Common causes of incidents leading to harm or complaint

PREDNISOLONE Prednisolone is overrepresented in incident reports to PDL for a variety of reasons. Errors often occur when the 5 mg and 25 mg strengths are mixed up, which can result in under treatment or overdose. The dose printed on labels can also be involved in the error. For example, Prednisolone 25 mg daily for 3 days has been labelled as Prednisolone 25 mg three times daily for 3 days. High dose prednisolone intended only as a short course has been dispensed long term. This has resulted in numerous adverse effects such as osteoporosis, Cushing’s syndrome, weight gain and in…