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7/7 · Действия · просмотр: Структурирование
людей: 30 · идей: 28
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Карта
7
Действия
пробный прогон · не учитывается
препятствия · любой, у кого есть ссылка · в открытом списке · федерация включена
ведущий: ее ведущий (запечатана)
людей: 30 · идей: 28 · 2 группы
Паспорт → · Логика → · протокол
↗ поделиться этой картой
На другом сайте, как живая карта:
Как изображение: https://truecauses.org/d/3c4ac0e/map.svg
Как данные: все оцененные пары в этой комнате (CSV). У каждого утверждения есть свой адрес, /c/3c4ac0e/<card>, он указан под картой.
Укажите источник при публикации: Causal map: True Causes, https://truecauses.org/d/3c4ac0e
ВОПРОС

Why do medication errors keep happening?

Существенно ли одно влияет на другое? Решают три четверти поданных голосов.

закрыто · назад к этапу «Действия»
Вы смотрите как гость. Введите имя пользователя, чтобы присоединиться и участвовать.
Вопросы распределяются между группами, поэтому вы получаете те, что достались вашей группе, — а не все 180.
почему
Никто не смог бы ответить на несколько сотен пар. Каждая пара достается одной группе; пара, по которой мнения разделились, затем передается другим группам, поэтому она может позже появиться в вашем списке, хотя началась в другом месте. Число решенных включает работу всех групп, поэтому оно растет быстрее, чем сокращается ваш список.
решено: 176 / 180 ждут вашего ответа: 0
Последний подсчет: решено: 176 · передано панелям из нескольких групп: 1 · спорно: 0 · ниже кворума: 3 — панелям нужно не меньше max(2, 75% панели) поданных голосов; в вашей самой маленькой панели 15 участников.
закрыть ✕
Interruptions during the drug round are constant → влияет на? → Agency staff do not know the ward's conventions
Пока ничего не сказано.
Этап завершен — запись пар и голосов приведена выше.Проверить логику ↗
Patients are moved between wards mid-treatment and the chart lags behind→Errors are discussed as individual mistakes, not as patternsоткрытообсудить
…→Agency staff do not know the ward's conventionsоткрытообсудить
Pharmacy reviews charts a day after the first dose was given→Infusion pumps on the ward come from three manufacturersоткрытообсудить
Agency staff do not know the ward's conventions→Interruptions during the drug round are constantоткрыто передано дальшеобсудить
Allergy information is in a different system from the prescribing one→The same look-alike drugs are stored next to each other✓ даобсудить
Allergy information is in a different system from the prescribing one→Alerts in the system are so frequent that they are clicked through✓ даобсудить
Patients are moved between wards mid-treatment and the chart lags behind→Discharge medication lists disagree with the inpatient chart✓ даобсудить
Near misses are not reported because the form takes twenty minutes→The same look-alike drugs are stored next to each other✓ даобсудить
Double-checking is signed without a second person actually looking→Patients are moved between wards mid-treatment and the chart lags behind✓ даобсудить
Errors are discussed as individual mistakes, not as patterns→The same error recurs on the same drug every few months✓ даобсудить
Errors are discussed as individual mistakes, not as patterns→Near misses are not reported because the form takes twenty minutes✓ даобсудить
Night shift has one nurse for the whole bay→Interruptions during the drug round are constant✓ даобсудить
Pharmacy reviews charts a day after the first dose was given→Night shift has one nurse for the whole bay✓ даобсудить
Infusion pumps on the ward come from three manufacturers→Agency staff do not know the ward's conventions✓ даобсудить
Handwritten charts are still used when the system is down, which is often→Infusion pumps on the ward come from three manufacturers✓ даобсудить
Double-checking is signed without a second person actually looking→Discharge medication lists disagree with the inpatient chart✓ выведенообсудить
Double-checking is signed without a second person actually looking→Allergy information is in a different system from the prescribing one✗ нетобсудить
New nurses are put on drug rounds in their first week→The same error recurs on the same drug every few months✗ нетобсудить
The same look-alike drugs are stored next to each other→Double-checking is signed without a second person actually looking✗ нетобсудить
Discharge medication lists disagree with the inpatient chart→Allergy information is in a different system from the prescribing one✗ нетобсудить
The same look-alike drugs are stored next to each other→The same error recurs on the same drug every few months✗ нетобсудить
Alerts in the system are so frequent that they are clicked through→New nurses are put on drug rounds in their first week✗ нетобсудить
