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Table 2 Specific beliefs assigned to domains

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

Specific beliefs

Domain

My perceptions about my own prescribing have changed with experience.

Skills

Less experience means I may be more likely to make an error.

Knowledge/skills

When I have more experience, I consult reference sources less.

Knowledge/skills

Behavioral regulation

 

More experience means I may be more likely to make an error as I may become complacent.

Knowledge/skills

Behavioral regulation

 

I need to know professional norms for writing prescriptions in order to prescribe without error.

Knowledge

I need to know about guidelines and protocols to prescribe without error.

Knowledge

I’m not always aware what protocols are in place.

Knowledge

The nurses are good at picking up errors.

Social/professional role & identity

The pharmacist checks my prescriptions for errors (in some wards only).

Social/professional role & identity

Senior colleagues influence my prescribing behaviour.

Social influences

Pharmacists influence my prescribing behaviour.

Social influences

Nurses influence my prescribing behaviour.

Social influences

Everything I write on a prescription will have been told to me by a senior colleague.

Social influences

Support is greater when working on specialist wards.

Social/professional role & identity

I’m confident I don’t make errors when prescribing.

Beliefs about capabilities

If I make an error, it will be picked up by someone else.

Beliefs about consequences

If I make an error, nothing may happen.

Beliefs about consequences

If I make an error, it may not have any effect on the patient.

Beliefs about consequences

If I make a prescribing error, it can cause harm to the patient.

Beliefs about consequences

If I make a prescribing error, it can result in negative outcomes for myself.

Beliefs about consequences

If I am distracted when I’m prescribing, I’m more likely to make an error

Environmental context and resources

Memory, attention, & decision processes

 

If I am under time pressure when I’m prescribing, I’m more likely to make an error.

Environmental context and resources

Using reference sources helps me to prescribe without making an error.

Behavioral regulation

Having easily available guidance at the point of prescribing medications would reduce errors.

Behavioral regulation

Having greater pharmacy support would reduce prescribing errors.

Behavioral regulation