Which incident would be classed as a Never Event, as defined by NHS Improvement?

As part of the investigation, the team review the human factors that contributed to the medication incident. It is found that the prescribing doctor did not know that methotrexate is usually once weekly and had not noticed the different frequency on the label; they assumed it was once daily because this is a more familiar dosing frequency. Which error type has occurred in this situation?

A 78-year-old patient has presented to the community pharmacy with a prescription for ondansetron 4mg three times a day for nausea and vomiting. You decide to contact the GP to discuss your concerns around taking ondansetron alongside which of his regular medications?

A 44-year-old patient is initiated on ciclosporin for severe psoriasis. Which of the following would NOT be required as part of baseline monitoring?

Which would be the MOST APPROPRIATE tool to use to investigate the incident?

The practice pharmacist reviews the repeat prescription for edoxaban. Mrs. JN (78 years old) weighs 65kg and her serum creatinine is 105micomol/l. What dose of edoxaban would be MOST APPROPRIATE for Mrs. JN.

The microbiologist rings the ward and recommends that intravenous (IV) liposomal amphotericin B 3mg/kg is prescribed for Ms. JJ (60kg) for aspergillosis. Which prescription would be the most appropriate?

Miss ST requires surgery and is started on a variable rate insulin infusion. Which statement is NOT CORRECT?

Baby L (5kg) is prescribed furosemide solution 1mg/kg twice a day. Furosemide Oral Solution (20mg/5mL and 50mg/5mL) contains 8% w/v ethanol. Assuming that the maximum dose threshold for ethanol in children is 15mg/kg/dose, which prescription would be MOST APPROPRIATE for baby L?

A patient is dispensed amiloride instead of amlodipine from a pharmacy. The error is identified before the patient takes the medication, but it raises concerns about the potential consequences of the mistake. The pharmacy team decide to conduct a root cause analysis (RCA) to understand why the error occurred. Which would NOT be a potential step in the RCA process?