Date of incident: 10/03/2014

Error type: dispensing error

Patient age: 4

Patient sex: male

Brief summary of incident: I dispensed Phenoxymethylpenicillin which the dose for a child was too high.

Name of medication: Phenoxymethyl penicillin;

Level of harm that could have occurred: 4

The reason you think the potential harm is at the level you have chosen:
It was an overdose but not by too much that i would think could kill the patient

Possible cause/contributory factors: Looked in the Bnf insteadt of the BNF-c

Reasons why incident occurred and actions required to prevent reoccurence:
Double check the patients age

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