Incorrect concentration/strength

Near miss · Jul 8, 2026 · ← Event log

Analyzed — share learnings

Event record

Patient
0–1 · M (age range + gender only)
Discovered by / prescribed by
Pharmacist /
Stage(s)
Rx order entry, Preparation / dispensing
Medication(s)
Amoxicillin suspension
Route / associated factors
oral · Compounded medication
Degree of harm
n/a — intercepted before the patient
What happened

Paediatric suspension entered at adult concentration; the mg/kg check at the final verification flagged the dose before release.

Immediate actions

Corrected concentration dispensed; caregiver counselled on dosing syringe.

Causal analysis & action plan

Contributing factors

Lack of quality-control systems

Analysis

Default concentration auto-filled from the most-dispensed product rather than the prescribed one.

Action plan

1) Disable concentration auto-fill for paediatric suspensions. 2) Require weight entry before verification for patients under 12.

Share learnings with staff

AIMS requires prompt communication of the event and the actions taken to all pharmacy staff. Record how it was shared (huddle, staff memo, CQI meeting).