Sample Scenario: It was a busy day in the surgical ward, and you are doing your 12:00 drug run. You have noticed that you gave Metformin 1000mg to your patient John David in room 12 who is not diabetic which is supposed to be given to patient David John in room 15. In this incident, what would you do?


  • I will recognise the possible consequence of error and the importance of patient safety, and takes measures to reduce the effects of harm
  • I will check the stability of the patient by taking observations, informs the nurse in charge and medical team of the event, and seeks advice
  • I will recognise the importance of disclosing the occurrence to the patient and apologise, reflecting duty of candour
  • I will document events, actions and consequences in the patient’s records, and completes an incident report
  • I will demonstrate the importance of reflection, explores the sequence of events and factors that may have influenced the occurrence. I will recognise the learning opportunity, and identifies the need to revisit drug administration procedure
  • I will acknowledge the need to keep to and uphold the standards and values set out in ‘The Code’: prioritise people, practise effectively, preserve safety, and promote professionalism and trust.