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7/7 · Дії · перегляд: Структурування
людей: 30 · ідей: 28
торкніться будь-якого завершеного етапу, щоб його переглянути
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Структурування
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Мапа
7
Дії
пробний прогін · не враховується
перешкоди · будь-хто з посиланням · у публічному списку · федерацію ввімкнено
ведучий: її ведучий (запечатана)
людей: 30 · ідей: 28 · 2 групи
Паспорт → · Логіка → · запис
↗ поділитися цією мапою
На іншому сайті, як жива мапа:
Як зображення: https://truecauses.org/d/3c4ac0e/map.svg
Як дані: кожна оцінена пара в цій кімнаті (CSV). Кожне твердження має власну адресу, /c/3c4ac0e/<card>, перелічену під мапою.
Зазначайте джерело під час публікації: Causal map: True Causes, https://truecauses.org/d/3c4ac0e
ПИТАННЯ

Why do medication errors keep happening?

Чи суттєво одне впливає на інше? Вирішують три чверті поданих голосів.

Ви переглядаєте як гість. Введіть ім’я користувача, щоб приєднатися й брати участь.
Питання розподіляються між групами, тож ви отримуєте ті, що дісталися вашій групі, — а не всі 180.
чому
Ніхто не зміг би відповісти на кілька сотень пар. Кожна пара дістається одній групі; пару, у якій думки розділилися, потім передають іншим групам, тож вона може пізніше з’явитися у вашому списку, хоча почалася деінде. Кількість вирішених охоплює роботу всіх груп, тому вона росте швидше, ніж скорочується ваш список.
вирішено: 176 / 180 чекають вашої відповіді: 0
Останній підрахунок: вирішено: 176 · передано міжгруповим панелям: 1 · спірно: 0 · нижче кворуму: 3 — панелям потрібно щонайменше max(2, 75% панелі) поданих голосів; у вашій найменшій панелі 15 учасників.
закрити ✕
Patients are moved between wards mid-treatment and the chart lags behind → впливає на? → Double-checking is signed without a second person actually looking
Ще нічого не сказано.
Етап завершено — запис пар і голосів наведено вище.Перевірити логіку ↗
Patients are moved between wards mid-treatment and the chart lags behind→Errors are discussed as individual mistakes, not as patternsвідкритообговорити
…→Agency staff do not know the ward's conventionsвідкритообговорити
Pharmacy reviews charts a day after the first dose was given→Infusion pumps on the ward come from three manufacturersвідкритообговорити
Agency staff do not know the ward's conventions→Interruptions during the drug round are constantвідкрито передано даліобговорити
Allergy information is in a different system from the prescribing one→The same look-alike drugs are stored next to each other✓ такобговорити
Allergy information is in a different system from the prescribing one→Alerts in the system are so frequent that they are clicked through✓ такобговорити
Patients are moved between wards mid-treatment and the chart lags behind→Discharge medication lists disagree with the inpatient chart✓ такобговорити
Near misses are not reported because the form takes twenty minutes→The same look-alike drugs are stored next to each other✓ такобговорити
Double-checking is signed without a second person actually looking→Patients are moved between wards mid-treatment and the chart lags behind✓ такобговорити
Errors are discussed as individual mistakes, not as patterns→The same error recurs on the same drug every few months✓ такобговорити
Errors are discussed as individual mistakes, not as patterns→Near misses are not reported because the form takes twenty minutes✓ такобговорити
Night shift has one nurse for the whole bay→Interruptions during the drug round are constant✓ такобговорити
Pharmacy reviews charts a day after the first dose was given→Night shift has one nurse for the whole bay✓ такобговорити
Infusion pumps on the ward come from three manufacturers→Agency staff do not know the ward's conventions✓ такобговорити
Handwritten charts are still used when the system is down, which is often→Infusion pumps on the ward come from three manufacturers✓ такобговорити
Double-checking is signed without a second person actually looking→Discharge medication lists disagree with the inpatient chart✓ виведенообговорити
Double-checking is signed without a second person actually looking→Allergy information is in a different system from the prescribing one✗ ніобговорити
New nurses are put on drug rounds in their first week→The same error recurs on the same drug every few months✗ ніобговорити
The same look-alike drugs are stored next to each other→Double-checking is signed without a second person actually looking✗ ніобговорити
Discharge medication lists disagree with the inpatient chart→Allergy information is in a different system from the prescribing one✗ ніобговорити
The same look-alike drugs are stored next to each other→The same error recurs on the same drug every few months✗ ніобговорити
