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Intentional Violations of Medical Protocols


April 5, 2012

Samuel J. Alper in the Human Factors practice recently had an article published in BMJ Quality & Safety entitled, “Self-reported violations during medication administration in two paediatric hospitals.” The study investigated system causes of intentional violations of protocols in the medication administration process in pediatric hospitals. It was found that structure and process system factors, such as unit of the hospital, task in the medication administration process, and urgency of the situation, influence the likelihood of intentional violation behaviors. This is the second paper in a series analyzing intentional violations of medical protocols. The first paper was a literature review summarizing the causes of intentional violations of safe practices in a variety of workplace settings. A subsequent paper will explore the causes of violations based on specific workplace characteristics, such as job demands, ease of performance, and rule clarity.