Date of incident: 23/02/2015

Error type: dispensing error

Patient age: 32

Patient sex: female

Brief summary of incident: Flagyl 400mg was dispensed instead of the requested 200mg

Name of medication: Flagyl;

Level of harm that could have occurred: 5

The reason you think the potential harm is at the level you have chosen:
An overdose was prescribed and this could have caused serious harm to the patients health

Possible cause/contributory factors: Not taking time to read the product carefully

Reasons why incident occurred and actions required to prevent reoccurence:
Double checking that the product being dispensed is of the correct strength where multiple strengths are available

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