Dispensing error management — GPhC CRA MCQ

Correct answer: D — Contact the patient immediately and recover the incorrect medicine

A dispensing error involving methotrexate is a critical patient safety incident. The immediate priority is to contact the patient to prevent harm — the wrong strength tablets could lead to a fatal overdose if taken daily. After ensuring patient safety, the error should be documented, reported through the pharmacy's incident reporting system, and a near-miss/error report should be submitted. The GPhC expects pharmacists to act in the best interest of patient safety as the immediate priority.

Reference: https://www.pharmacyregulation.org/students-and-trainees/pharmacist-education-and-training/registration-assessment