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SOP: Medication Errors & Incidents

Immediate safety response, eMAR recording, and notification steps for medication incidents.

What’s Included in This Resource

  • ✓ 999 / immediate safety response first
  • ✓ eMAR and incident log recording within 1 hour
  • ✓ GP, family, and regulator notification obligations

SOP: Medication Errors & Clinical Incident Reporting

A complete clinical governance protocol for managing medication administration errors, adverse drug reactions, and eMAR discrepancies.

  1. 1

    Immediate Resident Safety Assessment

    Assess service user vitality, contact NHS 111 or 999 if adverse reaction is suspected, and do not leave client unattended.

  2. 2

    Notify Registered Manager & Prescriber

    Alert the prescribing GP or out-of-hours service within 60 minutes for clinical guidance.

  3. 3

    Record in eMAR & Incident Register

    Document exact medication details, dosage involved, circumstances of error, and clinical observations.

  4. 4

    Statutory CQC & Safeguarding Notification

    If the incident resulted in harm or medical treatment, submit statutory notification to CQC within statutory deadlines.

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Frequently Asked Questions

Incidents resulting in serious injury, emergency hospitalisation, or requiring medical intervention must be notified under Regulation 18 of CQC (Registration) Regulations.
Under Regulation 20, providers must act openly, provide a prompt explanation and apology to the service user or family, and offer reasonable support.