Alerts in the system are so frequent that they are clicked through→New nurses are put on drug rounds in their first week✗ ніобговорити
Discharge medication lists disagree with the inpatient chart→Near misses are not reported because the form takes twenty minutes✗ ніобговорити
Double-checking is signed without a second person actually looking→Alerts in the system are so frequent that they are clicked through✗ ніобговорити
Errors are discussed as individual mistakes, not as patterns→Patients are moved between wards mid-treatment and the chart lags behind✗ ніобговорити
Alerts in the system are so frequent that they are clicked through→The same error recurs on the same drug every few months✗ ніобговорити
The same error recurs on the same drug every few months→Patients are moved between wards mid-treatment and the chart lags behind✗ ніобговорити
Allergy information is in a different system from the prescribing one→Discharge medication lists disagree with the inpatient chart✗ ніобговорити
Discharge medication lists disagree with the inpatient chart→Patients are moved between wards mid-treatment and the chart lags behind✗ ніобговорити
The same error recurs on the same drug every few months→New nurses are put on drug rounds in their first week✗ ніобговорити
Errors are discussed as individual mistakes, not as patterns→Discharge medication lists disagree with the inpatient chart✗ ніобговорити
Discharge medication lists disagree with the inpatient chart→The same look-alike drugs are stored next to each other✗ ніобговорити
The same error recurs on the same drug every few months→Double-checking is signed without a second person actually looking✗ ніобговорити
The same error recurs on the same drug every few months→Alerts in the system are so frequent that they are clicked through✗ ніобговорити
The same error recurs on the same drug every few months→Allergy information is in a different system from the prescribing one✗ ніобговорити
The same look-alike drugs are stored next to each other→New nurses are put on drug rounds in their first week✗ ніобговорити
Near misses are not reported because the form takes twenty minutes→The same error recurs on the same drug every few months✗ ніобговорити
Near misses are not reported because the form takes twenty minutes→Errors are discussed as individual mistakes, not as patterns✗ ніобговорити
The same look-alike drugs are stored next to each other→Discharge medication lists disagree with the inpatient chart✗ ніобговорити
Errors are discussed as individual mistakes, not as patterns→Double-checking is signed without a second person actually looking✗ ніобговорити
Alerts in the system are so frequent that they are clicked through→Double-checking is signed without a second person actually looking✗ ніобговорити
Discharge medication lists disagree with the inpatient chart→Alerts in the system are so frequent that they are clicked through✗ ніобговорити
The same error recurs on the same drug every few months→Near misses are not reported because the form takes twenty minutes✗ ніобговорити
Double-checking is signed without a second person actually looking→The same error recurs on the same drug every few months✗ ніобговорити
New nurses are put on drug rounds in their first week→Patients are moved between wards mid-treatment and the chart lags behind✗ ніобговорити
Errors are discussed as individual mistakes, not as patterns→Alerts in the system are so frequent that they are clicked through✗ ніобговорити
The same look-alike drugs are stored next to each other→Patients are moved between wards mid-treatment and the chart lags behind✗ ніобговорити
The same look-alike drugs are stored next to each other→Alerts in the system are so frequent that they are clicked through✗ ніобговорити
New nurses are put on drug rounds in their first week→Discharge medication lists disagree with the inpatient chart✗ ніобговорити
Near misses are not reported because the form takes twenty minutes→Allergy information is in a different system from the prescribing one✗ ніобговорити
New nurses are put on drug rounds in their first week→Near misses are not reported because the form takes twenty minutes✗ ніобговорити
Double-checking is signed without a second person actually looking→Near misses are not reported because the form takes twenty minutes✗ ніобговорити
The same look-alike drugs are stored next to each other→Errors are discussed as individual mistakes, not as patterns✗ ніобговорити
Near misses are not reported because the form takes twenty minutes→Alerts in the system are so frequent that they are clicked through✗ ніобговорити
Errors are discussed as individual mistakes, not as patterns→Allergy information is in a different system from the prescribing one✗ ніобговорити
Patients are moved between wards mid-treatment and the chart lags behind→The same error recurs on the same drug every few months✗ ніобговорити
