结构 · Why do medication errors keep happening?

问题

Why do medication errors keep happening?

一方是否显著影响另一方？达到所投票数的四分之三即为定论。

已关闭 · 返回行动阶段

正以访客身份查看。输入用户名即可加入并参与。

问题在各小组之间分配，所以你拿到的是分给你们小组的那些——不是全部 180 个。

为什么

没有人能回答几百个卡片对。每个卡片对交给一个小组；意见分裂的卡片对会再转给其他小组，所以它可能稍后出现在你的列表中，即使它起初在别处。已定数量包括所有小组的工作，所以它增长得比你自己的列表缩短得快。

已定 176 / 180 0 个待你回答

上次计票：176 个已定 · 1 个上交跨组评审组 · 0 个有争议 · 3 个未达法定人数 — 每个评审组至少需要 max(2, 评审组人数的 75%) 张票；你们最小的评审组有 15 名成员.

关闭 ✕

Near misses are not reported because the form takes twenty minutes → 有影响？ → The same error recurs on the same drug every few months

还没有人发言。

已完成的阶段——卡片对和投票的记录见上方。检查逻辑 ↗

Patients are moved between wards mid-treatment and the chart lags behind	→	Errors are discussed as individual mistakes, not as patterns	未定	讨论
…	→	Agency staff do not know the ward's conventions	未定	讨论
Pharmacy reviews charts a day after the first dose was given	→	Infusion pumps on the ward come from three manufacturers	未定	讨论
Agency staff do not know the ward's conventions	→	Interruptions during the drug round are constant	未定已上交	讨论
Allergy information is in a different system from the prescribing one	→	The same look-alike drugs are stored next to each other	✓ 是	讨论
Allergy information is in a different system from the prescribing one	→	Alerts in the system are so frequent that they are clicked through	✓ 是	讨论
Patients are moved between wards mid-treatment and the chart lags behind	→	Discharge medication lists disagree with the inpatient chart	✓ 是	讨论
Near misses are not reported because the form takes twenty minutes	→	The same look-alike drugs are stored next to each other	✓ 是	讨论
Double-checking is signed without a second person actually looking	→	Patients are moved between wards mid-treatment and the chart lags behind	✓ 是	讨论
Errors are discussed as individual mistakes, not as patterns	→	The same error recurs on the same drug every few months	✓ 是	讨论
Errors are discussed as individual mistakes, not as patterns	→	Near misses are not reported because the form takes twenty minutes	✓ 是	讨论
Night shift has one nurse for the whole bay	→	Interruptions during the drug round are constant	✓ 是	讨论
Pharmacy reviews charts a day after the first dose was given	→	Night shift has one nurse for the whole bay	✓ 是	讨论
Infusion pumps on the ward come from three manufacturers	→	Agency staff do not know the ward's conventions	✓ 是	讨论
Handwritten charts are still used when the system is down, which is often	→	Infusion pumps on the ward come from three manufacturers	✓ 是	讨论
Double-checking is signed without a second person actually looking	→	Discharge medication lists disagree with the inpatient chart	✓ 推断	讨论
Double-checking is signed without a second person actually looking	→	Allergy information is in a different system from the prescribing one	✗ 否	讨论
New nurses are put on drug rounds in their first week	→	The same error recurs on the same drug every few months	✗ 否	讨论
The same look-alike drugs are stored next to each other	→	Double-checking is signed without a second person actually looking	✗ 否	讨论
Discharge medication lists disagree with the inpatient chart	→	Allergy information is in a different system from the prescribing one	✗ 否	讨论
The same look-alike drugs are stored next to each other	→	The same error recurs on the same drug every few months	✗ 否	讨论
Alerts in the system are so frequent that they are clicked through	→	New nurses are put on drug rounds in their first week	✗ 否	讨论
Discharge medication lists disagree with the inpatient chart	→	Near misses are not reported because the form takes twenty minutes	✗ 否	讨论
Double-checking is signed without a second person actually looking	→	Alerts in the system are so frequent that they are clicked through	✗ 否	讨论
Errors are discussed as individual mistakes, not as patterns	→	Patients are moved between wards mid-treatment and the chart lags behind	✗ 否	讨论
Alerts in the system are so frequent that they are clicked through	→	The same error recurs on the same drug every few months	✗ 否	讨论
The same error recurs on the same drug every few months	→	Patients are moved between wards mid-treatment and the chart lags behind	✗ 否	讨论
Allergy information is in a different system from the prescribing one	→	Discharge medication lists disagree with the inpatient chart	✗ 否	讨论
Discharge medication lists disagree with the inpatient chart	→	Patients are moved between wards mid-treatment and the chart lags behind	✗ 否	讨论
