NHS Greater Glasgow & Clyde Area Drug and Therapeutics Committee
Greater Glasgow and Clyde Medicines
Medicines Update

BNF and BNF for Children (BNFC) errors

BNF publications have re-designed the print and online versions of the BNF.  The first issue of the new look BNF 70 and BNFC 2015-16 were published in September 2015.  Information on using the new look BNF is available here.  Since publication, a number of issues including dose errors have been identified. The errors have been highlighted in NHSGGC via a Risk Awareness Notice (RAN).

 

What are the errors?

Table 1 gives details of errors identified so far. Full details of the corrections to these errors can be found at http://www.bnf.org/corrections

Medicine

Publication

Indication

Nature of error

Aciclovir

BNF 70 &

BNFC 2015/16

Various indications

(including encephalitis)

Confusion regarding indications and dosing

Clindamycin

BNF 70

Various infections

Adult dosing

Co-amoxiclav

BNFC 2015/16

Various infections

Child dosing

Erythromycin

BNF 70 &

BNFC 2015/16

Various infections

Child dosing

Esomeprazole

BNFC 2015/16

Reflux without oesophagitis

Child dosing

Magnesium glycerophosphate

BNFC 2015/16

Hypomagnesaemia

Child dosing

Paraldehyde

BNFC 2015/16

Status epilepticus

Child dosing (unclear)

Pyrimethamine

BNF 70 &

BNFC 2015/16

Congenital toxoplasmosis

Confusion regarding age group for dosing advice (neonatal vs. child)

Quinine with doxycycline

BNFC 2015/16

Falciparum Malaria

Error in age group for doxycycline treatment

Tranexamic acid

BNFC 2015/16

Various indications

Child dosing

Vecuronium

BNF 70 &

BNFC 2015/16

All indications

Incorrect concentration for administration

Electronic versions of the BNF and BNFC are being updated and corrected and therefore the safest approach is to use these in preference to the paper copies.  

Any new errors identified should be reported directly to the editor of the BNF at editor@bnf.org.

 

What is being done in NHSGGC to address the errors?

A Risk Awareness Notice (RAN) was disseminated across the Board to highlight the errors.

In Acute care
  • Alerts will appear on the front page of StaffNet and Trakcare
  • Stickers are available to be placed on front covers of print copies. The stickers include a table of the medicines affected and their corresponding page numbers.
  • Pharmacy will facilitate the dissemination of stickers at each hospital site.
  • Pharmacy departments and Medicines Information departments will also have a supply of stickers available on request.
  • Non medical prescribers may contact Mandy Logan to request a supply of stickers.
In primary care
  • There will be alerts on Scriptswitch for the individual drugs affected.
  • Community Pharmacists & GP Practices will be provided with a corrections document that can be printed off as required.

How do I access the electronic version of the BNF and BNFC?

You can access the electronic versions via Medicines Complete https://www.medicinescomplete.com/mc/. A direct link is also available on the Clinical Info page of StaffNet. BNF and BNFC Apps are available from the App Store or Google Play. (An Athens password is required; visit www.knowledge.scot.nhs.uk  to register for an Athens password).