New nurses are put on drug rounds in their first week→Alerts in the system are so frequent that they are clicked through✗ ніобговорити
Double-checking is signed without a second person actually looking→The same look-alike drugs are stored next to each other✗ ніобговорити
The same error recurs on the same drug every few months→Discharge medication lists disagree with the inpatient chart✗ ніобговорити
The same look-alike drugs are stored next to each other→Allergy information is in a different system from the prescribing one✗ ніобговорити
Double-checking is signed without a second person actually looking→Errors are discussed as individual mistakes, not as patterns✗ ніобговорити
Near misses are not reported because the form takes twenty minutes→Discharge medication lists disagree with the inpatient chart✗ ніобговорити
Patients are moved between wards mid-treatment and the chart lags behind→The same look-alike drugs are stored next to each other✗ ніобговорити
Allergy information is in a different system from the prescribing one→Near misses are not reported because the form takes twenty minutes✗ ніобговорити
Discharge medication lists disagree with the inpatient chart→Errors are discussed as individual mistakes, not as patterns✗ ніобговорити
Allergy information is in a different system from the prescribing one→Errors are discussed as individual mistakes, not as patterns✗ ніобговорити
Discharge medication lists disagree with the inpatient chart→The same error recurs on the same drug every few months✗ ніобговорити
Patients are moved between wards mid-treatment and the chart lags behind→Allergy information is in a different system from the prescribing one✗ ніобговорити
Allergy information is in a different system from the prescribing one→Patients are moved between wards mid-treatment and the chart lags behind✗ ніобговорити
New nurses are put on drug rounds in their first week→Double-checking is signed without a second person actually looking✗ ніобговорити
Patients are moved between wards mid-treatment and the chart lags behind→New nurses are put on drug rounds in their first week✗ ніобговорити
Alerts in the system are so frequent that they are clicked through→Allergy information is in a different system from the prescribing one✗ ніобговорити
Errors are discussed as individual mistakes, not as patterns→New nurses are put on drug rounds in their first week✗ ніобговорити
Near misses are not reported because the form takes twenty minutes→New nurses are put on drug rounds in their first week✗ ніобговорити
New nurses are put on drug rounds in their first week→The same look-alike drugs are stored next to each other✗ ніобговорити
Alerts in the system are so frequent that they are clicked through→The same look-alike drugs are stored next to each other✗ ніобговорити
Patients are moved between wards mid-treatment and the chart lags behind→Alerts in the system are so frequent that they are clicked through✗ ніобговорити
Allergy information is in a different system from the prescribing one→The same error recurs on the same drug every few months✗ ніобговорити
Double-checking is signed without a second person actually looking→New nurses are put on drug rounds in their first week✗ ніобговорити
New nurses are put on drug rounds in their first week→Errors are discussed as individual mistakes, not as patterns✗ ніобговорити
Near misses are not reported because the form takes twenty minutes→Double-checking is signed without a second person actually looking✗ ніобговорити
Alerts in the system are so frequent that they are clicked through→Patients are moved between wards mid-treatment and the chart lags behind✗ ніобговорити
Alerts in the system are so frequent that they are clicked through→Errors are discussed as individual mistakes, not as patterns✗ ніобговорити
Discharge medication lists disagree with the inpatient chart→New nurses are put on drug rounds in their first week✗ ніобговорити
New nurses are put on drug rounds in their first week→Allergy information is in a different system from the prescribing one✗ ніобговорити
Alerts in the system are so frequent that they are clicked through→Discharge medication lists disagree with the inpatient chart✗ ніобговорити
Near misses are not reported because the form takes twenty minutes→Patients are moved between wards mid-treatment and the chart lags behind✗ ніобговорити
Patients are moved between wards mid-treatment and the chart lags behind→Near misses are not reported because the form takes twenty minutes✗ ніобговорити
Errors are discussed as individual mistakes, not as patterns→The same look-alike drugs are stored next to each other✗ ніобговорити
Alerts in the system are so frequent that they are clicked through→Near misses are not reported because the form takes twenty minutes✗ ніобговорити
