A 19-Year-Old Man Is Hospitalized for Hallucinations, Delusions, and Disordered

A 19-year-old man is hospitalized for hallucinations, delusions, and disordered conduct. He is diagnosed with schizophrenia, and the doctor issues an order for him to start taking aripiprazole "2.0" mg. The patient is given 20 mg of aripiprazole instead of 2 mg. This order is missed via the pharmacy review procedure, and the nurse fails to query it before giving the patient aripiprazole. Which of the following interventions is the most successful in reducing this sort of error?

A) Confirm dosage with the patient prior to administration
B) Educate physicians to avoid use of trailing zeros
C) Employ computerized systems to flag inappropriate medication orders
D) Remind physicians to be careful with decimal point placement
E) Require 2 nurses to check medication orders
F) Require 2 pharmacists to check all orders

Correct Answer:

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