True Causes
SV

ATLAS · A CLAIM AND WHERE IT CAME FROM

Night shift has one nurse for the whole bay

Raised in 1 room

Why do medication errors keep happening?

→ What leads to it (1)

Pharmacy reviews charts a day after the first dose was given
certified in 1 room

→ What it leads to (1)

Interruptions during the drug round are constant
certified in 1 room

Every room keeps its own record: its map, its rules, and every judged pair with its votes, downloadable from the room. ← The atlas