
read the BNF carefully
Best description of this error/near miss:
verbal direction to patient wrong or omitted
wrong quantity
Error type: dispensing error
Patient age: 56
Patient sex: male
Brief summary of incident: 28 sonata caps was requested by the Rxber. however, due to not reading the BNF carefully, i missed the part where it says it can only be used one daily for up to 14 days only. due to this error, i dispensed 14 caps and make an owing for another 14caps to the patient.
Name of medication: sonata caps;
Level of harm that could have occurred: 4
The reason you think the potential harm is at the level you have chosen:
patient might get an overdose if the patient was dispensed with 28 caps
Possible cause/contributory factors: not reading the BNF carefully
Reasons why incident occurred and actions required to prevent reoccurence:
read the BNF carefully
Best description of this error/near miss:
verbal direction to patient wrong or omitted
wrong quantity