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4. Identify the people who can help determine accident causes (witness).
1. Direct factors
2. Personnel characteristics
1. Direct Factors:
2. Personnel Characteristics:
2. Errors of Commission: operator performs extra steps that are incorrect or performs a step
incorrectly.
For Example:
- Administering a wrong medication to the patient
- Administering the wrong dosage of a medication
- Administering medication to the wrong patient
- Performing a surgical procedure on the wrong patient
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