Date of incident: 12/03/2013

Error type: dispensing error

Patient age: 51

Patient sex: male

Brief summary of incident: Private prescription for control drugs (PCD1) coded like it was an NHS prescription. Cost not marked on the prescription.

Name of medication: Temazepam;

Level of harm that could have occurred: 1

The reason you think the potential harm is at the level you have chosen:
It is a dispensing error which may cause confusion if the prescription was sent to the BSO at the end of the month. It does not cause potential harm to the patient however.

Possible cause/contributory factors: Lack of understanding of prescription endorsement requirements.

Reasons why incident occurred and actions required to prevent reoccurence:
Study guidances such as manual, General Legal Requirement and etc.

Best description of this error/near miss:
Prescription coded incorrectly