The same error recurs on the same drug every few months	→	New nurses are put on drug rounds in their first week	✗ 否	讨论
Errors are discussed as individual mistakes, not as patterns	→	Discharge medication lists disagree with the inpatient chart	✗ 否	讨论
Discharge medication lists disagree with the inpatient chart	→	The same look-alike drugs are stored next to each other	✗ 否	讨论
The same error recurs on the same drug every few months	→	Double-checking is signed without a second person actually looking	✗ 否	讨论
The same error recurs on the same drug every few months	→	Alerts in the system are so frequent that they are clicked through	✗ 否	讨论
The same error recurs on the same drug every few months	→	Allergy information is in a different system from the prescribing one	✗ 否	讨论
The same look-alike drugs are stored next to each other	→	New nurses are put on drug rounds in their first week	✗ 否	讨论
Near misses are not reported because the form takes twenty minutes	→	The same error recurs on the same drug every few months	✗ 否	当前焦点 ↑ · 关闭 ✕
Near misses are not reported because the form takes twenty minutes	→	Errors are discussed as individual mistakes, not as patterns	✗ 否	讨论
The same look-alike drugs are stored next to each other	→	Discharge medication lists disagree with the inpatient chart	✗ 否	讨论
Errors are discussed as individual mistakes, not as patterns	→	Double-checking is signed without a second person actually looking	✗ 否	讨论
Alerts in the system are so frequent that they are clicked through	→	Double-checking is signed without a second person actually looking	✗ 否	讨论
Discharge medication lists disagree with the inpatient chart	→	Alerts in the system are so frequent that they are clicked through	✗ 否	讨论
The same error recurs on the same drug every few months	→	Near misses are not reported because the form takes twenty minutes	✗ 否	讨论
Double-checking is signed without a second person actually looking	→	The same error recurs on the same drug every few months	✗ 否	讨论
New nurses are put on drug rounds in their first week	→	Patients are moved between wards mid-treatment and the chart lags behind	✗ 否	讨论
Errors are discussed as individual mistakes, not as patterns	→	Alerts in the system are so frequent that they are clicked through	✗ 否	讨论
The same look-alike drugs are stored next to each other	→	Patients are moved between wards mid-treatment and the chart lags behind	✗ 否	讨论
The same look-alike drugs are stored next to each other	→	Alerts in the system are so frequent that they are clicked through	✗ 否	讨论
New nurses are put on drug rounds in their first week	→	Discharge medication lists disagree with the inpatient chart	✗ 否	讨论
Near misses are not reported because the form takes twenty minutes	→	Allergy information is in a different system from the prescribing one	✗ 否	讨论
New nurses are put on drug rounds in their first week	→	Near misses are not reported because the form takes twenty minutes	✗ 否	讨论
Double-checking is signed without a second person actually looking	→	Near misses are not reported because the form takes twenty minutes	✗ 否	讨论
The same look-alike drugs are stored next to each other	→	Errors are discussed as individual mistakes, not as patterns	✗ 否	讨论
Near misses are not reported because the form takes twenty minutes	→	Alerts in the system are so frequent that they are clicked through	✗ 否	讨论
Errors are discussed as individual mistakes, not as patterns	→	Allergy information is in a different system from the prescribing one	✗ 否	讨论
Patients are moved between wards mid-treatment and the chart lags behind	→	The same error recurs on the same drug every few months	✗ 否	讨论
New nurses are put on drug rounds in their first week	→	Alerts in the system are so frequent that they are clicked through	✗ 否	讨论
Double-checking is signed without a second person actually looking	→	The same look-alike drugs are stored next to each other	✗ 否	讨论
The same error recurs on the same drug every few months	→	Discharge medication lists disagree with the inpatient chart	✗ 否	讨论
The same look-alike drugs are stored next to each other	→	Allergy information is in a different system from the prescribing one	✗ 否	讨论
Double-checking is signed without a second person actually looking	→	Errors are discussed as individual mistakes, not as patterns	✗ 否	讨论
Near misses are not reported because the form takes twenty minutes	→	Discharge medication lists disagree with the inpatient chart	✗ 否	讨论
