The nurse is the the only "professional" human in the entire chain who actually handled the obviously anomalous dose of medicine, and she didn't raise a flag.

The nurse is the the only "professional" human in the entire chain who actually handled the obviously anomalous dose of medicine, and she didn't raise a flag. As more of the pipeline becomes automated and vulnerable to GIGO, the role of those physically administering the medication needs to adapt accordingly. The nurse should have been trained and encouraged to police such errors. If something looks abnormal, it probably is, push the button that summons the MD to verify the physical thing before administering it.