I believe I recently had an error in taking a telephone order. Our facility has gone to mostly cpoe but not all of the physicians are able to enter their own orders yet. So the other day, I floated to the er which is not my normal work area and I was told to call the psychiatrist on call to get admission orders for a psych pt. so the doctor (who has a very thick accent) was rattling off all of these Meds and then he said "restoril 50 mg po" which I wrote. I even did read back verification per policy. But then today I had to take orders from the same physician and he orders "vistaril 50 mg po" and this time spelled the medication, so I am clued into the fact that it must have been brought to his attention. I have read about these medications since and realized that 50 mg would be way high for restoril, but how do you prevent something like this from happening? I'm sure the pharmacy caught it when they were entering the orders and called for Clarification, so it is unlikely that the pt received the wrong medication, but I am still pretty upset by it.
Anyone have any similar problems?