E. Part of his explanation for the error was his willingness to capitulate when tired: `I didn’t ask for any healthcare history or anything like that . . . over the phone at 3 or four o’clock [in the morning] you just say yes to anything’ pnas.1602641113 Interviewee 25. Despite sharing these related characteristics, there have been some variations in error-producing conditions. With KBMs, medical doctors were conscious of their knowledge deficit in the time from the prescribing decision, unlike with RBMs, which led them to take certainly one of two pathways: method other folks for314 / 78:2 / Br J Clin PharmacolLatent conditionsSteep hierarchical structures inside health-related teams prevented medical doctors from seeking help or indeed getting sufficient assistance, highlighting the importance of the prevailing healthcare culture. This varied involving specialities and accessing guidance from seniors appeared to become more problematic for FY1 trainees functioning in surgical specialities. Interviewee 22, who worked on a surgical ward, described how, when he approached seniors for tips to prevent a KBM, he felt he was annoying them: `Q: What produced you feel which you may be annoying them? A: Er, just because they’d say, you know, initial words’d be like, “Hi. Yeah, what exactly is it?” you know, “I’ve scrubbed.” That’ll be like, sort of, the Elesclomol introduction, it wouldn’t be, you realize, “Any troubles?” or anything like that . . . it just does not sound extremely approachable or friendly on the telephone, you realize. They just sound rather direct and, and that they had been busy, I was inconveniencing them . . .’ Interviewee 22. Health-related culture also influenced doctor’s behaviours as they acted in methods that they felt had been important so that you can fit in. When exploring doctors’ causes for their KBMs they discussed how they had chosen not to seek tips or information for fear of seeking incompetent, particularly when new to a ward. Interviewee two below explained why he didn’t verify the dose of an antibiotic regardless of his uncertainty: `I knew I should’ve looked it up cos I did not actually know it, but I, I assume I just convinced myself I knew it becauseExploring junior doctors’ prescribing mistakesI felt it was anything that I should’ve known . . . since it is very quick to have Duvelisib caught up in, in being, you realize, “Oh I am a Doctor now, I know stuff,” and together with the pressure of folks who’re possibly, sort of, somewhat bit more senior than you thinking “what’s wrong with him?” ‘ Interviewee 2. This behaviour was described as subsiding with time, suggesting that it was their perception of culture that was the latent situation in lieu of the actual culture. This interviewee discussed how he sooner or later discovered that it was acceptable to verify details when prescribing: `. . . I uncover it very nice when Consultants open the BNF up within the ward rounds. And you consider, properly I am not supposed to understand each single medication there’s, or the dose’ Interviewee 16. Healthcare culture also played a role in RBMs, resulting from deference to seniority and unquestioningly following the (incorrect) orders of senior medical doctors or seasoned nursing staff. A fantastic instance of this was given by a medical professional who felt relieved when a senior colleague came to assist, but then prescribed an antibiotic to which the patient was allergic, in spite of getting already noted the allergy: `. journal.pone.0169185 . . the Registrar came, reviewed him and mentioned, “No, no we should give Tazocin, penicillin.” And, erm, by that stage I’d forgotten that he was penicillin allergic and I just wrote it on the chart without the need of thinking. I say wi.E. A part of his explanation for the error was his willingness to capitulate when tired: `I did not ask for any health-related history or anything like that . . . more than the telephone at 3 or four o’clock [in the morning] you just say yes to anything’ pnas.1602641113 Interviewee 25. In spite of sharing these equivalent traits, there had been some variations in error-producing circumstances. With KBMs, doctors were conscious of their information deficit in the time with the prescribing choice, as opposed to with RBMs, which led them to take one of two pathways: strategy other individuals for314 / 78:2 / Br J Clin PharmacolLatent conditionsSteep hierarchical structures within health-related teams prevented doctors from looking for assistance or indeed getting adequate enable, highlighting the value with the prevailing healthcare culture. This varied among specialities and accessing assistance from seniors appeared to become much more problematic for FY1 trainees functioning in surgical specialities. Interviewee 22, who worked on a surgical ward, described how, when he approached seniors for advice to prevent a KBM, he felt he was annoying them: `Q: What made you feel which you could be annoying them? A: Er, just because they’d say, you know, initial words’d be like, “Hi. Yeah, what exactly is it?” you realize, “I’ve scrubbed.” That’ll be like, sort of, the introduction, it wouldn’t be, you understand, “Any problems?” or anything like that . . . it just does not sound really approachable or friendly on the telephone, you understand. They just sound rather direct and, and that they have been busy, I was inconveniencing them . . .’ Interviewee 22. Health-related culture also influenced doctor’s behaviours as they acted in approaches that they felt had been important to be able to match in. When exploring doctors’ causes for their KBMs they discussed how they had selected to not seek assistance or facts for fear of hunting incompetent, specifically when new to a ward. Interviewee 2 below explained why he did not check the dose of an antibiotic despite his uncertainty: `I knew I should’ve looked it up cos I did not really know it, but I, I believe I just convinced myself I knew it becauseExploring junior doctors’ prescribing mistakesI felt it was a thing that I should’ve identified . . . since it is extremely easy to obtain caught up in, in getting, you understand, “Oh I am a Medical professional now, I know stuff,” and with all the stress of individuals who are possibly, kind of, a bit bit more senior than you considering “what’s incorrect with him?” ‘ Interviewee 2. This behaviour was described as subsiding with time, suggesting that it was their perception of culture that was the latent situation as opposed to the actual culture. This interviewee discussed how he at some point discovered that it was acceptable to check details when prescribing: `. . . I uncover it rather good when Consultants open the BNF up inside the ward rounds. And you consider, well I’m not supposed to understand every single single medication there’s, or the dose’ Interviewee 16. Medical culture also played a role in RBMs, resulting from deference to seniority and unquestioningly following the (incorrect) orders of senior doctors or experienced nursing staff. A good instance of this was given by a medical doctor who felt relieved when a senior colleague came to assist, but then prescribed an antibiotic to which the patient was allergic, in spite of having already noted the allergy: `. journal.pone.0169185 . . the Registrar came, reviewed him and said, “No, no we should give Tazocin, penicillin.” And, erm, by that stage I’d forgotten that he was penicillin allergic and I just wrote it around the chart without the need of pondering. I say wi.