A medication error is when a person:

• Does not receive their medication
• Receives the wrong medication
• Receives too much medication
• Receives medication via the wrong route
• Receives medication in the wrong form
• Receives medication in the wrong strength

At best a medication error is an inconvenience, at worst it could lead to death.

If you noticed a medication error has occurred:

• It is essential to report an error immediately to your line manager co-ordinator to devise a plan to minimise harm. The manager will decide whether emergency treatment is sought or whether to seek advice from the prescriber or pharmacist.
• Calmly inform the individual of the error
• Record the error on the medication log including the name of the manager/co-ordinator in the office it was reported to
• Medication near miss must also be reported
• Contact the office to complete an incident form recording details of the error.

Use to answer question 13.5viii of the Care Certificate