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30명 · 아이디어 28개
시연 · 집계 제외
장애물 · 링크가 있는 누구나 · 공개 목록에 표시 · 연합 사용
진행자: 그 방의 진행자 (봉인됨)
30명 · 아이디어 28개 · 그룹 2개
패스포트 → · 논리 → · 기록
↗ 이 지도 공유
다른 사이트에 실시간 지도로:
이미지로: https://truecauses.org/d/3c4ac0e/map.svg
데이터로: 이 방에서 판정한 모든 쌍 (CSV). 각 주장에는 고유 주소(/c/3c4ac0e/<card>)가 있으며, 지도 아래에 나열되어 있습니다.
게시할 때 출처 표기: Causal map: True Causes, https://truecauses.org/d/3c4ac0e
질문

Why do medication errors keep happening?

한쪽이 다른 쪽에 크게 영향을 줍니까? 던진 표의 4분의 3으로 정합니다.

게스트로 보는 중. 참여하려면 닉네임을 입력하세요.
질문은 그룹별로 나뉘어, 내 그룹이 받은 질문만 나옵니다. 전체 180개가 다 나오지는 않습니다.
이유
수백 개의 쌍을 혼자 답할 수는 없습니다. 각 쌍은 한 그룹에 갑니다. 의견이 갈린 쌍은 다른 그룹에 넘어가므로, 다른 곳에서 시작한 쌍이 나중에 내 목록에 나올 수 있습니다. 확정된 수에는 모든 그룹의 작업이 들어가므로, 내 목록이 줄어드는 것보다 빨리 늘어납니다.
확정 176 / 180 내가 답할 질문 0개
지난 집계: 결정 176 · 그룹 간 패널로 넘김 1 · 이견 있음 0 · 최소 인원 미달 3 — 패널마다 던진 표가 최소 max(2, 패널의 75%) 필요합니다. 가장 작은 패널의 멤버는 15명입니다.
닫기 ✕
Handwritten charts are still used when the system is down, which is often → 영향을 주나? → Pharmacy reviews charts a day after the first dose was given
아직 아무 말도 없습니다.
끝난 단계입니다. 쌍과 투표 기록은 위에 있습니다.논리 확인 ↗
Patients are moved between wards mid-treatment and the chart lags behind→Errors are discussed as individual mistakes, not as patterns미결논의하기
…→Agency staff do not know the ward's conventions미결논의하기
Pharmacy reviews charts a day after the first dose was given→Infusion pumps on the ward come from three manufacturers미결논의하기
Agency staff do not know the ward's conventions→Interruptions during the drug round are constant미결 넘김논의하기
Allergy information is in a different system from the prescribing one→The same look-alike drugs are stored next to each other✓ 예논의하기
Allergy information is in a different system from the prescribing one→Alerts in the system are so frequent that they are clicked through✓ 예논의하기
Patients are moved between wards mid-treatment and the chart lags behind→Discharge medication lists disagree with the inpatient chart✓ 예논의하기
Near misses are not reported because the form takes twenty minutes→The same look-alike drugs are stored next to each other✓ 예논의하기
Double-checking is signed without a second person actually looking→Patients are moved between wards mid-treatment and the chart lags behind✓ 예논의하기
Errors are discussed as individual mistakes, not as patterns→The same error recurs on the same drug every few months✓ 예논의하기
Errors are discussed as individual mistakes, not as patterns→Near misses are not reported because the form takes twenty minutes✓ 예논의하기
Night shift has one nurse for the whole bay→Interruptions during the drug round are constant✓ 예논의하기
Pharmacy reviews charts a day after the first dose was given→Night shift has one nurse for the whole bay✓ 예논의하기
Infusion pumps on the ward come from three manufacturers→Agency staff do not know the ward's conventions✓ 예논의하기
Handwritten charts are still used when the system is down, which is often→Infusion pumps on the ward come from three manufacturers✓ 예논의하기
Double-checking is signed without a second person actually looking→Discharge medication lists disagree with the inpatient chart✓ 추론됨논의하기
Double-checking is signed without a second person actually looking→Allergy information is in a different system from the prescribing one✗ 아니요논의하기
New nurses are put on drug rounds in their first week→The same error recurs on the same drug every few months✗ 아니요논의하기
The same look-alike drugs are stored next to each other→Double-checking is signed without a second person actually looking✗ 아니요논의하기
Discharge medication lists disagree with the inpatient chart→Allergy information is in a different system from the prescribing one✗ 아니요논의하기
The same look-alike drugs are stored next to each other→The same error recurs on the same drug every few months✗ 아니요논의하기
Alerts in the system are so frequent that they are clicked through→New nurses are put on drug rounds in their first week✗ 아니요논의하기
Discharge medication lists disagree with the inpatient chart→Near misses are not reported because the form takes twenty minutes✗ 아니요논의하기
Double-checking is signed without a second person actually looking→Alerts in the system are so frequent that they are clicked through✗ 아니요논의하기
Errors are discussed as individual mistakes, not as patterns→Patients are moved between wards mid-treatment and the chart lags behind✗ 아니요논의하기
Alerts in the system are so frequent that they are clicked through→The same error recurs on the same drug every few months✗ 아니요논의하기
