Date of incident: 06/03/2013

Error type: dispensing error

Patient age: 32

Patient sex: male

Brief summary of incident: The prescription was for a schedule 3 controlled drug and the prescription did not comply with the legal requirements

Name of medication: Buprenorphine ;

Level of harm that could have occurred: 1

The reason you think the potential harm is at the level you have chosen:
The issues were legal

Possible cause/contributory factors: Got mixed up with legal requirements between CD 2 and CD 3

Reasons why incident occurred and actions required to prevent reoccurence:
Modification if checklists

Best description of this error/near miss:
Dispensed a prescription that was not legally valid