"Wha....??? What happened?"
"I don't know doctor. I know he had that catheter ablation yesterday where you poked holes in the patient's legs and thread catheters to all kinds of chambers in his heart to ablate his atrial fibrillation, and he was doing so well..."
"So what the hell happened?"
"What do you mean, 'Nothing?'"
"Well, I guess I gave him that flu shot."
"What flu shot?"
"That one that you ordered."
"I didn't order a flu shot!"
"The computer says you did."
"What the hell are you talking about?"
"Our computer says that all patients will get a flu shot if they are over 50 and a pneumovax vaccine if they're over 65 as part of the quality assurance initiative, so they added it to your orders. And I went ahead and gave it, because the patient didn't refuse, and I have to take off all of the orders, you know."
"Please give him 500cc saline bolus, hydrocortisone 100 mg IVPB and benadryl 50 mg IVP right away. I'll be right in."
How many other orders will be added on my behalf without my knowledge in the interest of "quality healthcare?"