Patients are moved between wards mid-treatment and the chart lags behind→Double-checking is signed without a second person actually looking✗ ніу фокусі ↑ · закрити ✕
Allergy information is in a different system from the prescribing one→Double-checking is signed without a second person actually looking✗ ніобговорити
Discharge medication lists disagree with the inpatient chart→Double-checking is signed without a second person actually looking✗ ніобговорити
The same error recurs on the same drug every few months→The same look-alike drugs are stored next to each other✗ ніобговорити
The same error recurs on the same drug every few months→Errors are discussed as individual mistakes, not as patterns✗ ніобговорити
Allergy information is in a different system from the prescribing one→New nurses are put on drug rounds in their first week✗ ніобговорити
The same look-alike drugs are stored next to each other→Near misses are not reported because the form takes twenty minutes✗ ніобговорити
…→Infusion pumps on the ward come from three manufacturers✗ ніобговорити
Reporting an error has led to disciplinary action in the past→Handwritten charts are still used when the system is down, which is often✗ ніобговорити
Infusion pumps on the ward come from three manufacturers→…✗ ніобговорити
…→…✗ ніобговорити
Interruptions during the drug round are constant→Infusion pumps on the ward come from three manufacturers✗ ніобговорити
…→Handwritten charts are still used when the system is down, which is often✗ ніобговорити
…→Night shift has one nurse for the whole bay✗ ніобговорити
Weight-based doses are calculated by hand at the bedside→Infusion pumps on the ward come from three manufacturers✗ ніобговорити
Agency staff do not know the ward's conventions→…✗ ніобговорити
Weight-based doses are calculated by hand at the bedside→Night shift has one nurse for the whole bay✗ ніобговорити
Night shift has one nurse for the whole bay→Reporting an error has led to disciplinary action in the past✗ ніобговорити
Agency staff do not know the ward's conventions→Weight-based doses are calculated by hand at the bedside✗ ніобговорити
Interruptions during the drug round are constant→Agency staff do not know the ward's conventions✗ ніобговорити
Pharmacy reviews charts a day after the first dose was given→Handwritten charts are still used when the system is down, which is often✗ ніобговорити
Handwritten charts are still used when the system is down, which is often→Pharmacy reviews charts a day after the first dose was given✗ ніобговорити
Interruptions during the drug round are constant→…✗ ніобговорити
Agency staff do not know the ward's conventions→Handwritten charts are still used when the system is down, which is often✗ ніобговорити
…→Pharmacy reviews charts a day after the first dose was given✗ ніобговорити
Weight-based doses are calculated by hand at the bedside→Handwritten charts are still used when the system is down, which is often✗ ніобговорити
…→Night shift has one nurse for the whole bay✗ ніобговорити
Reporting an error has led to disciplinary action in the past→Agency staff do not know the ward's conventions✗ ніобговорити
Interruptions during the drug round are constant→Handwritten charts are still used when the system is down, which is often✗ ніобговорити
Agency staff do not know the ward's conventions→…✗ ніобговорити
Weight-based doses are calculated by hand at the bedside→Agency staff do not know the ward's conventions✗ ніобговорити
Agency staff do not know the ward's conventions→Infusion pumps on the ward come from three manufacturers✗ ніобговорити
Infusion pumps on the ward come from three manufacturers→Handwritten charts are still used when the system is down, which is often✗ ніобговорити
…→Interruptions during the drug round are constant✗ ніобговорити
Handwritten charts are still used when the system is down, which is often→Interruptions during the drug round are constant✗ ніобговорити
Agency staff do not know the ward's conventions→Pharmacy reviews charts a day after the first dose was given✗ ніобговорити
Handwritten charts are still used when the system is down, which is often→Agency staff do not know the ward's conventions✗ ніобговорити
Reporting an error has led to disciplinary action in the past→…✗ ніобговорити
Night shift has one nurse for the whole bay→…✗ ніобговорити
…→Handwritten charts are still used when the system is down, which is often✗ ніобговорити
Infusion pumps on the ward come from three manufacturers→Pharmacy reviews charts a day after the first dose was given✗ ніобговорити
Interruptions during the drug round are constant→Weight-based doses are calculated by hand at the bedside✗ ніобговорити
…→Weight-based doses are calculated by hand at the bedside✗ ніобговорити
Infusion pumps on the ward come from three manufacturers→…✗ ніобговорити