The same error recurs on the same drug every few months→Patients are moved between wards mid-treatment and the chart lags behind✗ 아니요논의하기
Allergy information is in a different system from the prescribing one→Discharge medication lists disagree with the inpatient chart✗ 아니요논의하기
Discharge medication lists disagree with the inpatient chart→Patients are moved between wards mid-treatment and the chart lags behind✗ 아니요논의하기
The same error recurs on the same drug every few months→New nurses are put on drug rounds in their first week✗ 아니요논의하기
Errors are discussed as individual mistakes, not as patterns→Discharge medication lists disagree with the inpatient chart✗ 아니요논의하기
Discharge medication lists disagree with the inpatient chart→The same look-alike drugs are stored next to each other✗ 아니요논의하기
The same error recurs on the same drug every few months→Double-checking is signed without a second person actually looking✗ 아니요논의하기
The same error recurs on the same drug every few months→Alerts in the system are so frequent that they are clicked through✗ 아니요논의하기
The same error recurs on the same drug every few months→Allergy information is in a different system from the prescribing one✗ 아니요논의하기
The same look-alike drugs are stored next to each other→New nurses are put on drug rounds in their first week✗ 아니요논의하기
Near misses are not reported because the form takes twenty minutes→The same error recurs on the same drug every few months✗ 아니요논의하기
Near misses are not reported because the form takes twenty minutes→Errors are discussed as individual mistakes, not as patterns✗ 아니요논의하기
The same look-alike drugs are stored next to each other→Discharge medication lists disagree with the inpatient chart✗ 아니요논의하기
Errors are discussed as individual mistakes, not as patterns→Double-checking is signed without a second person actually looking✗ 아니요논의하기
Alerts in the system are so frequent that they are clicked through→Double-checking is signed without a second person actually looking✗ 아니요논의하기
Discharge medication lists disagree with the inpatient chart→Alerts in the system are so frequent that they are clicked through✗ 아니요논의하기
The same error recurs on the same drug every few months→Near misses are not reported because the form takes twenty minutes✗ 아니요논의하기
Double-checking is signed without a second person actually looking→The same error recurs on the same drug every few months✗ 아니요논의하기
New nurses are put on drug rounds in their first week→Patients are moved between wards mid-treatment and the chart lags behind✗ 아니요논의하기
Errors are discussed as individual mistakes, not as patterns→Alerts in the system are so frequent that they are clicked through✗ 아니요논의하기
The same look-alike drugs are stored next to each other→Patients are moved between wards mid-treatment and the chart lags behind✗ 아니요논의하기
The same look-alike drugs are stored next to each other→Alerts in the system are so frequent that they are clicked through✗ 아니요논의하기
New nurses are put on drug rounds in their first week→Discharge medication lists disagree with the inpatient chart✗ 아니요논의하기
Near misses are not reported because the form takes twenty minutes→Allergy information is in a different system from the prescribing one✗ 아니요논의하기
New nurses are put on drug rounds in their first week→Near misses are not reported because the form takes twenty minutes✗ 아니요논의하기
Double-checking is signed without a second person actually looking→Near misses are not reported because the form takes twenty minutes✗ 아니요논의하기
The same look-alike drugs are stored next to each other→Errors are discussed as individual mistakes, not as patterns✗ 아니요논의하기
Near misses are not reported because the form takes twenty minutes→Alerts in the system are so frequent that they are clicked through✗ 아니요논의하기
Errors are discussed as individual mistakes, not as patterns→Allergy information is in a different system from the prescribing one✗ 아니요논의하기
Patients are moved between wards mid-treatment and the chart lags behind→The same error recurs on the same drug every few months✗ 아니요논의하기
New nurses are put on drug rounds in their first week→Alerts in the system are so frequent that they are clicked through✗ 아니요논의하기
Double-checking is signed without a second person actually looking→The same look-alike drugs are stored next to each other✗ 아니요논의하기
The same error recurs on the same drug every few months→Discharge medication lists disagree with the inpatient chart✗ 아니요논의하기
The same look-alike drugs are stored next to each other→Allergy information is in a different system from the prescribing one✗ 아니요논의하기
