True Causes
SR
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7/7 · Akcije · pregled: Strukturiranje
osoba: 30 · ideja: 28
probni prolaz · ne računa se
prepreke · svako sa linkom · na javnom spisku · federacija uključena
vodi: njen voditelj (zapečaćeno)
osoba: 30 · ideja: 28 · 2 grupe
Pasoš → · Logika → · zapis
↗ podeli ovu mapu
Na drugom sajtu, kao živa mapa:
Kao slika: https://truecauses.org/d/3c4ac0e/map.svg
Kao podaci: svi ocenjeni parovi u ovoj sobi (CSV). Svaka tvrdnja ima svoju adresu, /c/3c4ac0e/<card>, navedenu ispod mape.
Navedite izvor kada objavljujete: Causal map: True Causes, https://truecauses.org/d/3c4ac0e
PITANJE

Why do medication errors keep happening?

Da li jedno značajno utiče na drugo? Odlučuju tri četvrtine datih glasova.

Gledate kao gost. Unesite korisničko ime da biste se pridružili i učestvovali.
Pitanja se raspodeljuju između grupa, pa dobijate ona koja su data vašoj grupi — ne svih 180.
zašto
Niko ne bi mogao da odgovori na nekoliko stotina parova. Svaki par ide jednoj grupi; par na kome se panel podeli zatim se upućuje drugim grupama, pa može kasnije da se pojavi na vašem spisku iako je počeo negde drugde. Broj rešenih uključuje rad svih grupa, zato raste brže nego što se vaš spisak smanjuje.
rešeno: 176 / 180 za vaš odgovor: 0
Poslednje prebrojavanje: rešeno: 176 · prosleđeno panelima više grupa: 1 · sporno: 0 · ispod kvoruma: 3 — panelima treba najmanje max(2, 75% panela) datih glasova; vaš najmanji panel ima 15 članova.
zatvori ✕
Pharmacy reviews charts a day after the first dose was given → utiče na? → …
Još ništa nije rečeno.
Završena faza — zapis parova i glasova stoji iznad.Proveri logiku ↗
Patients are moved between wards mid-treatment and the chart lags behind→Errors are discussed as individual mistakes, not as patternsotvorenodiskutuj
…→Agency staff do not know the ward's conventionsotvorenodiskutuj
Pharmacy reviews charts a day after the first dose was given→Infusion pumps on the ward come from three manufacturersotvorenodiskutuj
Agency staff do not know the ward's conventions→Interruptions during the drug round are constantotvoreno prosleđenodiskutuj
Allergy information is in a different system from the prescribing one→The same look-alike drugs are stored next to each other✓ dadiskutuj
Allergy information is in a different system from the prescribing one→Alerts in the system are so frequent that they are clicked through✓ dadiskutuj
Patients are moved between wards mid-treatment and the chart lags behind→Discharge medication lists disagree with the inpatient chart✓ dadiskutuj
Near misses are not reported because the form takes twenty minutes→The same look-alike drugs are stored next to each other✓ dadiskutuj
Double-checking is signed without a second person actually looking→Patients are moved between wards mid-treatment and the chart lags behind✓ dadiskutuj
Errors are discussed as individual mistakes, not as patterns→The same error recurs on the same drug every few months✓ dadiskutuj
Errors are discussed as individual mistakes, not as patterns→Near misses are not reported because the form takes twenty minutes✓ dadiskutuj
Night shift has one nurse for the whole bay→Interruptions during the drug round are constant✓ dadiskutuj
Pharmacy reviews charts a day after the first dose was given→Night shift has one nurse for the whole bay✓ dadiskutuj
Infusion pumps on the ward come from three manufacturers→Agency staff do not know the ward's conventions✓ dadiskutuj
Handwritten charts are still used when the system is down, which is often→Infusion pumps on the ward come from three manufacturers✓ dadiskutuj
Double-checking is signed without a second person actually looking→Discharge medication lists disagree with the inpatient chart✓ izvedenodiskutuj
Double-checking is signed without a second person actually looking→Allergy information is in a different system from the prescribing one✗ nediskutuj
New nurses are put on drug rounds in their first week→The same error recurs on the same drug every few months✗ nediskutuj
The same look-alike drugs are stored next to each other→Double-checking is signed without a second person actually looking✗ nediskutuj
Discharge medication lists disagree with the inpatient chart→Allergy information is in a different system from the prescribing one✗ nediskutuj
The same look-alike drugs are stored next to each other→The same error recurs on the same drug every few months✗ nediskutuj
Alerts in the system are so frequent that they are clicked through→New nurses are put on drug rounds in their first week✗ nediskutuj
Discharge medication lists disagree with the inpatient chart→Near misses are not reported because the form takes twenty minutes✗ nediskutuj