Discharge medication lists disagree with the inpatient chart→Near misses are not reported because the form takes twenty minutes✗ нетобсудить
Double-checking is signed without a second person actually looking→Alerts in the system are so frequent that they are clicked through✗ нетобсудить
Errors are discussed as individual mistakes, not as patterns→Patients are moved between wards mid-treatment and the chart lags behind✗ нетобсудить
Alerts in the system are so frequent that they are clicked through→The same error recurs on the same drug every few months✗ нетобсудить
The same error recurs on the same drug every few months→Patients are moved between wards mid-treatment and the chart lags behind✗ нетобсудить
Allergy information is in a different system from the prescribing one→Discharge medication lists disagree with the inpatient chart✗ нетобсудить
Discharge medication lists disagree with the inpatient chart→Patients are moved between wards mid-treatment and the chart lags behind✗ нетобсудить
The same error recurs on the same drug every few months→New nurses are put on drug rounds in their first week✗ нетобсудить
Errors are discussed as individual mistakes, not as patterns→Discharge medication lists disagree with the inpatient chart✗ нетобсудить
Discharge medication lists disagree with the inpatient chart→The same look-alike drugs are stored next to each other✗ нетобсудить
The same error recurs on the same drug every few months→Double-checking is signed without a second person actually looking✗ нетобсудить
The same error recurs on the same drug every few months→Alerts in the system are so frequent that they are clicked through✗ нетобсудить
The same error recurs on the same drug every few months→Allergy information is in a different system from the prescribing one✗ нетобсудить
The same look-alike drugs are stored next to each other→New nurses are put on drug rounds in their first week✗ нетобсудить
Near misses are not reported because the form takes twenty minutes→The same error recurs on the same drug every few months✗ нетобсудить
Near misses are not reported because the form takes twenty minutes→Errors are discussed as individual mistakes, not as patterns✗ нетобсудить
The same look-alike drugs are stored next to each other→Discharge medication lists disagree with the inpatient chart✗ нетобсудить
Errors are discussed as individual mistakes, not as patterns→Double-checking is signed without a second person actually looking✗ нетобсудить
Alerts in the system are so frequent that they are clicked through→Double-checking is signed without a second person actually looking✗ нетобсудить
Discharge medication lists disagree with the inpatient chart→Alerts in the system are so frequent that they are clicked through✗ нетобсудить
The same error recurs on the same drug every few months→Near misses are not reported because the form takes twenty minutes✗ нетобсудить
Double-checking is signed without a second person actually looking→The same error recurs on the same drug every few months✗ нетобсудить
New nurses are put on drug rounds in their first week→Patients are moved between wards mid-treatment and the chart lags behind✗ нетобсудить
Errors are discussed as individual mistakes, not as patterns→Alerts in the system are so frequent that they are clicked through✗ нетобсудить
The same look-alike drugs are stored next to each other→Patients are moved between wards mid-treatment and the chart lags behind✗ нетобсудить
The same look-alike drugs are stored next to each other→Alerts in the system are so frequent that they are clicked through✗ нетобсудить
New nurses are put on drug rounds in their first week→Discharge medication lists disagree with the inpatient chart✗ нетобсудить
Near misses are not reported because the form takes twenty minutes→Allergy information is in a different system from the prescribing one✗ нетобсудить
New nurses are put on drug rounds in their first week→Near misses are not reported because the form takes twenty minutes✗ нетобсудить
Double-checking is signed without a second person actually looking→Near misses are not reported because the form takes twenty minutes✗ нетобсудить
The same look-alike drugs are stored next to each other→Errors are discussed as individual mistakes, not as patterns✗ нетобсудить
Near misses are not reported because the form takes twenty minutes→Alerts in the system are so frequent that they are clicked through✗ нетобсудить
Errors are discussed as individual mistakes, not as patterns→Allergy information is in a different system from the prescribing one✗ нетобсудить
Patients are moved between wards mid-treatment and the chart lags behind→The same error recurs on the same drug every few months✗ нетобсудить