Infusion pumps on the ward come from three manufacturers→Interruptions during the drug round are constant✗ ніобговорити
Pharmacy reviews charts a day after the first dose was given→Interruptions during the drug round are constant✗ ніобговорити
Reporting an error has led to disciplinary action in the past→Weight-based doses are calculated by hand at the bedside✗ ніобговорити
Handwritten charts are still used when the system is down, which is often→…✗ ніобговорити
Weight-based doses are calculated by hand at the bedside→…✗ ніобговорити
Pharmacy reviews charts a day after the first dose was given→Weight-based doses are calculated by hand at the bedside✗ ніобговорити
…→Pharmacy reviews charts a day after the first dose was given✗ ніобговорити
Handwritten charts are still used when the system is down, which is often→…✗ ніобговорити
Interruptions during the drug round are constant→Night shift has one nurse for the whole bay✗ ніобговорити
Night shift has one nurse for the whole bay→…✗ ніобговорити
…→Reporting an error has led to disciplinary action in the past✗ ніобговорити
…→Weight-based doses are calculated by hand at the bedside✗ ніобговорити
…→…✗ ніобговорити
Handwritten charts are still used when the system is down, which is often→Reporting an error has led to disciplinary action in the past✗ ніобговорити
Pharmacy reviews charts a day after the first dose was given→…✗ ніобговорити
Agency staff do not know the ward's conventions→Reporting an error has led to disciplinary action in the past✗ ніобговорити
Reporting an error has led to disciplinary action in the past→Pharmacy reviews charts a day after the first dose was given✗ ніобговорити
Night shift has one nurse for the whole bay→Weight-based doses are calculated by hand at the bedside✗ ніобговорити
Weight-based doses are calculated by hand at the bedside→…✗ ніобговорити
Night shift has one nurse for the whole bay→Agency staff do not know the ward's conventions✗ ніобговорити
Agency staff do not know the ward's conventions→Night shift has one nurse for the whole bay✗ ніобговорити
Reporting an error has led to disciplinary action in the past→…✗ ніобговорити
Handwritten charts are still used when the system is down, which is often→Weight-based doses are calculated by hand at the bedside✗ ніобговорити
…→Interruptions during the drug round are constant✗ ніобговорити
Interruptions during the drug round are constant→Pharmacy reviews charts a day after the first dose was given✗ ніобговорити
Night shift has one nurse for the whole bay→Infusion pumps on the ward come from three manufacturers✗ ніобговорити
Interruptions during the drug round are constant→…✗ ніобговорити
Infusion pumps on the ward come from three manufacturers→Night shift has one nurse for the whole bay✗ ніобговорити
Handwritten charts are still used when the system is down, which is often→Night shift has one nurse for the whole bay✗ ніобговорити
…→Infusion pumps on the ward come from three manufacturers✗ ніобговорити
Pharmacy reviews charts a day after the first dose was given→…✗ ніобговорити
Weight-based doses are calculated by hand at the bedside→Interruptions during the drug round are constant✗ ніобговорити
Infusion pumps on the ward come from three manufacturers→Weight-based doses are calculated by hand at the bedside✗ ніобговорити
Night shift has one nurse for the whole bay→Pharmacy reviews charts a day after the first dose was given✗ ніобговорити
Reporting an error has led to disciplinary action in the past→Night shift has one nurse for the whole bay✗ ніобговорити
Pharmacy reviews charts a day after the first dose was given→Agency staff do not know the ward's conventions✗ ніобговорити
…→Agency staff do not know the ward's conventions✗ ніобговорити
Reporting an error has led to disciplinary action in the past→Infusion pumps on the ward come from three manufacturers✗ ніобговорити
Weight-based doses are calculated by hand at the bedside→Reporting an error has led to disciplinary action in the past✗ ніобговорити
Night shift has one nurse for the whole bay→Handwritten charts are still used when the system is down, which is often✗ ніобговорити
Infusion pumps on the ward come from three manufacturers→Reporting an error has led to disciplinary action in the past✗ ніобговорити
Weight-based doses are calculated by hand at the bedside→Pharmacy reviews charts a day after the first dose was given✗ ніобговорити
Pharmacy reviews charts a day after the first dose was given→Reporting an error has led to disciplinary action in the past✗ ніобговорити
…→Reporting an error has led to disciplinary action in the past✗ ніобговорити
Interruptions during the drug round are constant→Reporting an error has led to disciplinary action in the past✗ ніобговорити
Reporting an error has led to disciplinary action in the past→Interruptions during the drug round are constant✗ ніобговорити