Incident Log
Date of incident: 13/04/2016
Error type: dispensing error
Patient age: 43
Patient sex: male
Brief summary of incident: Incorrect balance recorded in error log.
Name of medication: Actiq lozenges 200 microgram;
Level of harm that could have occurred: 1
The reason you think the potential harm is at the level you have chosen:
This is a legal clerical error but will not harm the patient
Possible cause/contributory factors: Thought that there were three actiq lozenges in the stock list prior to dispensing but it was three packets of three actiq lozenges.
Reasons why incident occurred and actions required to prevent reoccurence:
I will take greater care when checking initial stock balance.
Best description of this error/near miss:
CD reg error
Error type: dispensing error
Patient age: 43
Patient sex: male
Brief summary of incident: Incorrect balance recorded in error log.
Name of medication: Actiq lozenges 200 microgram;
Level of harm that could have occurred: 1
The reason you think the potential harm is at the level you have chosen:
This is a legal clerical error but will not harm the patient
Possible cause/contributory factors: Thought that there were three actiq lozenges in the stock list prior to dispensing but it was three packets of three actiq lozenges.
Reasons why incident occurred and actions required to prevent reoccurence:
I will take greater care when checking initial stock balance.
Best description of this error/near miss:
CD reg error