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Originally Posted by Zoggite Why are they called "near misses", anyway?
Surely "near hits" is more accurate; I go by the principle that "it's not a dispensing error until it's left the pharmacy"; if it's picked up on before, it just shows that our failsafe mechanisms are working! |
Someone unpacking the oder has put a packet of 28 APS metoprolol 50 on the 28 APS metformin 500 pile - and the metoprolol appears on the dispensary bench in the middle of a dozen packets of metformin.
Sources of error could include sourcing both metformin and metoprolol from APS, using pack sizes of 28 for both, the arrangement of stock in the dispensary, as well as telling someone to be more careful when puttiing away the orders.
Why wait until you've given them out before addressing the potential for error?
Jeff