Incident Log
Date of incident: 24/02/2016
Error type: dispensing error
Patient age: 28
Patient sex: male
Brief summary of incident: In the write up sheet, there was no differentiation between the expiry date and best before. It is important to note that these mean different things and to not just check the date but what is implied by it.
Name of medication: Ventolin evohaler 100mcg/inhalation 200dose;
Level of harm that could have occurred: 3
The reason you think the potential harm is at the level you have chosen:
If a medication is supplied which has expired or is past its use by date there is a risk of toxicity and decreased efficacy and so it is important to make note of this while performing the check on the product.
Possible cause/contributory factors: I was rushing to get the item dispensed in time but actually had excess time at the end and should have went back to double check the scripts/items.
Reasons why incident occurred and actions required to prevent reoccurence:
I will go through my check list for the item to be dispensed thoroughly each time I dispense.
Best description of this error/near miss:
record keeping error
Error type: dispensing error
Patient age: 28
Patient sex: male
Brief summary of incident: In the write up sheet, there was no differentiation between the expiry date and best before. It is important to note that these mean different things and to not just check the date but what is implied by it.
Name of medication: Ventolin evohaler 100mcg/inhalation 200dose;
Level of harm that could have occurred: 3
The reason you think the potential harm is at the level you have chosen:
If a medication is supplied which has expired or is past its use by date there is a risk of toxicity and decreased efficacy and so it is important to make note of this while performing the check on the product.
Possible cause/contributory factors: I was rushing to get the item dispensed in time but actually had excess time at the end and should have went back to double check the scripts/items.
Reasons why incident occurred and actions required to prevent reoccurence:
I will go through my check list for the item to be dispensed thoroughly each time I dispense.
Best description of this error/near miss:
record keeping error