Double-checking is signed without a second person actually looking→Alerts in the system are so frequent that they are clicked through✗ nediskutuj
Errors are discussed as individual mistakes, not as patterns→Patients are moved between wards mid-treatment and the chart lags behind✗ nediskutuj
Alerts in the system are so frequent that they are clicked through→The same error recurs on the same drug every few months✗ nediskutuj
The same error recurs on the same drug every few months→Patients are moved between wards mid-treatment and the chart lags behind✗ nediskutuj
Allergy information is in a different system from the prescribing one→Discharge medication lists disagree with the inpatient chart✗ nediskutuj
Discharge medication lists disagree with the inpatient chart→Patients are moved between wards mid-treatment and the chart lags behind✗ nediskutuj
The same error recurs on the same drug every few months→New nurses are put on drug rounds in their first week✗ nediskutuj
Errors are discussed as individual mistakes, not as patterns→Discharge medication lists disagree with the inpatient chart✗ nediskutuj
Discharge medication lists disagree with the inpatient chart→The same look-alike drugs are stored next to each other✗ nediskutuj
The same error recurs on the same drug every few months→Double-checking is signed without a second person actually looking✗ nediskutuj
The same error recurs on the same drug every few months→Alerts in the system are so frequent that they are clicked through✗ nediskutuj
The same error recurs on the same drug every few months→Allergy information is in a different system from the prescribing one✗ nediskutuj
The same look-alike drugs are stored next to each other→New nurses are put on drug rounds in their first week✗ nediskutuj
Near misses are not reported because the form takes twenty minutes→The same error recurs on the same drug every few months✗ nediskutuj
Near misses are not reported because the form takes twenty minutes→Errors are discussed as individual mistakes, not as patterns✗ nediskutuj
The same look-alike drugs are stored next to each other→Discharge medication lists disagree with the inpatient chart✗ nediskutuj
Errors are discussed as individual mistakes, not as patterns→Double-checking is signed without a second person actually looking✗ nediskutuj
Alerts in the system are so frequent that they are clicked through→Double-checking is signed without a second person actually looking✗ nediskutuj
Discharge medication lists disagree with the inpatient chart→Alerts in the system are so frequent that they are clicked through✗ nediskutuj
The same error recurs on the same drug every few months→Near misses are not reported because the form takes twenty minutes✗ nediskutuj
Double-checking is signed without a second person actually looking→The same error recurs on the same drug every few months✗ nediskutuj
New nurses are put on drug rounds in their first week→Patients are moved between wards mid-treatment and the chart lags behind✗ nediskutuj
Errors are discussed as individual mistakes, not as patterns→Alerts in the system are so frequent that they are clicked through✗ nediskutuj
The same look-alike drugs are stored next to each other→Patients are moved between wards mid-treatment and the chart lags behind✗ nediskutuj
The same look-alike drugs are stored next to each other→Alerts in the system are so frequent that they are clicked through✗ nediskutuj
New nurses are put on drug rounds in their first week→Discharge medication lists disagree with the inpatient chart✗ nediskutuj
Near misses are not reported because the form takes twenty minutes→Allergy information is in a different system from the prescribing one✗ nediskutuj
New nurses are put on drug rounds in their first week→Near misses are not reported because the form takes twenty minutes✗ nediskutuj
Double-checking is signed without a second person actually looking→Near misses are not reported because the form takes twenty minutes✗ nediskutuj
The same look-alike drugs are stored next to each other→Errors are discussed as individual mistakes, not as patterns✗ nediskutuj
Near misses are not reported because the form takes twenty minutes→Alerts in the system are so frequent that they are clicked through✗ nediskutuj
Errors are discussed as individual mistakes, not as patterns→Allergy information is in a different system from the prescribing one✗ nediskutuj
Patients are moved between wards mid-treatment and the chart lags behind→The same error recurs on the same drug every few months✗ nediskutuj
New nurses are put on drug rounds in their first week→Alerts in the system are so frequent that they are clicked through✗ nediskutuj
