10 minutes only, but it is Circumstance or packaged in a prefilled information capable of syringe that could leading to device use mistakenly result in direct error IV bolus administration Incorrect drug administration rate Dispensing errors/issues Scenario Medication LLT Comment error? Patient complained that No Product substitution This is a product quality the generic didn’t work as issue brand to generic complaint well as the innovator drug Drug effect decreased A generic was substituted Product substitution Code only what is stated. for the brand name (HLT Therapeutic The report does not Unknown product procedures NEC) specify an error. Patient received expired Yes Expired drug patches from the dispensed pharmacy Patient took the drug Yes Wrong directions instead of on the intended typed on label (PT weekly schedule because Drug dispensing error) the clinic wrote the wrong directions on the vial Once weekly dose taken more frequently Drug was not dispensed in Yes Drug not dispensed in the original container, original container although the labelling advises that the drug must be kept in the original container The prescription was Yes Wrong drug strength LLT Transcription illegible and resulted in the dispensed medication error covers pharmacy dispensing the the concept of legibility wrong strength Transcription medication error Pharmacy dispensed drug Yes Drug dispensing with the pharmacy label obscuring the
10 minutes only, but it is packaged in a prefilled syringe that could mistakenly result in direct IV bolus administration Circumstance or information capable of leading to device use error Incorrect drug administration rate Dispensing errors/issues Scenario Medication error? LLT Comment Patient complained that the generic didn’t work as well as the innovator drug No Product substitution issue brand to generic Drug effect decreased This is a product quality complaint A generic was substituted for the brand name product Unknown Product substitution (HLT Therapeutic procedures NEC) Code only what is stated. The report does not specify an error. Patient received expired patches from the pharmacy Yes Expired drug dispensed Patient took the drug instead of on the intended weekly schedule because the clinic wrote the wrong directions on the vial Yes Wrong directions typed on label (PT Drug dispensing error) Once weekly dose taken more frequently Drug was not dispensed in the original container, although the labelling advises that the drug must be kept in the original container Yes Drug not dispensed in original container The prescription was illegible and resulted in the pharmacy dispensing the wrong strength Yes Wrong drug strength dispensed Transcription medication error LLT Transcription medication error covers the concept of legibility Pharmacy dispensed drug with the pharmacy label obscuring the Yes Drug dispensing