A KÉRDÉS
Why does A&E make people wait for hours?
A gyökérokok, elöl a legmélyebbek. A nézeteltérések a térképen maradnak.
lezárva · vissza ide: Intézkedések
Vendégként nézi. Adjon meg egy felhasználónevet, hogy csatlakozzon és részt vegyen.
Ennek a szobának a térképe
A gyökérokok a bal oldalon, zöld kerettel. Koppintson egy állításra a lánca megtekintéséhez.
a szoba által igazolt kapcsolat vitatott: a szoba nem tudta eldönteni
A térkép minden állítása, saját címmel (19)
Minden oldal megmutatja, mit igazolt a szoba az állítás körül, a számokkal együtt, és idézhető, beágyazható vagy JSON-ként olvasható.
Az összevont térkép
3 szobából összevonva (mind bemutató).
miért
Minden szoba, amely ezen a kérdésen dolgozott, saját térképet épített; ezek egybe vannak vonva. A két szobában felvetett azonos állítás egy elem, és minden kapcsolat mutatja, hány szoba találta meg. Ahol a szobák ellentétes dolgokat találtak, mindegyik eredmény érvényes marad, azzal együtt, hogy a kapcsolatot megítélő szobák közül hány találta meg.
2 több szoba által talált kapcsolat · 0 vitatott · összesen 75 kapcsolat.
két vagy több független szoba találta meg egy szoba egy másik szoba a saját szavaival vagy egy útvonalon keresztül egyetért csak nem beszámító szobák elvetette a legtöbb szoba, amely megítélte vita szobák között
Az állítás sarkában egy alak minden szobáért, amely felvetette; ötön felül egy csoport a számmal. Ahol a feliratban nincs hely az alakoknak, csak a szám (×7).
Egy ok alatt: azok közül a szobák közül, amelyek intézkedéseket ítéltek meg vele szemben, hányban csökkenti valamelyik intézkedésük. Zöld: legalább egy szoba talált ilyen intézkedést; szürke: egy sem; színezetlen: egyetlen szoba sem ítélt meg vele szemben intézkedéseket. A számok az intézkedések, a térkép alatt felsorolva.
Nézet megosztása: képként · élő térképként egy másik oldalon
A TÉRKÉP MÖGÖTTI SZOBÁK
⚠ Mind a(z) 3 szoba: demo · up to 4 cards word for word the same as in 2 other rooms here
Why is the emergency department always behind?
beszámít a döntései súllyal esnek latba ezen a térképen — steward trusted by this instance
Why are waits in the emergency department so long?
demo · stands 1 vouch from its source, trusted steward _2e8400ac38
beszámít a döntései súllyal esnek latba ezen a térképen — vouched for by the steward of “Why does A&E make people wait for hours?”
Why does A&E make people wait for hours?
beszámít a döntései súllyal esnek latba ezen a térképen — steward trusted by this instance
Egy szoba akkor számít, ha valaki felelősséget vállal érte. ● eldőlt, mielőtt bármely térkép nyilvános lett volna; ○ utána.
TÖBB SZOBÁBAN IS FELVETETTÉK · 9
| People wait hours in a corridor before anyone sees them | 3 szoba | a térképen |
| Beds are full because nobody can be discharged | 3 szoba | a térképen |
| Staff leave faster than we can hire them | 3 szoba | a térképen |
| The same patients come back within a week | 3 szoba | a térképen |
| Patients come here because they cannot get an appointment | 2 szoba | a térképen |
| The specialist on call is covering two sites | 2 szoba | nincs a térképen: egyetlen hozzá vezető kapcsolatot sem igazoltak |
| Social care and the hospital are funded from different budgets | 2 szoba | a térképen |
| There is nowhere else open after six | 2 szoba | nincs a térképen: egyetlen hozzá vezető kapcsolatot sem igazoltak |
| Every improvement project ends when its funding does | 2 szoba | nincs a térképen: egyetlen hozzá vezető kapcsolatot sem igazoltak |
AMIT A SZOBÁK TENNÉNEK
Minden szoba a saját intézkedéseit a saját gyökérokaival vetette össze, saját szavazatai háromnegyedével. Itt semmi sem szobák közötti szavazás: okonként számolja, mit talált az egyes szoba. Egy szoba akkor jelenik meg, amikor lezárult az Intézkedések szakasza. A térképen minden szám egy olyan gyökérokot jelöl, amelyet az adott intézkedés csökkent.
