True Causes
TR
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7/7 · Eylemler · görüntülenen: Seçme
30 kişi · 34 fikir
tanıtım turu · sayılmaz
engeller · bağlantıya sahip herkes · herkese açık listede · federasyon açık
yürütücü: yürütücüsü (mühürlü)
30 kişi · 34 fikir · 2 grup · 3 oda federasyonda
Pasaport → · Mantık → · kurallar
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Başka bir sitede, canlı harita olarak:
Resim olarak: https://truecauses.org/d/4b093a1/map.svg
Veri olarak: bu odada değerlendirilen her çift (CSV). Her iddianın kendi adresi var (/c/4b093a1/<card>); haritanın altında listelenir.
Yayımlarken kaynak gösterin: Causal map: True Causes, https://truecauses.org/d/4b093a1
SORU

Why is the emergency department always behind?

Çıkartmalarınızı en önemli olanlara harcayın. Kanıtı olan bir fikir ayrılmış bir yere geçebilir.

Misafir olarak görüntülüyorsunuz. Katılmak için bir kullanıcı adı girin.
Çıkartma bütçeniz
Fikir başına bir tane, toplam 5. Alt sınır bir oy.
Gözden kaçan fikirler için 5 yer ayrılmıştır — bir bağlantıyla birini aday gösterin; 2 kişi kaynağın ilgili olduğunu kabul edince sayılır.
neden
Aşama kapanırken bir aday rastgele kurayla, geri kalanlar aday gösterilme sayısına göre girer; her paydaş sınıfından en fazla bir tane. Bir model yalnızca sayfanın aynı konuyla ilgili olup olmadığını denetler — iddiayı kanıtlayıp kanıtlamadığını asla. O yargı odanındır ve başka kimsenin desteklemediği bir aday yer alamaz.
kapat ✕
We have never once been asked to plan for ten years
küme 3
Henüz bir şey söylenmedi.
KÜME 1
An improvement takes two years and a chief executive lasts eighteen months
Procurement takes longer than the technology lasts
KÜME 2
One-year funding buys agency staff, not permanent ones
Winter money arrives in November for a plan needed in June
Observed, not measured — I would want the data too.
KÜME 3
We have never once been asked to plan for ten years
The workforce plan was written before the last three years
KÜME 4
Nobody is paid for the patient who did not need to come
Nobody owns the whole patient journey
Narrower than it reads; the wider version is someone else's card.
KÜME 5
We are measured on activity, so activity is what we produce
To be precise: this is about the situation, not a person.
Capital and revenue cannot be swapped, so we rent what we could own
Narrower than it reads; the wider version is someone else's card.
KÜME 6
Staff leave faster than we can hire them
We report to eleven bodies and none of them to each other
KÜMELENMEDI
The incentive is to treat, never to prevent
Narrower than it reads; the wider version is someone else's card.
The money for prevention sits in a different organisation
Every part of the system optimises its own budget
Meaning the recurring case, not one incident.
A nurse cannot afford to live within an hour of here
Observed, not measured — I would want the data too.
Politics changes the target every election
The data we report is a year old by the time it is published
Scope: here specifically, not everywhere.
We compete with the hospital down the road for the same nurses
Scope: here specifically, not everywhere.
Every inspection costs six weeks of senior time
A saving in social care is a cost here and nobody nets it
Observed, not measured — I would want the data too.
A ward closed for repair has never reopened
I mean this happens weekly, not once in a while.
The regulator asks for the target and the auditor asks for the money
Beds were removed on a model that assumed community care that never came
Meaning the recurring case, not one incident.
The new system was chosen by people who will not use it
Observed, not measured — I would want the data too.
0 oy
↳ bir yer için aday gösterildi: https://example.org/ops-incident-review.pdf could not read it (HTTPError) destekleyen: 1/2
tartış
The same patients come back within a week
Nobody may open a bed without permission from three bodies
I mean this happens weekly, not once in a while.
The estate is older than anyone working in it
Pay is set nationally and the housing market is not
Beds are full because nobody can be discharged
People wait hours in a corridor before anyone sees them
Training numbers were cut a decade ago and take a decade to fix
Vacancies are counted as savings in the same month they are a crisis
Scope: here specifically, not everywhere.
We cannot see the GP's data and they cannot see ours