Flashcard 13 - Patient Safety and Quality Assurance Flashcard Set for the PTCB Exam


The pharmacy technician counted/filled hydrOXYzine for a prescription written for hydrALAzine. The pharmacist did not catch the misfill at the final check. When the patient was ready to pick up the prescription a few days later, the technician noticed it by chance before ringing out the patient. What is this scenario called?

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