E. Part of his explanation for the error was his willingness to capitulate when tired: `I did not ask for any health-related history or something like that . . . more than the telephone at 3 or four o’clock [in the morning] you simply say yes to anything’ pnas.1602641113 Interviewee 25. Despite sharing these equivalent traits, there have been some variations in error-producing situations. With KBMs, RG 7422 cost Medical doctors were conscious of their understanding deficit at the time of your prescribing selection, unlike with RBMs, which led them to take among two pathways: strategy others for314 / 78:2 / Br J Clin PharmacolLatent conditionsSteep hierarchical structures inside health-related teams prevented physicians from looking for assistance or indeed getting sufficient support, highlighting the value on the prevailing healthcare culture. This varied between specialities and accessing assistance from seniors appeared to become additional problematic for FY1 trainees working 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 created you believe that you simply may be annoying them? A: Er, simply because they’d say, you understand, initially words’d be like, “Hi. Yeah, what’s it?” you realize, “I’ve scrubbed.” That’ll be like, kind of, the introduction, it would not be, you understand, “Any issues?” or something like that . . . it just does not sound extremely approachable or friendly around the telephone, you realize. They just sound rather direct and, and that they have been busy, I was inconveniencing them . . .’ Interviewee 22. Medical culture also influenced doctor’s behaviours as they acted in ways that they felt were essential so that you can match in. When exploring doctors’ motives for their KBMs they discussed how they had selected to not seek tips or information for fear of looking incompetent, especially when new to a ward. Interviewee two under explained why he did not check the dose of an antibiotic despite his uncertainty: `I knew I should’ve looked it up cos I didn’t actually know it, but I, I think I just convinced myself I knew it becauseExploring junior doctors’ prescribing mistakesI felt it was something that I should’ve recognized . . . since it is quite simple to have caught up in, in getting, you know, “Oh I am a Medical doctor now, I know stuff,” and with the stress of people that are possibly, sort of, a little bit bit much 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 instead of the actual culture. This interviewee discussed how he at some point discovered that it was acceptable to check facts when prescribing: `. . . I find it fairly good when Consultants open the BNF up within the ward rounds. And also you think, well I am not supposed to understand each single medication there’s, or the dose’ Interviewee 16. Health-related culture also played a part in RBMs, resulting from deference to seniority and unquestioningly following the (incorrect) orders of senior medical doctors or skilled nursing staff. An excellent example of this was offered by a medical professional who felt relieved when a senior colleague came to help, but then prescribed an antibiotic to which the patient was allergic, despite obtaining already noted the allergy: `. journal.pone.0169185 . . the Registrar came, reviewed him and said, “No, no we must give Tazocin, penicillin.” And, erm, by that stage I’d forgotten that he was Galanthamine penicillin allergic and I just wrote it on the chart with no considering. 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 . . . over the telephone at 3 or 4 o’clock [in the morning] you simply say yes to anything’ pnas.1602641113 Interviewee 25. Regardless of sharing these comparable qualities, there have been some variations in error-producing situations. With KBMs, doctors were aware of their expertise deficit in the time on the prescribing choice, in contrast to with RBMs, which led them to take one of two pathways: method other individuals for314 / 78:two / Br J Clin PharmacolLatent conditionsSteep hierarchical structures within healthcare teams prevented medical doctors from searching for support or indeed getting adequate help, highlighting the value on the prevailing healthcare culture. This varied involving specialities and accessing tips from seniors appeared to be additional problematic for FY1 trainees functioning in surgical specialities. Interviewee 22, who worked on a surgical ward, described how, when he approached seniors for suggestions to stop a KBM, he felt he was annoying them: `Q: What produced you believe that you just might be annoying them? A: Er, just because they’d say, you understand, first words’d be like, “Hi. Yeah, what exactly is it?” you know, “I’ve scrubbed.” That’ll be like, kind of, the introduction, it would not be, you realize, “Any troubles?” or anything like that . . . it just does not sound incredibly approachable or friendly on the telephone, you know. They just sound rather direct and, and that they were busy, I was inconveniencing them . . .’ Interviewee 22. Medical culture also influenced doctor’s behaviours as they acted in methods that they felt had been important in order to fit in. When exploring doctors’ factors for their KBMs they discussed how they had selected not to seek assistance or info for worry of hunting incompetent, particularly when new to a ward. Interviewee two below explained why he did not verify the dose of an antibiotic in spite of his uncertainty: `I knew I should’ve looked it up cos I did not definitely know it, but I, I consider I just convinced myself I knew it becauseExploring junior doctors’ prescribing mistakesI felt it was one thing that I should’ve recognized . . . because it is quite straightforward to have caught up in, in getting, you understand, “Oh I am a Doctor now, I know stuff,” and together with the pressure of people that are possibly, sort of, a little bit bit additional senior than you thinking “what’s wrong with him?” ‘ Interviewee two. This behaviour was described as subsiding with time, suggesting that it was their perception of culture that was the latent situation as an alternative to the actual culture. This interviewee discussed how he ultimately discovered that it was acceptable to check data when prescribing: `. . . I obtain it very good when Consultants open the BNF up within the ward rounds. And also you think, properly I am not supposed to understand every single medication there is, or the dose’ Interviewee 16. Healthcare culture also played a part in RBMs, resulting from deference to seniority and unquestioningly following the (incorrect) orders of senior physicians or skilled nursing staff. A superb instance of this was provided by a physician who felt relieved when a senior colleague came to help, but then prescribed an antibiotic to which the patient was allergic, regardless of obtaining currently noted the allergy: `. journal.pone.0169185 . . the Registrar came, reviewed him and said, “No, no we need to give Tazocin, penicillin.” And, erm, by that stage I’d forgotten that he was penicillin allergic and I just wrote it around the chart with out pondering. I say wi.