Double-checking is signed without a second person actually looking→The same look-alike drugs are stored next to each other✗ nediskutuj
The same error recurs on the same drug every few months→Discharge medication lists disagree with the inpatient chart✗ nediskutuj
The same look-alike drugs are stored next to each other→Allergy information is in a different system from the prescribing one✗ nediskutuj
Double-checking is signed without a second person actually looking→Errors are discussed as individual mistakes, not as patterns✗ nediskutuj
Near misses are not reported because the form takes twenty minutes→Discharge medication lists disagree with the inpatient chart✗ nediskutuj
Patients are moved between wards mid-treatment and the chart lags behind→The same look-alike drugs are stored next to each other✗ nediskutuj
Allergy information is in a different system from the prescribing one→Near misses are not reported because the form takes twenty minutes✗ nediskutuj
Discharge medication lists disagree with the inpatient chart→Errors are discussed as individual mistakes, not as patterns✗ nediskutuj
Allergy information is in a different system from the prescribing one→Errors are discussed as individual mistakes, not as patterns✗ nediskutuj
Discharge medication lists disagree with the inpatient chart→The same error recurs on the same drug every few months✗ nediskutuj
Patients are moved between wards mid-treatment and the chart lags behind→Allergy information is in a different system from the prescribing one✗ nediskutuj
Allergy information is in a different system from the prescribing one→Patients are moved between wards mid-treatment and the chart lags behind✗ nediskutuj
New nurses are put on drug rounds in their first week→Double-checking is signed without a second person actually looking✗ nediskutuj
Patients are moved between wards mid-treatment and the chart lags behind→New nurses are put on drug rounds in their first week✗ nediskutuj
Alerts in the system are so frequent that they are clicked through→Allergy information is in a different system from the prescribing one✗ nediskutuj
Errors are discussed as individual mistakes, not as patterns→New nurses are put on drug rounds in their first week✗ nediskutuj
Near misses are not reported because the form takes twenty minutes→New nurses are put on drug rounds in their first week✗ nediskutuj
New nurses are put on drug rounds in their first week→The same look-alike drugs are stored next to each other✗ nediskutuj
Alerts in the system are so frequent that they are clicked through→The same look-alike drugs are stored next to each other✗ nediskutuj
Patients are moved between wards mid-treatment and the chart lags behind→Alerts in the system are so frequent that they are clicked through✗ nediskutuj
Allergy information is in a different system from the prescribing one→The same error recurs on the same drug every few months✗ nediskutuj
Double-checking is signed without a second person actually looking→New nurses are put on drug rounds in their first week✗ nediskutuj
New nurses are put on drug rounds in their first week→Errors are discussed as individual mistakes, not as patterns✗ nediskutuj
Near misses are not reported because the form takes twenty minutes→Double-checking is signed without a second person actually looking✗ nediskutuj
Alerts in the system are so frequent that they are clicked through→Patients are moved between wards mid-treatment and the chart lags behind✗ nediskutuj
Alerts in the system are so frequent that they are clicked through→Errors are discussed as individual mistakes, not as patterns✗ nediskutuj
Discharge medication lists disagree with the inpatient chart→New nurses are put on drug rounds in their first week✗ nediskutuj
New nurses are put on drug rounds in their first week→Allergy information is in a different system from the prescribing one✗ nediskutuj
Alerts in the system are so frequent that they are clicked through→Discharge medication lists disagree with the inpatient chart✗ nediskutuj
Near misses are not reported because the form takes twenty minutes→Patients are moved between wards mid-treatment and the chart lags behind✗ nediskutuj
Patients are moved between wards mid-treatment and the chart lags behind→Near misses are not reported because the form takes twenty minutes✗ nediskutuj
Errors are discussed as individual mistakes, not as patterns→The same look-alike drugs are stored next to each other✗ nediskutuj
Alerts in the system are so frequent that they are clicked through→Near misses are not reported because the form takes twenty minutes✗ nediskutuj
Patients are moved between wards mid-treatment and the chart lags behind→Double-checking is signed without a second person actually looking✗ nediskutuj