3 szobából 1 szobában csökkentették:
Beds are full because nobody can be discharged
① Tell people the expected wait, and update it · Why does A&E make people wait for hours?
1 szobából 1 szobában csökkentették:
Managers are judged on the target too, so nobody questions it
② Pool the hospital and social care budget for discharge · Why are waits in the emergency department so long?
Nobody has ever asked me what would have kept me away
① Tell people the expected wait, and update it · Why does A&E make people wait for hours?
③ Ask every returning patient what would have kept them away · Why does A&E make people wait for hours?
Nobody measures whether the patient got better
② Pool the hospital and social care budget for discharge · Why are waits in the emergency department so long?
We have had four reorganisations and no more beds
④ Discharge seven days a week, including evenings · Why are waits in the emergency department so long?
Egyetlen szoba sem talált olyan intézkedést, amely csökkentené ezeket:
- A decision to admit waits for a consultant round in the morning · 1 szobában ítélték meg
- Nobody is paid for the patient who did not need to come · 1 szobában ítélték meg
- Nobody may discharge at night, so a bed is lost for twelve hours · 1 szobában ítélték meg
- Nobody owns the whole patient journey · 1 szobában ítélték meg
- People wait hours in a corridor before anyone sees them · 1 szobában ítélték meg
- The GP said six weeks and it has been five months · 1 szobában ítélték meg
- The estate is older than anyone working in it · 1 szobában ítélték meg
- The form asks questions I cannot answer about my own body · 1 szobában ítélték meg
- We report to eleven bodies and none of them to each other · 1 szobában ítélték meg
3 SZOBA TALÁLTA · 1
| Beds are full because nobody can be discharged | → | People wait hours in a corridor before anyone sees them |
2 SZOBA TALÁLTA · 1
| People wait hours in a corridor before anyone sees them | → | The same patients come back within a week |
1 SZOBA TALÁLTA · 73
| I did not come sooner because I could not afford the trip | → | I came here because I could not get seen anywhere else |
| → | Nobody tells you how long the wait will be | |
| → | Staff leave faster than we can hire them | |
| The form asks questions I cannot answer about my own body | → | You are moved three times and explain yourself three times |
| → | People wait hours in a corridor before anyone sees them | |
| → | Nobody explained what the test was for | |
| We report to eleven bodies and none of them to each other | → | Nobody owns the whole patient journey |
| → | Politics changes the target every election | |
| → | The same patients come back within a week | |
| A trolley in a different corridor stops the clock | → | Staff leave faster than we can hire them |
| → | The same patients come back within a week | |
| Managers are judged on the target too, so nobody questions it | → | An incident report goes into a system nobody reads back |
| → | The target changes what we do more than the illness does | |
| Nobody has ever asked me what would have kept me away | → | I have been in this corridor before and nothing changed |
| → | Staff leave faster than we can hire them | |
| Nobody is paid for the patient who did not need to come | → | The incentive is to treat, never to prevent |
| → | The same patients come back within a week | |
| Patients come here because they cannot get an appointment | → | Experienced staff leave and take the workarounds with them |
| → | People wait hours in a corridor before anyone sees them | |
| A decision to admit waits for a consultant round in the morning | → | Beds are full because nobody can be discharged |
| A pharmacy could have handled a third of today | → | Staff leave faster than we can hire them |
| Nobody measures whether the patient got better | → | Nobody may discharge at night, so a bed is lost for twelve hours |
| The data we report is a year old by the time it is published | → | We have never once been asked to plan for ten years |
| The estate is older than anyone working in it | → | The incentive is to treat, never to prevent |
| Vacancies are counted as savings in the same month they are a crisis | → | We are measured on activity, so activity is what we produce |