New nurses are put on drug rounds in their first week→Alerts in the system are so frequent that they are clicked through✗ нетобсудить
Double-checking is signed without a second person actually looking→The same look-alike drugs are stored next to each other✗ нетобсудить
The same error recurs on the same drug every few months→Discharge medication lists disagree with the inpatient chart✗ нетобсудить
The same look-alike drugs are stored next to each other→Allergy information is in a different system from the prescribing one✗ нетобсудить
Double-checking is signed without a second person actually looking→Errors are discussed as individual mistakes, not as patterns✗ нетобсудить
Near misses are not reported because the form takes twenty minutes→Discharge medication lists disagree with the inpatient chart✗ нетобсудить
Patients are moved between wards mid-treatment and the chart lags behind→The same look-alike drugs are stored next to each other✗ нетобсудить
Allergy information is in a different system from the prescribing one→Near misses are not reported because the form takes twenty minutes✗ нетобсудить
Discharge medication lists disagree with the inpatient chart→Errors are discussed as individual mistakes, not as patterns✗ нетобсудить
Allergy information is in a different system from the prescribing one→Errors are discussed as individual mistakes, not as patterns✗ нетобсудить
Discharge medication lists disagree with the inpatient chart→The same error recurs on the same drug every few months✗ нетобсудить
Patients are moved between wards mid-treatment and the chart lags behind→Allergy information is in a different system from the prescribing one✗ нетобсудить
Allergy information is in a different system from the prescribing one→Patients are moved between wards mid-treatment and the chart lags behind✗ нетобсудить
New nurses are put on drug rounds in their first week→Double-checking is signed without a second person actually looking✗ нетобсудить
Patients are moved between wards mid-treatment and the chart lags behind→New nurses are put on drug rounds in their first week✗ нетобсудить
Alerts in the system are so frequent that they are clicked through→Allergy information is in a different system from the prescribing one✗ нетобсудить
Errors are discussed as individual mistakes, not as patterns→New nurses are put on drug rounds in their first week✗ нетобсудить
Near misses are not reported because the form takes twenty minutes→New nurses are put on drug rounds in their first week✗ нетобсудить
New nurses are put on drug rounds in their first week→The same look-alike drugs are stored next to each other✗ нетобсудить
Alerts in the system are so frequent that they are clicked through→The same look-alike drugs are stored next to each other✗ нетобсудить
Patients are moved between wards mid-treatment and the chart lags behind→Alerts in the system are so frequent that they are clicked through✗ нетобсудить
Allergy information is in a different system from the prescribing one→The same error recurs on the same drug every few months✗ нетобсудить
Double-checking is signed without a second person actually looking→New nurses are put on drug rounds in their first week✗ нетобсудить
New nurses are put on drug rounds in their first week→Errors are discussed as individual mistakes, not as patterns✗ нетобсудить
Near misses are not reported because the form takes twenty minutes→Double-checking is signed without a second person actually looking✗ нетобсудить
Alerts in the system are so frequent that they are clicked through→Patients are moved between wards mid-treatment and the chart lags behind✗ нетобсудить
Alerts in the system are so frequent that they are clicked through→Errors are discussed as individual mistakes, not as patterns✗ нетобсудить
Discharge medication lists disagree with the inpatient chart→New nurses are put on drug rounds in their first week✗ нетобсудить
New nurses are put on drug rounds in their first week→Allergy information is in a different system from the prescribing one✗ нетобсудить
Alerts in the system are so frequent that they are clicked through→Discharge medication lists disagree with the inpatient chart✗ нетобсудить
Near misses are not reported because the form takes twenty minutes→Patients are moved between wards mid-treatment and the chart lags behind✗ нетобсудить
Patients are moved between wards mid-treatment and the chart lags behind→Near misses are not reported because the form takes twenty minutes✗ нетобсудить
Errors are discussed as individual mistakes, not as patterns→The same look-alike drugs are stored next to each other✗ нетобсудить
Alerts in the system are so frequent that they are clicked through→Near misses are not reported because the form takes twenty minutes✗ нетобсудить