Double-checking is signed without a second person actually looking→Errors are discussed as individual mistakes, not as patterns✗ 아니요논의하기
Near misses are not reported because the form takes twenty minutes→Discharge medication lists disagree with the inpatient chart✗ 아니요논의하기
Patients are moved between wards mid-treatment and the chart lags behind→The same look-alike drugs are stored next to each other✗ 아니요논의하기
Allergy information is in a different system from the prescribing one→Near misses are not reported because the form takes twenty minutes✗ 아니요논의하기
Discharge medication lists disagree with the inpatient chart→Errors are discussed as individual mistakes, not as patterns✗ 아니요논의하기
Allergy information is in a different system from the prescribing one→Errors are discussed as individual mistakes, not as patterns✗ 아니요논의하기
Discharge medication lists disagree with the inpatient chart→The same error recurs on the same drug every few months✗ 아니요논의하기
Patients are moved between wards mid-treatment and the chart lags behind→Allergy information is in a different system from the prescribing one✗ 아니요논의하기
Allergy information is in a different system from the prescribing one→Patients are moved between wards mid-treatment and the chart lags behind✗ 아니요논의하기
New nurses are put on drug rounds in their first week→Double-checking is signed without a second person actually looking✗ 아니요논의하기
Patients are moved between wards mid-treatment and the chart lags behind→New nurses are put on drug rounds in their first week✗ 아니요논의하기
Alerts in the system are so frequent that they are clicked through→Allergy information is in a different system from the prescribing one✗ 아니요논의하기
Errors are discussed as individual mistakes, not as patterns→New nurses are put on drug rounds in their first week✗ 아니요논의하기
Near misses are not reported because the form takes twenty minutes→New nurses are put on drug rounds in their first week✗ 아니요논의하기
New nurses are put on drug rounds in their first week→The same look-alike drugs are stored next to each other✗ 아니요논의하기
Alerts in the system are so frequent that they are clicked through→The same look-alike drugs are stored next to each other✗ 아니요논의하기
Patients are moved between wards mid-treatment and the chart lags behind→Alerts in the system are so frequent that they are clicked through✗ 아니요논의하기
Allergy information is in a different system from the prescribing one→The same error recurs on the same drug every few months✗ 아니요논의하기
Double-checking is signed without a second person actually looking→New nurses are put on drug rounds in their first week✗ 아니요논의하기
New nurses are put on drug rounds in their first week→Errors are discussed as individual mistakes, not as patterns✗ 아니요논의하기
Near misses are not reported because the form takes twenty minutes→Double-checking is signed without a second person actually looking✗ 아니요논의하기
Alerts in the system are so frequent that they are clicked through→Patients are moved between wards mid-treatment and the chart lags behind✗ 아니요논의하기
Alerts in the system are so frequent that they are clicked through→Errors are discussed as individual mistakes, not as patterns✗ 아니요논의하기
Discharge medication lists disagree with the inpatient chart→New nurses are put on drug rounds in their first week✗ 아니요논의하기
New nurses are put on drug rounds in their first week→Allergy information is in a different system from the prescribing one✗ 아니요논의하기
Alerts in the system are so frequent that they are clicked through→Discharge medication lists disagree with the inpatient chart✗ 아니요논의하기
Near misses are not reported because the form takes twenty minutes→Patients are moved between wards mid-treatment and the chart lags behind✗ 아니요논의하기
Patients are moved between wards mid-treatment and the chart lags behind→Near misses are not reported because the form takes twenty minutes✗ 아니요논의하기
Errors are discussed as individual mistakes, not as patterns→The same look-alike drugs are stored next to each other✗ 아니요논의하기
Alerts in the system are so frequent that they are clicked through→Near misses are not reported because the form takes twenty minutes✗ 아니요논의하기
Patients are moved between wards mid-treatment and the chart lags behind→Double-checking is signed without a second person actually looking✗ 아니요논의하기
Allergy information is in a different system from the prescribing one→Double-checking is signed without a second person actually looking✗ 아니요논의하기
