True Causes
EN

ATLAS · A CLAIM AND WHERE IT CAME FROM

Infusion pumps on the ward come from three manufacturers

Raised in 1 room

Why do medication errors keep happening?

→ What leads to it (1)

Handwritten charts are still used when the system is down, which is often
certified in 1 room

→ What it leads to (1)

Agency staff do not know the ward's conventions
certified in 1 room

Every room keeps its own record: its map, its rules, and every judged pair with its votes, downloadable from the room. ← The atlas