Pharmacist error dispensing VENTOLIN

Ventolin error dispensing

The error happened as the pharmacy staff is using handwriting and this might cause error and confusion for the patient. the pharmacist instead of telling the patient to use the dose of 1MG, she told him to use the dose of 1ML which is 5 times more.

As a result of this matter an OVR was initiated by the pediatrician and RCA was started.