Allergy information is in a different system from the prescribing one→Double-checking is signed without a second person actually looking✗ nediskutuj
Discharge medication lists disagree with the inpatient chart→Double-checking is signed without a second person actually looking✗ nediskutuj
The same error recurs on the same drug every few months→The same look-alike drugs are stored next to each other✗ nediskutuj
The same error recurs on the same drug every few months→Errors are discussed as individual mistakes, not as patterns✗ nediskutuj
Allergy information is in a different system from the prescribing one→New nurses are put on drug rounds in their first week✗ nediskutuj
The same look-alike drugs are stored next to each other→Near misses are not reported because the form takes twenty minutes✗ nediskutuj
…→Infusion pumps on the ward come from three manufacturers✗ nediskutuj
Reporting an error has led to disciplinary action in the past→Handwritten charts are still used when the system is down, which is often✗ nediskutuj
Infusion pumps on the ward come from three manufacturers→…✗ nediskutuj
…→…✗ nediskutuj
Interruptions during the drug round are constant→Infusion pumps on the ward come from three manufacturers✗ nediskutuj
…→Handwritten charts are still used when the system is down, which is often✗ nediskutuj
…→Night shift has one nurse for the whole bay✗ nediskutuj
Weight-based doses are calculated by hand at the bedside→Infusion pumps on the ward come from three manufacturers✗ nediskutuj
Agency staff do not know the ward's conventions→…✗ nediskutuj
Weight-based doses are calculated by hand at the bedside→Night shift has one nurse for the whole bay✗ nediskutuj
Night shift has one nurse for the whole bay→Reporting an error has led to disciplinary action in the past✗ nediskutuj
Agency staff do not know the ward's conventions→Weight-based doses are calculated by hand at the bedside✗ nediskutuj
Interruptions during the drug round are constant→Agency staff do not know the ward's conventions✗ nediskutuj
Pharmacy reviews charts a day after the first dose was given→Handwritten charts are still used when the system is down, which is often✗ nediskutuj
Handwritten charts are still used when the system is down, which is often→Pharmacy reviews charts a day after the first dose was given✗ nediskutuj
Interruptions during the drug round are constant→…✗ nediskutuj
Agency staff do not know the ward's conventions→Handwritten charts are still used when the system is down, which is often✗ nediskutuj
…→Pharmacy reviews charts a day after the first dose was given✗ nediskutuj
Weight-based doses are calculated by hand at the bedside→Handwritten charts are still used when the system is down, which is often✗ nediskutuj
…→Night shift has one nurse for the whole bay✗ nediskutuj
Reporting an error has led to disciplinary action in the past→Agency staff do not know the ward's conventions✗ nediskutuj
Interruptions during the drug round are constant→Handwritten charts are still used when the system is down, which is often✗ nediskutuj
Agency staff do not know the ward's conventions→…✗ nediskutuj
Weight-based doses are calculated by hand at the bedside→Agency staff do not know the ward's conventions✗ nediskutuj
Agency staff do not know the ward's conventions→Infusion pumps on the ward come from three manufacturers✗ nediskutuj
Infusion pumps on the ward come from three manufacturers→Handwritten charts are still used when the system is down, which is often✗ nediskutuj
…→Interruptions during the drug round are constant✗ nediskutuj
Handwritten charts are still used when the system is down, which is often→Interruptions during the drug round are constant✗ nediskutuj
Agency staff do not know the ward's conventions→Pharmacy reviews charts a day after the first dose was given✗ nediskutuj
Handwritten charts are still used when the system is down, which is often→Agency staff do not know the ward's conventions✗ nediskutuj
Reporting an error has led to disciplinary action in the past→…✗ nediskutuj
Night shift has one nurse for the whole bay→…✗ nediskutuj
…→Handwritten charts are still used when the system is down, which is often✗ nediskutuj
Infusion pumps on the ward come from three manufacturers→Pharmacy reviews charts a day after the first dose was given✗ nediskutuj
Interruptions during the drug round are constant→Weight-based doses are calculated by hand at the bedside✗ nediskutuj
…→Weight-based doses are calculated by hand at the bedside✗ nediskutuj
Infusion pumps on the ward come from three manufacturers→…✗ nediskutuj
Infusion pumps on the ward come from three manufacturers→Interruptions during the drug round are constant✗ nediskutuj
