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High-risk look-alike medicine check — GPhC CRA MCQ

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EasyDispensing and SupplyHigh-risk look-alike medicine checkGPhC CRA

A dispenser selects amlodipine 10mg from a shelf next to amitriptyline 10mg. The final accuracy check identifies the wrong medicine before it reaches the patient. What is the most appropriate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Record the near miss and use it to improve dispensing safety

Near misses are valuable opportunities to identify system risks before patient harm occurs. Recording and reviewing them can support changes such as shelf separation, alerts or workflow improvements. The absence of patient harm does not remove the learning opportunity. Removing safety checks would increase risk.

Reference: GPhC Standards; MEP