It’s unfortunate that, when “automatic errors” occur, they are often not immediately noticed due to the nature of the care giver being on “autopilot”. Education is successful in mitigating the risks and learning new protocols but after the training event the individual’s knowledge retention drops on the “forgetting curve”. There is this risk of quickly forgetting with the new protocol / instructions for use of the Low Dose Tip syringe – LDT syringe.