Journal article

Learning curves, taking instructions, and patient safety: using a theoretical domains framework in an interview study to investigate prescribing errors among trainee doctors

Eilidh M Duncan, Jill J Francis, Marie Johnston, Peter Davey, Simon Maxwell, Gerard A McKay, James McLay, Sarah Ross, Cristin Ryan, David J Webb, Christine Bond



BACKGROUND: Prescribing errors are a major source of morbidity and mortality and represent a significant patient safety concern. Evidence suggests that trainee doctors are responsible for most prescribing errors. Understanding the factors that influence prescribing behavior may lead to effective interventions to reduce errors. Existing investigations of prescribing errors have been based on Human Error Theory but not on other relevant behavioral theories. The aim of this study was to apply a broad theory-based approach using the Theoretical Domains Framework (TDF) to investigate prescribing in the hospital context among a sample of trainee doctors. METHOD: Semistructured interviews, based on..

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University of Melbourne Researchers


Awarded by Chief Scientist Office

Funding Acknowledgements

The project was funded by the Chief Scientist Office of the Scottish Health Directorates as part of a wider program of work, the PROTECT study, investigating the prevalence and causes of errors made by junior doctors. We thank all the trainee doctors who took part in the study and Professor Jean Ker, University of Dundee, and NHS Education for Scotland for their help with recruitment. The PROTECT study group consists of the authors on this papers, plus Professor Jean Ker, University of Dundee, and Professor Amanda Lee, University of Aberdeen.