When I was in training, while they did emphasize the 5 rights, my instructors also harped (for our good
) on the triple-check rule.
1. Check what you're pulling.
Look at what you are getting out of the drawer.
2. Check what you are drawing/pouring.
Look at the container as you draw or pour the med.
3. Check what you're tossing.
Look at the container/vial once more before it goes in the trash.
With a bit of practice, this triple-check rule becomes part of the natural process of getting a med (not extra time). It might not prevent all med errors but may help.