A medical resident admits a patient overnight with uncontrolled blood pressure. He means to write an order for the angiotensin receptor Diovan at 10mg once a day. Because of his sloppy handwriting the nurses and pharmacy administer digoxin at 10mg a day. This is a drug that is rarely used at dose above .5mg a day. Thirty-six hours later the patient developed hemodynamically unstable rhythm disorder that the resident tries to decipher but cannot and the patient is transferred to the ICU. In the ICU they discover the overdose. The patient and family never find out. Which statement most accurately describes the situation.