'Report The Administration of a Controlled Drug to the wrong patient - Mrs Ivy Smith'

Including: 1. 'Section A - Details of Incident'. 2. 'Section B - The Context'. 3. 'Section C - The Evidence'. 4. 'Section D - Some Hypotheses'. 5. 'Section E - Weighing of Evidence Against Hypotheses'. 6. 'Section F - Suggestions to avoid a repetition of the Incident'. 7. 'Section G - Summary'. 8. Copy of typed and original 'Statement Mrs Phillipa Jones' (dated 18 January 1996). 9. Copy of typed and original 'Statement Mrs Maureen Jarman' (dated 18 January 1996). 10. Copy of typed and original Statement (dated 22 January 1996). 11. Treatment Cards. 12. Treatment Cards Mrs Ivy Smith. 13. Copy of page from Controlled Drug Register. 14. Copy of 'Patient Accident/Incident Report'. 15. 'Manager's report on Drug Error 13 January 1996' by I Evans (Hospital Manager). 16. Correspondence from Mrs I Evans (hospital Manager) to Mrs J I Connor cc Trevor re 'Mrs Ivy Smith' (dated 17 February 1996). Associated with NHE000615 and NHE000616.