What five mistakes were made in "Sam's Case"?
What will be an ideal response?
After filling the prescription, the filling technician needed to recheck her work.
The technician either failed to recheck or missed the fact that the prescription had been filled with the wrong strength tablet.
The pharmacist either failed to check the prescription or failed to catch the error.
Either the pharmacist did not counsel or failed to notice the change in tablet size.
The pharmacist missed the fact that a mistake had been made when Sam's wife called in later in the day.
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