School of Pharmacy


Incident Log
Incident Log


Date of incident: 01/03/2017

Error type: dispensing error

Patient age: 45

Patient sex: female

Brief summary of incident: I obliterated content in the CD Register

Name of medication: Diamorphine Hydrochloride 10mg Solution for inject

Level of harm that could have occurred: 1

The reason you think the potential harm is at the level you have chosen:
The error would not have affected the patient as they still received the correct product at the right dose.

Possible cause/contributory factors: Was not aware of the protocol required if make a mistake in the CD Register

Reasons why incident occurred and actions required to prevent reoccurence:
Put a footnote on errors- do not obliterate content.

Best description of this error/near miss:
Error in CD Register



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