For this patient safety incident involving a medicine, please select the appropriate description:
Please select the category that best describes what happened.
| Category | Description |
|---|---|
| Adverse drug reaction (when used as intended) | The patient reacted adversely to the medication, but this reaction could not have been predicted |
| Contra-indication to the use of the medicine in relation to drugs or conditions | The patient has a diagnosis or clinical condition that makes the use of a specific medicine or group of medicines unsafe |
| Mismatching between patient and medicine | A medicine is prescribed, prepared or administered to someone other than the intended patient |
| Omitted medicine / ingredient | When a constituent part of a medicine is omitted during its preparation.
When a medicine is not supplied to the patient, either when supplying the prescription medicine from the pharmacy or when administering a dose to the patient |
| Patient allergic to treatment | The patient has a documented allergy to a specific medicine or group of medicines that makes the use of that medicine or group of medicines unsafe, e.g., penicillin sensitivity |
| Wrong / omitted / passed expiry date | An expired medicine (or a medicine with an unknown expiry date) is supplied or administered to the patient. This includes medications that must be discarded within a certain period once opened, e.g. eye drops |
| Wrong / omitted patient information leaflet | The wrong manufacturer's patient information leaflet (PIL) is provided to the patient, or the patient is not provided with any written information about the medication supplied to them. |
| Wrong / omitted verbal patient directions | The information given verbally with the medicine is unclear, incorrect, or omitted |
| Wrong / transposed / omitted medicine label | Two or more medicines are being prepared or supplied, and the label from one is attached to the container of another |
| Wrong / unclear dose or strength | The patient is prescribed, supplied or administered the wrong dose of medicine |
| Wrong drug or medicine | The patient is prescribed, supplied or administered a medicine other than the one intended for them |
| Wrong formulation | The patient receives the correct medication but in the wrong formulation, e.g. morphine sulphate tablets rather than morphine sulphate solution |
| Wrong frequency | The patient receives the correct medication but at the wrong frequency, e.g., methotrexate tablets daily rather than weekly |
| Wrong method of preparation / supply | The medicine is not prepared, supplied or administered by the required method in the correct environment |
| Wrong quantity | An incorrect quantity or volume of medicine is supplied against a prescription |
| Wrong route | The medicine is administered via the wrong route |
| Wrong storage | The medicine is not stored under the correct conditions, e.g. the correct temperature |