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The bag felt just a little bit heavier, and that made all the difference

Paul Levy reports that all the bar-code scanners in the world are still not a substitute for a trained nurse - who thought the bag of medicine she'd just checked out was "slightly heavier than usual" and sure enough, the dosage was higher than it should have been, due to what turned out to be a mistake at the drug wholesaler.


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Comments

It sounds to me like the error was caught by the nurse performing a standard procedure of checking the label.

That she sensed something amiss before the standard procedure did was great, but the procedure presumably would have caught the error in time anyway.

I love well-crafted policy and procedures.

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Two bags, divergent, with goods, and she -
She took the one less saddled,
And that has made all the difference.

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