Strukturering · Why do medication errors keep happening?

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Why do medication errors keep happening?

Har den ene væsentlig indflydelse på den anden? Tre fjerdedele af de afgivne stemmer afgør det.

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Spørgsmålene fordeles mellem grupperne, så du får dem, din gruppe fik tildelt — ikke alle 180.

hvorfor

Ingen kunne svare på flere hundrede par. Hvert par går til én gruppe; et par, der deler gruppen, sendes derefter videre til andre grupper, så det kan dukke op på din liste senere, selvom det startede et andet sted. Antallet af afgjorte tæller alle gruppers arbejde, og derfor stiger det hurtigere, end din egen liste skrumper.

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Seneste optælling: afgjort: 176 · sendt videre til tværgående paneler: 1 · omstridt: 0 · under kvorum: 3 — paneler skal have mindst max(2, 75 % af panelet) afgivne stemmer; dit mindste panel har 15 medlemmer.

luk ✕

… → påvirker? → Night shift has one nurse for the whole bay

Intet sagt endnu.

Afsluttet fase — historikken over par og stemmer står ovenfor.Tjek logikken ↗

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