Published on: 16/11/2022
John was a newly qualified doctor working on a surgical team. He was asked to prescribe the first dose of a drug that was infrequently used. John wasn’t confident about administering this drug and didn’t feel comfortable to ask his peers or the staff on the ward for help. He administered the drug in a higher concentration than it should have been. Apart from the personal impact, this had on him John felt the lack of openness both within the team and with the family meant there was no learning from this event.