An Introduction to Human Factors and Patient Safety

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Case Study Activity – Causal Factors

An Introduction to Human Factors and Patient Safety Section 1: Clinical Error Case Study Activity – Causal Factors
  1. 1. Question

    Read this case study and then answer the question

    A tired junior doctor prescribes the incorrect dose of a drug and the pharmacist is too busy to check it. The nurse who gives the drug is not familiar with it and is about to go on a break. She gives the drug without having it checked by a second person and the patient suffers an adverse reaction due to receiving the wrong dose of the drug.

    What are/is the causal factors for this error (select all that apply)?

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