Discharge medication lists disagree with the inpatient chart→Double-checking is signed without a second person actually looking✗ 아니요논의하기
The same error recurs on the same drug every few months→The same look-alike drugs are stored next to each other✗ 아니요논의하기
The same error recurs on the same drug every few months→Errors are discussed as individual mistakes, not as patterns✗ 아니요논의하기
Allergy information is in a different system from the prescribing one→New nurses are put on drug rounds in their first week✗ 아니요논의하기
The same look-alike drugs are stored next to each other→Near misses are not reported because the form takes twenty minutes✗ 아니요논의하기
…→Infusion pumps on the ward come from three manufacturers✗ 아니요논의하기
Reporting an error has led to disciplinary action in the past→Handwritten charts are still used when the system is down, which is often✗ 아니요논의하기
Infusion pumps on the ward come from three manufacturers→…✗ 아니요논의하기
…→…✗ 아니요논의하기
Interruptions during the drug round are constant→Infusion pumps on the ward come from three manufacturers✗ 아니요논의하기
…→Handwritten charts are still used when the system is down, which is often✗ 아니요논의하기
…→Night shift has one nurse for the whole bay✗ 아니요논의하기
Weight-based doses are calculated by hand at the bedside→Infusion pumps on the ward come from three manufacturers✗ 아니요논의하기
Agency staff do not know the ward's conventions→…✗ 아니요논의하기
Weight-based doses are calculated by hand at the bedside→Night shift has one nurse for the whole bay✗ 아니요논의하기
Night shift has one nurse for the whole bay→Reporting an error has led to disciplinary action in the past✗ 아니요논의하기
Agency staff do not know the ward's conventions→Weight-based doses are calculated by hand at the bedside✗ 아니요논의하기
Interruptions during the drug round are constant→Agency staff do not know the ward's conventions✗ 아니요논의하기
Pharmacy reviews charts a day after the first dose was given→Handwritten charts are still used when the system is down, which is often✗ 아니요논의하기
Handwritten charts are still used when the system is down, which is often→Pharmacy reviews charts a day after the first dose was given✗ 아니요보는 중 ↑ · 닫기 ✕
Interruptions during the drug round are constant→…✗ 아니요논의하기
Agency staff do not know the ward's conventions→Handwritten charts are still used when the system is down, which is often✗ 아니요논의하기
…→Pharmacy reviews charts a day after the first dose was given✗ 아니요논의하기
Weight-based doses are calculated by hand at the bedside→Handwritten charts are still used when the system is down, which is often✗ 아니요논의하기
…→Night shift has one nurse for the whole bay✗ 아니요논의하기
Reporting an error has led to disciplinary action in the past→Agency staff do not know the ward's conventions✗ 아니요논의하기
Interruptions during the drug round are constant→Handwritten charts are still used when the system is down, which is often✗ 아니요논의하기
Agency staff do not know the ward's conventions→…✗ 아니요논의하기
Weight-based doses are calculated by hand at the bedside→Agency staff do not know the ward's conventions✗ 아니요논의하기
Agency staff do not know the ward's conventions→Infusion pumps on the ward come from three manufacturers✗ 아니요논의하기
Infusion pumps on the ward come from three manufacturers→Handwritten charts are still used when the system is down, which is often✗ 아니요논의하기
…→Interruptions during the drug round are constant✗ 아니요논의하기
Handwritten charts are still used when the system is down, which is often→Interruptions during the drug round are constant✗ 아니요논의하기
Agency staff do not know the ward's conventions→Pharmacy reviews charts a day after the first dose was given✗ 아니요논의하기
Handwritten charts are still used when the system is down, which is often→Agency staff do not know the ward's conventions✗ 아니요논의하기
Reporting an error has led to disciplinary action in the past→…✗ 아니요논의하기
Night shift has one nurse for the whole bay→…✗ 아니요논의하기
…→Handwritten charts are still used when the system is down, which is often✗ 아니요논의하기
Infusion pumps on the ward come from three manufacturers→Pharmacy reviews charts a day after the first dose was given✗ 아니요논의하기
Interruptions during the drug round are constant→Weight-based doses are calculated by hand at the bedside✗ 아니요논의하기
…→Weight-based doses are calculated by hand at the bedside✗ 아니요논의하기
Infusion pumps on the ward come from three manufacturers→…✗ 아니요논의하기
Infusion pumps on the ward come from three manufacturers→Interruptions during the drug round are constant✗ 아니요논의하기