Pharmacy reviews charts a day after the first dose was given→Interruptions during the drug round are constant✗ nediskutuj
Reporting an error has led to disciplinary action in the past→Weight-based doses are calculated by hand at the bedside✗ nediskutuj
Handwritten charts are still used when the system is down, which is often→…✗ nediskutuj
Weight-based doses are calculated by hand at the bedside→…✗ nediskutuj
Pharmacy reviews charts a day after the first dose was given→Weight-based doses are calculated by hand at the bedside✗ nediskutuj
…→Pharmacy reviews charts a day after the first dose was given✗ nediskutuj
Handwritten charts are still used when the system is down, which is often→…✗ nediskutuj
Interruptions during the drug round are constant→Night shift has one nurse for the whole bay✗ nediskutuj
Night shift has one nurse for the whole bay→…✗ nediskutuj
…→Reporting an error has led to disciplinary action in the past✗ nediskutuj
…→Weight-based doses are calculated by hand at the bedside✗ nediskutuj
…→…✗ nediskutuj
Handwritten charts are still used when the system is down, which is often→Reporting an error has led to disciplinary action in the past✗ nediskutuj
Pharmacy reviews charts a day after the first dose was given→…✗ neu fokusu ↑ · zatvori ✕
Agency staff do not know the ward's conventions→Reporting an error has led to disciplinary action in the past✗ nediskutuj
Reporting an error has led to disciplinary action in the past→Pharmacy reviews charts a day after the first dose was given✗ nediskutuj
Night shift has one nurse for the whole bay→Weight-based doses are calculated by hand at the bedside✗ nediskutuj
Weight-based doses are calculated by hand at the bedside→…✗ nediskutuj
Night shift has one nurse for the whole bay→Agency staff do not know the ward's conventions✗ nediskutuj
Agency staff do not know the ward's conventions→Night shift has one nurse for the whole bay✗ nediskutuj
Reporting an error has led to disciplinary action in the past→…✗ nediskutuj
Handwritten charts are still used when the system is down, which is often→Weight-based doses are calculated by hand at the bedside✗ nediskutuj
…→Interruptions during the drug round are constant✗ nediskutuj
Interruptions during the drug round are constant→Pharmacy reviews charts a day after the first dose was given✗ nediskutuj
Night shift has one nurse for the whole bay→Infusion pumps on the ward come from three manufacturers✗ nediskutuj
Interruptions during the drug round are constant→…✗ nediskutuj
Infusion pumps on the ward come from three manufacturers→Night shift has one nurse for the whole bay✗ nediskutuj
Handwritten charts are still used when the system is down, which is often→Night shift has one nurse for the whole bay✗ nediskutuj
…→Infusion pumps on the ward come from three manufacturers✗ nediskutuj
Pharmacy reviews charts a day after the first dose was given→…✗ nediskutuj
Weight-based doses are calculated by hand at the bedside→Interruptions during the drug round are constant✗ nediskutuj
Infusion pumps on the ward come from three manufacturers→Weight-based doses are calculated by hand at the bedside✗ nediskutuj
Night shift has one nurse for the whole bay→Pharmacy reviews charts a day after the first dose was given✗ nediskutuj
Reporting an error has led to disciplinary action in the past→Night shift has one nurse for the whole bay✗ nediskutuj
Pharmacy reviews charts a day after the first dose was given→Agency staff do not know the ward's conventions✗ nediskutuj
…→Agency staff do not know the ward's conventions✗ nediskutuj
Reporting an error has led to disciplinary action in the past→Infusion pumps on the ward come from three manufacturers✗ nediskutuj
Weight-based doses are calculated by hand at the bedside→Reporting an error has led to disciplinary action in the past✗ nediskutuj
Night shift has one nurse for the whole bay→Handwritten charts are still used when the system is down, which is often✗ nediskutuj
Infusion pumps on the ward come from three manufacturers→Reporting an error has led to disciplinary action in the past✗ nediskutuj
Weight-based doses are calculated by hand at the bedside→Pharmacy reviews charts a day after the first dose was given✗ nediskutuj
Pharmacy reviews charts a day after the first dose was given→Reporting an error has led to disciplinary action in the past✗ nediskutuj
…→Reporting an error has led to disciplinary action in the past✗ nediskutuj
Interruptions during the drug round are constant→Reporting an error has led to disciplinary action in the past✗ nediskutuj
Reporting an error has led to disciplinary action in the past→Interruptions during the drug round are constant✗ nediskutuj