True Causes
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ATLAS · A CLAIM AND WHERE IT CAME FROM

Double-checking is signed without a second person actually looking

Raised in 1 room

Why do medication errors keep happening?

→ What it leads to (2)

Patients are moved between wards mid-treatment and the chart lags behind
certified in 1 room
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