Patients are moved between wards mid-treatment and the chart lags behind	→	The same look-alike drugs are stored next to each other	✗ 否	讨论
Allergy information is in a different system from the prescribing one	→	Near misses are not reported because the form takes twenty minutes	✗ 否	讨论
Discharge medication lists disagree with the inpatient chart	→	Errors are discussed as individual mistakes, not as patterns	✗ 否	讨论
Allergy information is in a different system from the prescribing one	→	Errors are discussed as individual mistakes, not as patterns	✗ 否	讨论
Discharge medication lists disagree with the inpatient chart	→	The same error recurs on the same drug every few months	✗ 否	讨论
Patients are moved between wards mid-treatment and the chart lags behind	→	Allergy information is in a different system from the prescribing one	✗ 否	讨论
Allergy information is in a different system from the prescribing one	→	Patients are moved between wards mid-treatment and the chart lags behind	✗ 否	讨论
New nurses are put on drug rounds in their first week	→	Double-checking is signed without a second person actually looking	✗ 否	讨论
Patients are moved between wards mid-treatment and the chart lags behind	→	New nurses are put on drug rounds in their first week	✗ 否	讨论
Alerts in the system are so frequent that they are clicked through	→	Allergy information is in a different system from the prescribing one	✗ 否	讨论
Errors are discussed as individual mistakes, not as patterns	→	New nurses are put on drug rounds in their first week	✗ 否	讨论
Near misses are not reported because the form takes twenty minutes	→	New nurses are put on drug rounds in their first week	✗ 否	讨论
New nurses are put on drug rounds in their first week	→	The same look-alike drugs are stored next to each other	✗ 否	讨论
Alerts in the system are so frequent that they are clicked through	→	The same look-alike drugs are stored next to each other	✗ 否	讨论
Patients are moved between wards mid-treatment and the chart lags behind	→	Alerts in the system are so frequent that they are clicked through	✗ 否	讨论
Allergy information is in a different system from the prescribing one	→	The same error recurs on the same drug every few months	✗ 否	讨论
Double-checking is signed without a second person actually looking	→	New nurses are put on drug rounds in their first week	✗ 否	讨论
New nurses are put on drug rounds in their first week	→	Errors are discussed as individual mistakes, not as patterns	✗ 否	讨论
Near misses are not reported because the form takes twenty minutes	→	Double-checking is signed without a second person actually looking	✗ 否	讨论
Alerts in the system are so frequent that they are clicked through	→	Patients are moved between wards mid-treatment and the chart lags behind	✗ 否	讨论
Alerts in the system are so frequent that they are clicked through	→	Errors are discussed as individual mistakes, not as patterns	✗ 否	讨论
Discharge medication lists disagree with the inpatient chart	→	New nurses are put on drug rounds in their first week	✗ 否	讨论
New nurses are put on drug rounds in their first week	→	Allergy information is in a different system from the prescribing one	✗ 否	讨论
Alerts in the system are so frequent that they are clicked through	→	Discharge medication lists disagree with the inpatient chart	✗ 否	讨论
Near misses are not reported because the form takes twenty minutes	→	Patients are moved between wards mid-treatment and the chart lags behind	✗ 否	讨论
Patients are moved between wards mid-treatment and the chart lags behind	→	Near misses are not reported because the form takes twenty minutes	✗ 否	讨论
Errors are discussed as individual mistakes, not as patterns	→	The same look-alike drugs are stored next to each other	✗ 否	讨论
Alerts in the system are so frequent that they are clicked through	→	Near misses are not reported because the form takes twenty minutes	✗ 否	讨论
Patients are moved between wards mid-treatment and the chart lags behind	→	Double-checking is signed without a second person actually looking	✗ 否	讨论
Allergy information is in a different system from the prescribing one	→	Double-checking is signed without a second person actually looking	✗ 否	讨论
Discharge medication lists disagree with the inpatient chart	→	Double-checking is signed without a second person actually looking	✗ 否	讨论
