One of the most impactful medication errors that I witnessed was the first medication error where I did not catch my own mistake.
I was working in the inpatient pharmacy on a weekend. We were short staffed and I was running around the hospital like the Road Runner from the Looney Tunes. On my way from one unit of the hospital, I stopped in the pharmacy before heading to the next unit. The pharmacist was having trouble finding a certain medication, so I thought I would try to be helpful and found, what I thought to be, the right medication.