But today, pharmacy work is increasingly stressful and these checks and balances are being strained beyond capacity.
Errors are the inevitable result even in the best pharmacies.
In this case, imipramine was dispensed in a concentration five times greater than prescribed. Imipramine is a tricyclic antidepressant used to treat adults, but it is also used to treat childhood enuresis. He then mixed the solution using the incorrect concentration on the label and placed the prescription in a holding area to await a pharmacist's verification. The high workload made it impossible for the pharmacist to check the prescription right away. When the child's mother came in to pick up the prescription, the clerk was unaware that it had not been checked and gave it to the mother without telling a pharmacist.