Incorrect quantity

Medication incident · Jul 12, 2026 · ← Event log

Recorded — needs analysis

Event record

Patient: 65–84 · F (age range + gender only)
Discovered by / prescribed by: Patient / —
Stage(s): Preparation / dispensing
Medication(s): Apixaban
Route / associated factors: oral · None of the above
Degree of harm: none

What happened

Thirty tablets dispensed against a ninety-day prescription; the patient returned when the supply ran short. No missed doses reported.

Immediate actions

Balance owing dispensed same day at no charge.

Causal analysis & action plan

Contributing factors

Analysis notesAction plan *

Share learnings with staff

Complete the analysis first.

Sent to NIDR (ISMP Canada)

pending daily sync

The de-identified minimum data set — exactly what leaves the pharmacy:

{
  "event_type": "incident",
  "date_of_incident": "2026-07-12",
  "incident_type": "Incorrect quantity",
  "discovered_by": "Patient",
  "medication_system_stages": [
    "Preparation / dispensing"
  ],
  "medications": [
    {
      "drug_product_name": "Apixaban",
      "din": null
    }
  ],
  "patient_age_range": "65–84",
  "patient_gender": "F",
  "degree_of_harm": "none"
}

Stays at the pharmacy

·Time of incident
·Incident description (free text)
·Contributing factors
·Actions taken at the pharmacy
·Prescribed by
·Associated factors
·Route of administration
·Analysis notes, action plans, CQI records
·Who recorded it (login accountability only)

OCP receives aggregate NIDR data only — never pharmacy-identifiable records.