Patients are moved between wards mid-treatment and the chart lags behind→Double-checking is signed without a second person actually looking✗ нетобсудить
Allergy information is in a different system from the prescribing one→Double-checking is signed without a second person actually looking✗ нетобсудить
Discharge medication lists disagree with the inpatient chart→Double-checking is signed without a second person actually looking✗ нетобсудить
The same error recurs on the same drug every few months→The same look-alike drugs are stored next to each other✗ нетобсудить
The same error recurs on the same drug every few months→Errors are discussed as individual mistakes, not as patterns✗ нетобсудить
Allergy information is in a different system from the prescribing one→New nurses are put on drug rounds in their first week✗ нетобсудить
The same look-alike drugs are stored next to each other→Near misses are not reported because the form takes twenty minutes✗ нетобсудить
…→Infusion pumps on the ward come from three manufacturers✗ нетобсудить
Reporting an error has led to disciplinary action in the past→Handwritten charts are still used when the system is down, which is often✗ нетобсудить
Infusion pumps on the ward come from three manufacturers→…✗ нетобсудить
…→…✗ нетобсудить
Interruptions during the drug round are constant→Infusion pumps on the ward come from three manufacturers✗ нетобсудить
…→Handwritten charts are still used when the system is down, which is often✗ нетобсудить
…→Night shift has one nurse for the whole bay✗ нетобсудить
Weight-based doses are calculated by hand at the bedside→Infusion pumps on the ward come from three manufacturers✗ нетобсудить
Agency staff do not know the ward's conventions→…✗ нетобсудить
Weight-based doses are calculated by hand at the bedside→Night shift has one nurse for the whole bay✗ нетобсудить
Night shift has one nurse for the whole bay→Reporting an error has led to disciplinary action in the past✗ нетобсудить
Agency staff do not know the ward's conventions→Weight-based doses are calculated by hand at the bedside✗ нетобсудить
Interruptions during the drug round are constant→Agency staff do not know the ward's conventions✗ нетв фокусе ↑ · закрыть ✕
Pharmacy reviews charts a day after the first dose was given→Handwritten charts are still used when the system is down, which is often✗ нетобсудить
Handwritten charts are still used when the system is down, which is often→Pharmacy reviews charts a day after the first dose was given✗ нетобсудить
Interruptions during the drug round are constant→…✗ нетобсудить
Agency staff do not know the ward's conventions→Handwritten charts are still used when the system is down, which is often✗ нетобсудить
…→Pharmacy reviews charts a day after the first dose was given✗ нетобсудить
Weight-based doses are calculated by hand at the bedside→Handwritten charts are still used when the system is down, which is often✗ нетобсудить
…→Night shift has one nurse for the whole bay✗ нетобсудить
Reporting an error has led to disciplinary action in the past→Agency staff do not know the ward's conventions✗ нетобсудить
Interruptions during the drug round are constant→Handwritten charts are still used when the system is down, which is often✗ нетобсудить
Agency staff do not know the ward's conventions→…✗ нетобсудить
Weight-based doses are calculated by hand at the bedside→Agency staff do not know the ward's conventions✗ нетобсудить
Agency staff do not know the ward's conventions→Infusion pumps on the ward come from three manufacturers✗ нетобсудить
Infusion pumps on the ward come from three manufacturers→Handwritten charts are still used when the system is down, which is often✗ нетобсудить
…→Interruptions during the drug round are constant✗ нетобсудить
Handwritten charts are still used when the system is down, which is often→Interruptions during the drug round are constant✗ нетобсудить
Agency staff do not know the ward's conventions→Pharmacy reviews charts a day after the first dose was given✗ нетобсудить
Handwritten charts are still used when the system is down, which is often→Agency staff do not know the ward's conventions✗ нетобсудить
Reporting an error has led to disciplinary action in the past→…✗ нетобсудить
Night shift has one nurse for the whole bay→…✗ нетобсудить
…→Handwritten charts are still used when the system is down, which is often✗ нетобсудить
Infusion pumps on the ward come from three manufacturers→Pharmacy reviews charts a day after the first dose was given✗ нетобсудить
Interruptions during the drug round are constant→Weight-based doses are calculated by hand at the bedside✗ нетобсудить
…→Weight-based doses are calculated by hand at the bedside✗ нетобсудить
Infusion pumps on the ward come from three manufacturers→…✗ нетобсудить
