True Causes
VI
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Why is the emergency department always behind?
Politics changes the target every election
a walkthrough with stand-ins — a demonstration, not a finding · sealed
What significantly influences it
We report to eleven bodies and none of them to each other
certified · 12 yes · 1 no · 2 abstained
Judged not to be linked
People wait hours in a corridor before anyone sees them
judged not to · 7 yes · 22 no · cross-group
An improvement takes two years and a chief executive lasts eighteen months
judged not to · 3 yes · 12 no
The estate is older than anyone working in it
judged not to · 0 yes · 14 no · 1 abstained
Nobody is paid for the patient who did not need to come
judged not to · 6 yes · 23 no · cross-group
The same patients come back within a week
judged not to · 2 yes · 12 no · 1 abstained
Beds are full because nobody can be discharged
judged not to · 2 yes · 11 no · 2 abstained
The incentive is to treat, never to prevent
judged not to · 2 yes · 13 no
We report to eleven bodies and none of them to each other
judged not to · 3 yes · 10 no · 2 abstained
Nobody owns the whole patient journey
judged not to · 1 yes · 12 no · 2 abstained
People wait hours in a corridor before anyone sees them
judged not to · 1 yes · 14 no
An improvement takes two years and a chief executive lasts eighteen months
judged not to · 4 yes · 23 no · 2 abstained · cross-group
The estate is older than anyone working in it
judged not to · 2 yes · 13 no
Nobody is paid for the patient who did not need to come
judged not to · 3 yes · 10 no · 2 abstained
The same patients come back within a week
judged not to · 1 yes · 14 no
Beds are full because nobody can be discharged
judged not to · 0 yes · 14 no · 1 abstained
The incentive is to treat, never to prevent
judged not to · 1 yes · 11 no · 3 abstained
Nobody owns the whole patient journey
judged not to · 0 yes · 14 no · 1 abstained
A group’s judgement, not a measurement. Demo room. On the atlas.
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