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Identifying the latent failures underpinning medication administration errors: an exploratory study.
Lawton R, Carruthers S, Gardner P, Wright J, McEachan RR. Health Serv Res. 2012;47:1437-1459.

This study identified 10 latent failures that contributed to medication administration errors based on interviews with nurses and managers. Ward climate, the most prevalent theme, was noted to interact with other failures such as workload, team communication, and supervision and leadership.
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