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Safe Practice Recommendations Always include a leading zero before a decimal point for dosage strengths less than 1. Never follow a whole number with a decimal point and a zero (trailing zero). Educate staff about the dangers involved with expressing doses using trailing zeros and "naked" decimal points.
For example, if 9.945309 is rounded to two decimal places (9.95), then rounded again to one decimal place (10.0), the total error is 0.054691. Rounding 9.945309 to one decimal place (9.9) in a single step introduces less error (0.045309).
When a decimal value is passed with incorrect decimal length and precision, errors might occur. If a decimal value is passed with an incorrect decimal length and precision (either too long or too short), a decimal data error (MCH1202) occurs when the variable is referred to.
Understanding which decimal is of greater or lesser value is important in the calculation of dosage problems. This helps to prevent errors in dosage and gives the nurse an understanding of the size of a dosage (e.g., 0.5 mg, 0.05 mg). Understanding the value of decimals prevents errors of misinterpretation.
Additionally, a whole number should never be followed with a decimal point and a zero. these ?trailing zeros? (such as ?3.0?) are a frequent cause of 10-fold overdoses and should never be used. for example, when prescriptions have been written for ?coumadin 1.0 mg? patients have received 10 mg in error.