Infusion pumps on the ward come from three manufacturers→Interruptions during the drug round are constant✗ нетобсудить
Pharmacy reviews charts a day after the first dose was given→Interruptions during the drug round are constant✗ нетобсудить
Reporting an error has led to disciplinary action in the past→Weight-based doses are calculated by hand at the bedside✗ нетобсудить
Handwritten charts are still used when the system is down, which is often→…✗ нетобсудить
Weight-based doses are calculated by hand at the bedside→…✗ нетобсудить
Pharmacy reviews charts a day after the first dose was given→Weight-based doses are calculated by hand at the bedside✗ нетобсудить
…→Pharmacy reviews charts a day after the first dose was given✗ нетобсудить
Handwritten charts are still used when the system is down, which is often→…✗ нетобсудить
Interruptions during the drug round are constant→Night shift has one nurse for the whole bay✗ нетобсудить
Night shift has one nurse for the whole bay→…✗ нетобсудить
…→Reporting an error has led to disciplinary action in the past✗ нетобсудить
…→Weight-based doses are calculated by hand at the bedside✗ нетобсудить
…→…✗ нетобсудить
Handwritten charts are still used when the system is down, which is often→Reporting an error has led to disciplinary action in the past✗ нетобсудить
Pharmacy reviews charts a day after the first dose was given→…✗ нетобсудить
Agency staff do not know the ward's conventions→Reporting an error has led to disciplinary action in the past✗ нетобсудить
Reporting an error has led to disciplinary action in the past→Pharmacy reviews charts a day after the first dose was given✗ нетобсудить
Night shift has one nurse for the whole bay→Weight-based doses are calculated by hand at the bedside✗ нетобсудить
Weight-based doses are calculated by hand at the bedside→…✗ нетобсудить
Night shift has one nurse for the whole bay→Agency staff do not know the ward's conventions✗ нетобсудить
Agency staff do not know the ward's conventions→Night shift has one nurse for the whole bay✗ нетобсудить
Reporting an error has led to disciplinary action in the past→…✗ нетобсудить
Handwritten charts are still used when the system is down, which is often→Weight-based doses are calculated by hand at the bedside✗ нетобсудить
…→Interruptions during the drug round are constant✗ нетобсудить
Interruptions during the drug round are constant→Pharmacy reviews charts a day after the first dose was given✗ нетобсудить
Night shift has one nurse for the whole bay→Infusion pumps on the ward come from three manufacturers✗ нетобсудить
Interruptions during the drug round are constant→…✗ нетобсудить
Infusion pumps on the ward come from three manufacturers→Night shift has one nurse for the whole bay✗ нетобсудить
Handwritten charts are still used when the system is down, which is often→Night shift has one nurse for the whole bay✗ нетобсудить
…→Infusion pumps on the ward come from three manufacturers✗ нетобсудить
Pharmacy reviews charts a day after the first dose was given→…✗ нетобсудить
Weight-based doses are calculated by hand at the bedside→Interruptions during the drug round are constant✗ нетобсудить
Infusion pumps on the ward come from three manufacturers→Weight-based doses are calculated by hand at the bedside✗ нетобсудить
Night shift has one nurse for the whole bay→Pharmacy reviews charts a day after the first dose was given✗ нетобсудить
Reporting an error has led to disciplinary action in the past→Night shift has one nurse for the whole bay✗ нетобсудить
Pharmacy reviews charts a day after the first dose was given→Agency staff do not know the ward's conventions✗ нетобсудить
…→Agency staff do not know the ward's conventions✗ нетобсудить
Reporting an error has led to disciplinary action in the past→Infusion pumps on the ward come from three manufacturers✗ нетобсудить
Weight-based doses are calculated by hand at the bedside→Reporting an error has led to disciplinary action in the past✗ нетобсудить
Night shift has one nurse for the whole bay→Handwritten charts are still used when the system is down, which is often✗ нетобсудить
Infusion pumps on the ward come from three manufacturers→Reporting an error has led to disciplinary action in the past✗ нетобсудить
Weight-based doses are calculated by hand at the bedside→Pharmacy reviews charts a day after the first dose was given✗ нетобсудить
Pharmacy reviews charts a day after the first dose was given→Reporting an error has led to disciplinary action in the past✗ нетобсудить
…→Reporting an error has led to disciplinary action in the past✗ нетобсудить
Interruptions during the drug round are constant→Reporting an error has led to disciplinary action in the past✗ нетобсудить
Reporting an error has led to disciplinary action in the past→Interruptions during the drug round are constant✗ нетобсудить