The same error recurs on the same drug every few months	→	The same look-alike drugs are stored next to each other	✗ 否	讨论
The same error recurs on the same drug every few months	→	Errors are discussed as individual mistakes, not as patterns	✗ 否	讨论
Allergy information is in a different system from the prescribing one	→	New nurses are put on drug rounds in their first week	✗ 否	讨论
The same look-alike drugs are stored next to each other	→	Near misses are not reported because the form takes twenty minutes	✗ 否	讨论
…	→	Infusion pumps on the ward come from three manufacturers	✗ 否	讨论
Reporting an error has led to disciplinary action in the past	→	Handwritten charts are still used when the system is down, which is often	✗ 否	讨论
Infusion pumps on the ward come from three manufacturers	→	…	✗ 否	讨论
…	→	…	✗ 否	讨论
Interruptions during the drug round are constant	→	Infusion pumps on the ward come from three manufacturers	✗ 否	讨论
…	→	Handwritten charts are still used when the system is down, which is often	✗ 否	讨论
…	→	Night shift has one nurse for the whole bay	✗ 否	讨论
Weight-based doses are calculated by hand at the bedside	→	Infusion pumps on the ward come from three manufacturers	✗ 否	讨论
Agency staff do not know the ward's conventions	→	…	✗ 否	讨论
Weight-based doses are calculated by hand at the bedside	→	Night shift has one nurse for the whole bay	✗ 否	讨论
Night shift has one nurse for the whole bay	→	Reporting an error has led to disciplinary action in the past	✗ 否	讨论
Agency staff do not know the ward's conventions	→	Weight-based doses are calculated by hand at the bedside	✗ 否	讨论
Interruptions during the drug round are constant	→	Agency staff do not know the ward's conventions	✗ 否	讨论
Pharmacy reviews charts a day after the first dose was given	→	Handwritten charts are still used when the system is down, which is often	✗ 否	讨论
Handwritten charts are still used when the system is down, which is often	→	Pharmacy reviews charts a day after the first dose was given	✗ 否	讨论
Interruptions during the drug round are constant	→	…	✗ 否	讨论
Agency staff do not know the ward's conventions	→	Handwritten charts are still used when the system is down, which is often	✗ 否	讨论
…	→	Pharmacy reviews charts a day after the first dose was given	✗ 否	讨论
Weight-based doses are calculated by hand at the bedside	→	Handwritten charts are still used when the system is down, which is often	✗ 否	讨论
…	→	Night shift has one nurse for the whole bay	✗ 否	讨论
Reporting an error has led to disciplinary action in the past	→	Agency staff do not know the ward's conventions	✗ 否	讨论
Interruptions during the drug round are constant	→	Handwritten charts are still used when the system is down, which is often	✗ 否	讨论
Agency staff do not know the ward's conventions	→	…	✗ 否	讨论
Weight-based doses are calculated by hand at the bedside	→	Agency staff do not know the ward's conventions	✗ 否	讨论
Agency staff do not know the ward's conventions	→	Infusion pumps on the ward come from three manufacturers	✗ 否	讨论
Infusion pumps on the ward come from three manufacturers	→	Handwritten charts are still used when the system is down, which is often	✗ 否	讨论
…	→	Interruptions during the drug round are constant	✗ 否	讨论
Handwritten charts are still used when the system is down, which is often	→	Interruptions during the drug round are constant	✗ 否	讨论
Agency staff do not know the ward's conventions	→	Pharmacy reviews charts a day after the first dose was given	✗ 否	讨论
Handwritten charts are still used when the system is down, which is often	→	Agency staff do not know the ward's conventions	✗ 否	讨论
Reporting an error has led to disciplinary action in the past	→	…	✗ 否	讨论
Night shift has one nurse for the whole bay	→	…	✗ 否	讨论
…	→	Handwritten charts are still used when the system is down, which is often	✗ 否	讨论
Infusion pumps on the ward come from three manufacturers	→	Pharmacy reviews charts a day after the first dose was given	✗ 否	讨论
Interruptions during the drug round are constant	→	Weight-based doses are calculated by hand at the bedside	✗ 否	讨论
…	→	Weight-based doses are calculated by hand at the bedside	✗ 否	讨论
Infusion pumps on the ward come from three manufacturers	→	…	✗ 否	讨论
Infusion pumps on the ward come from three manufacturers	→	Interruptions during the drug round are constant	✗ 否	讨论
Pharmacy reviews charts a day after the first dose was given	→	Interruptions during the drug round are constant	✗ 否	讨论