| We have had four reorganisations and no more beds | → | Beds are full because nobody can be discharged |
| I have been in this corridor before and nothing changed | → | Being frightened makes everything take longer |
| → | I came here because I could not get seen anywhere else | |
| → | Nobody tells you how long the wait will be | |
| An incident report goes into a system nobody reads back | → | The people who know the fix are never asked |
| → | A patient waits for one test that takes ten minutes to run | |
| Nobody may discharge at night, so a bed is lost for twelve hours | → | Beds are full because nobody can be discharged |
| → | Social care and the hospital are funded from different budgets | |
| Nobody owns the whole patient journey | → | People wait hours in a corridor before anyone sees them |
| Beds are full because nobody can be discharged | → | I was sent home at midnight with no way to get there |
| → | Social care and the hospital are funded from different budgets | |
| → | The GP said six weeks and it has been five months | |
| → | The interpreter was booked for twenty minutes | |
| → | Nobody explained what the test was for | |
| I did not know a pharmacy could have helped | → | I came here because I could not get seen anywhere else |
| → | My mother came home with no one to help her stand up | |
| → | Staff leave faster than we can hire them | |
| People wait hours in a corridor before anyone sees them | ⇄ | Experienced staff leave and take the workarounds with them |
| → | The incentive is to treat, never to prevent | |
| → | An improvement takes two years and a chief executive lasts eighteen mo | |
| Staff leave faster than we can hire them | ⇄ | A saving in social care is a cost here and nobody nets it |
| → | Every part of the system optimises its own budget | |
| → | Nobody tells you how long the wait will be | |
| Every part of the system optimises its own budget | → | A saving in social care is a cost here and nobody nets it |
| ⇄ | Winter money arrives in November for a plan needed in June | |
| Experienced staff leave and take the workarounds with them | ⇄ | People wait hours in a corridor before anyone sees them |
| → | Two systems hold the same patient under different numbers | |
| I came here because I could not get seen anywhere else | → | Being frightened makes everything take longer |
| → | My mother came home with no one to help her stand up | |
| My mother came home with no one to help her stand up | → | Nobody tells you how long the wait will be |
| → | Staff leave faster than we can hire them | |
| Nobody tells you how long the wait will be | → | Being frightened makes everything take longer |
| → | I did not know a pharmacy could have helped | |
| Winter money arrives in November for a plan needed in June | ⇄ | Every part of the system optimises its own budget |
| → | One-year funding buys agency staff, not permanent ones | |
| A saving in social care is a cost here and nobody nets it | ⇄ | Staff leave faster than we can hire them |
| Being frightened makes everything take longer | → | I did not know a pharmacy could have helped |
| One-year funding buys agency staff, not permanent ones | → | Staff leave faster than we can hire them |
| I was sent home at midnight with no way to get there | → | The same patients come back within a week |
| → | There is no water and no food after ten | |
| The incentive is to treat, never to prevent | → | An improvement takes two years and a chief executive lasts eighteen mo |
| → | The same patients come back within a week | |
| Social care and the hospital are funded from different budgets | → | Two systems hold the same patient under different numbers |
| The GP said six weeks and it has been five months | → | The interpreter was booked for twenty minutes |
| A patient waits for one test that takes ten minutes to run | → | The same patients come back within a week |
| Imaging closes at six and reopens at eight | → | A patient waits for one test that takes ten minutes to run |
| The interpreter was booked for twenty minutes | → | Nobody explained what the test was for |
| The same patients come back within a week | → | Imaging closes at six and reopens at eight |