Table 2

Example transcribing errors for doctors and pharmacy technicians

Doctor or pharmacy technicianDescription of errorError typePotential severity
DoctorNo maximum frequency specified for ibuprofen gelClinical safetyMinor
DoctorFexofenadine 18 mg dose transcribed instead of 180 mgWriting errorMinor
DoctorBisoprolol omitted from TTOOmissionsSignificant
DoctorEsomeprazole transcribed instead of omeprazoleWriting errorSignificant
DoctorIncorrect device specified for salbutamol inhalerWriting errorSignificant
DoctorChlorpromazine transcribed onto TTO but clinical notes say to stop as prolonged QTc intervalClinical safetySerious
Pharmacy technicianAdcal D3 chosen instead of Evacal D3Writing errorMinor
Pharmacy technicianAspirin transcribed at night instead of in the morningWriting errorMinor
Pharmacy technicianNo maximum dose specified for paracetamolClinical safetyMinor
Pharmacy technicianTiotropium handihaler frequency transcribed twice-daily instead of once-dailyDosing errorSignificant
Pharmacy technicianVagifem route transcribed orally instead of per vaginaWriting errorSignificant
Pharmacy technicianAspirin omitted from TTOOmissionsSignificant