The FMEA highlighted a high potential to underdose drugs dispensed in multiple containers-by mistakenly administering only one of them-and a low likelihood of this error being detected and rectified. Identified causes for this error centered on a lack of awareness and, crucially, reminders that drugs may be packaged in multiple parts. As a remedial strategy, it was suggested that pharmacy staff label partial dose syringes, vials, and IV bags with a colored sticker to identify them, for example, as "1 of 2 parts" or "half the full dose.