True Causes
VI

ATLAS · A CLAIM AND WHERE IT CAME FROM

Patients are moved between wards mid-treatment and the chart lags behind

Raised in 1 room

Why do medication errors keep happening?

→ What leads to it (1)

Double-checking is signed without a second person actually looking
certified in 1 room

→ What it leads to (1)

Discharge medication lists disagree with the inpatient chart
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