[monkeybutton]

My spouse is a nurse and at her work, they are required to do "double verification" of narcotics where a 2nd nurses recounts and also signs off on the drugs being taken out. They also don't use any electronic or automated systems. Is the fancy cart a cost saving measure or a safety measure? Seems like its being used to reduce headcount and let nurses work alone.

There is a certain level of cognitive offloading happening with the machine that is uncomfortable to me. Its like the Tesla autopilot giving drivers a false sense of security. One could easily fall to assuming what came out of the cart is the right thing. People are much less trusting with each other.

[salawat]

I also have an RN relative who described the old school processes to control for this sort of error in the old days, and the pharmacists I know have explained that even for them, they have notational conventions whereby ssimilarly spelled drugs get unique capitalizations in digital systems to visually distinguish one long arse name from another.

Also, it seems like a really bad idea to me to mix trade and chemical name in that type of system. You should search one and only one type of name at a time, simply to ensure namespace tripups like this don't happen.

This sounds like cognitive load failure from workload mismanagement.