Patient safety: di causes wey evribodi for di ward fit see, togeda

Review team dey ask why incident happen, and one analyst dey write di answer. But di causes of safety problem wey dey come back dey spread among di pipo wey dey involved: di nurse wey dey night duty, di pharmacist, di registrar, di patient wey wait. No single reviewer hold all of dem.

True Causes dey let dat whole group do di analysis. Evribodi dey write causes alone and without name, so junior nurse fit tok wetin consultant no go tok. Den di group go judge, pair by pair, whether one cause get big hand for anoda one, and link dey count only at three quarters of di votes. Di deepest causes na di ones wey evritin else dey trace back to.

Plenti wards or sites fit each run dia own room for di same question, and di maps go fold enter one: di causes wey dem find on dia own for plenti places go stand out from di local ones. Private room for hospital fit also take in wetin di public rooms for im question find, and notin from im own go comot.