Fig. 2

Sensitivity to operations in chemotherapy prescribing (with examples). CPOE = Computerized Provider Order Entry system. We refer to Endsley’s definition of situation awareness [38] as “the perception of the elements in the environment within a volume of time and space, the comprehension of their meaning and the projection of their status in the near future”, applied to a patient. With organisation awareness we refer to the understanding of how roles and services fit within the organisational structure, institutional practices and rules, and how to operate within these practices to achieve desired effects. This definition includes individual awareness of local teams and workflows, or of the wider hospital organisation, within or beyond individual’s control. CPOE awareness is knowledge on how the technology works/how to make it work/the effects it produces and acting on this knowledge. We take sensitivity to operations (at individual or collective level) as any and all of the three types of awareness at any one time