Pharmacy reviews charts a day after the first dose was given→Interruptions during the drug round are constant✗ 아니요논의하기
Reporting an error has led to disciplinary action in the past→Weight-based doses are calculated by hand at the bedside✗ 아니요논의하기
Handwritten charts are still used when the system is down, which is often→…✗ 아니요논의하기
Weight-based doses are calculated by hand at the bedside→…✗ 아니요논의하기
Pharmacy reviews charts a day after the first dose was given→Weight-based doses are calculated by hand at the bedside✗ 아니요논의하기
…→Pharmacy reviews charts a day after the first dose was given✗ 아니요논의하기
Handwritten charts are still used when the system is down, which is often→…✗ 아니요논의하기
Interruptions during the drug round are constant→Night shift has one nurse for the whole bay✗ 아니요논의하기
Night shift has one nurse for the whole bay→…✗ 아니요논의하기
…→Reporting an error has led to disciplinary action in the past✗ 아니요논의하기
…→Weight-based doses are calculated by hand at the bedside✗ 아니요논의하기
…→…✗ 아니요논의하기
Handwritten charts are still used when the system is down, which is often→Reporting an error has led to disciplinary action in the past✗ 아니요논의하기
Pharmacy reviews charts a day after the first dose was given→…✗ 아니요논의하기
Agency staff do not know the ward's conventions→Reporting an error has led to disciplinary action in the past✗ 아니요논의하기
Reporting an error has led to disciplinary action in the past→Pharmacy reviews charts a day after the first dose was given✗ 아니요논의하기
Night shift has one nurse for the whole bay→Weight-based doses are calculated by hand at the bedside✗ 아니요논의하기
Weight-based doses are calculated by hand at the bedside→…✗ 아니요논의하기
Night shift has one nurse for the whole bay→Agency staff do not know the ward's conventions✗ 아니요논의하기
Agency staff do not know the ward's conventions→Night shift has one nurse for the whole bay✗ 아니요논의하기
Reporting an error has led to disciplinary action in the past→…✗ 아니요논의하기
Handwritten charts are still used when the system is down, which is often→Weight-based doses are calculated by hand at the bedside✗ 아니요논의하기
…→Interruptions during the drug round are constant✗ 아니요논의하기
Interruptions during the drug round are constant→Pharmacy reviews charts a day after the first dose was given✗ 아니요논의하기
Night shift has one nurse for the whole bay→Infusion pumps on the ward come from three manufacturers✗ 아니요논의하기
Interruptions during the drug round are constant→…✗ 아니요논의하기
Infusion pumps on the ward come from three manufacturers→Night shift has one nurse for the whole bay✗ 아니요논의하기
Handwritten charts are still used when the system is down, which is often→Night shift has one nurse for the whole bay✗ 아니요논의하기
…→Infusion pumps on the ward come from three manufacturers✗ 아니요논의하기
Pharmacy reviews charts a day after the first dose was given→…✗ 아니요논의하기
Weight-based doses are calculated by hand at the bedside→Interruptions during the drug round are constant✗ 아니요논의하기
Infusion pumps on the ward come from three manufacturers→Weight-based doses are calculated by hand at the bedside✗ 아니요논의하기
Night shift has one nurse for the whole bay→Pharmacy reviews charts a day after the first dose was given✗ 아니요논의하기
Reporting an error has led to disciplinary action in the past→Night shift has one nurse for the whole bay✗ 아니요논의하기
Pharmacy reviews charts a day after the first dose was given→Agency staff do not know the ward's conventions✗ 아니요논의하기
…→Agency staff do not know the ward's conventions✗ 아니요논의하기
Reporting an error has led to disciplinary action in the past→Infusion pumps on the ward come from three manufacturers✗ 아니요논의하기
Weight-based doses are calculated by hand at the bedside→Reporting an error has led to disciplinary action in the past✗ 아니요논의하기
Night shift has one nurse for the whole bay→Handwritten charts are still used when the system is down, which is often✗ 아니요논의하기
Infusion pumps on the ward come from three manufacturers→Reporting an error has led to disciplinary action in the past✗ 아니요논의하기
Weight-based doses are calculated by hand at the bedside→Pharmacy reviews charts a day after the first dose was given✗ 아니요논의하기
Pharmacy reviews charts a day after the first dose was given→Reporting an error has led to disciplinary action in the past✗ 아니요논의하기
…→Reporting an error has led to disciplinary action in the past✗ 아니요논의하기
Interruptions during the drug round are constant→Reporting an error has led to disciplinary action in the past✗ 아니요논의하기
Reporting an error has led to disciplinary action in the past→Interruptions during the drug round are constant✗ 아니요논의하기