Reporting an error has led to disciplinary action in the past	→	Weight-based doses are calculated by hand at the bedside	✗ 否	讨论
Handwritten charts are still used when the system is down, which is often	→	…	✗ 否	讨论
Weight-based doses are calculated by hand at the bedside	→	…	✗ 否	讨论
Pharmacy reviews charts a day after the first dose was given	→	Weight-based doses are calculated by hand at the bedside	✗ 否	讨论
…	→	Pharmacy reviews charts a day after the first dose was given	✗ 否	讨论
Handwritten charts are still used when the system is down, which is often	→	…	✗ 否	讨论
Interruptions during the drug round are constant	→	Night shift has one nurse for the whole bay	✗ 否	讨论
Night shift has one nurse for the whole bay	→	…	✗ 否	讨论
…	→	Reporting an error has led to disciplinary action in the past	✗ 否	讨论
…	→	Weight-based doses are calculated by hand at the bedside	✗ 否	讨论
…	→	…	✗ 否	讨论
Handwritten charts are still used when the system is down, which is often	→	Reporting an error has led to disciplinary action in the past	✗ 否	讨论
Pharmacy reviews charts a day after the first dose was given	→	…	✗ 否	讨论
Agency staff do not know the ward's conventions	→	Reporting an error has led to disciplinary action in the past	✗ 否	讨论
Reporting an error has led to disciplinary action in the past	→	Pharmacy reviews charts a day after the first dose was given	✗ 否	讨论
Night shift has one nurse for the whole bay	→	Weight-based doses are calculated by hand at the bedside	✗ 否	讨论
Weight-based doses are calculated by hand at the bedside	→	…	✗ 否	讨论
Night shift has one nurse for the whole bay	→	Agency staff do not know the ward's conventions	✗ 否	讨论
Agency staff do not know the ward's conventions	→	Night shift has one nurse for the whole bay	✗ 否	讨论
Reporting an error has led to disciplinary action in the past	→	…	✗ 否	讨论
Handwritten charts are still used when the system is down, which is often	→	Weight-based doses are calculated by hand at the bedside	✗ 否	讨论
…	→	Interruptions during the drug round are constant	✗ 否	讨论
Interruptions during the drug round are constant	→	Pharmacy reviews charts a day after the first dose was given	✗ 否	讨论
Night shift has one nurse for the whole bay	→	Infusion pumps on the ward come from three manufacturers	✗ 否	讨论
Interruptions during the drug round are constant	→	…	✗ 否	讨论
Infusion pumps on the ward come from three manufacturers	→	Night shift has one nurse for the whole bay	✗ 否	讨论
Handwritten charts are still used when the system is down, which is often	→	Night shift has one nurse for the whole bay	✗ 否	讨论
…	→	Infusion pumps on the ward come from three manufacturers	✗ 否	讨论
Pharmacy reviews charts a day after the first dose was given	→	…	✗ 否	讨论
Weight-based doses are calculated by hand at the bedside	→	Interruptions during the drug round are constant	✗ 否	讨论
Infusion pumps on the ward come from three manufacturers	→	Weight-based doses are calculated by hand at the bedside	✗ 否	讨论
Night shift has one nurse for the whole bay	→	Pharmacy reviews charts a day after the first dose was given	✗ 否	讨论
Reporting an error has led to disciplinary action in the past	→	Night shift has one nurse for the whole bay	✗ 否	讨论
Pharmacy reviews charts a day after the first dose was given	→	Agency staff do not know the ward's conventions	✗ 否	讨论
…	→	Agency staff do not know the ward's conventions	✗ 否	讨论
Reporting an error has led to disciplinary action in the past	→	Infusion pumps on the ward come from three manufacturers	✗ 否	讨论
Weight-based doses are calculated by hand at the bedside	→	Reporting an error has led to disciplinary action in the past	✗ 否	讨论
Night shift has one nurse for the whole bay	→	Handwritten charts are still used when the system is down, which is often	✗ 否	讨论
Infusion pumps on the ward come from three manufacturers	→	Reporting an error has led to disciplinary action in the past	✗ 否	讨论
Weight-based doses are calculated by hand at the bedside	→	Pharmacy reviews charts a day after the first dose was given	✗ 否	讨论
Pharmacy reviews charts a day after the first dose was given	→	Reporting an error has led to disciplinary action in the past	✗ 否	讨论
…	→	Reporting an error has led to disciplinary action in the past	✗ 否	讨论
Interruptions during the drug round are constant	→	Reporting an error has led to disciplinary action in the past	✗ 否	讨论
Reporting an error has led to disciplinary action in the past	→	Interruptions during the drug round are constant	✗ 否	讨论