  I made an oversight yesterday at work which resulted in a baby getting twice the dose of a medication. He's ok but it still doesn't make me feel any better. We have all these processes in place to try and prevent errors and yet they still happen. I didn't catch it when I wrote the order for the drug. The doctor didn't catch it when she signed my order. And the nurse didn't catch it when she gave the drug. I know we're not perfect, and it's human nature to make mistakes, but that doesn't make me feel any less horrible. 
