Two pharmacists have been held to account for dispensing the wrong kind of insulin for a man who has diabetes.
The man, aged in his early 30s, has a disability and his mother picks up medicines for him from a pharmacy. She was given the wrong type of insulin for him on two occasions last year.
The man's GP prescribed a mixture of short-acting and medium-acting insulin. In February and April last year the mother visited was given medium-acting insulin.
On both occasions she identified the errors before her son took any of the medication incorrectly dispensed, Deputy Health and Disability Commissioner Theo Baker says in a report made public today.
She found both pharmacists and the pharmacy had breached the code of patients' rights.