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7/7 · Akcije
osoba: 30 · ideja: 34
probni prolaz · ne računa se
prepreke · svako sa linkom · na javnom spisku · federacija uključena
vodi: njen voditelj (zapečaćeno)
osoba: 30 · ideja: 34 · 2 grupe · 3 sobe u federaciji
Pasoš → · Logika → · zapis
↗ podeli ovu mapu
Na drugom sajtu, kao živa mapa:
Kao slika: https://truecauses.org/d/4b093a1/map.svg
Kao podaci: svi ocenjeni parovi u ovoj sobi (CSV). Svaka tvrdnja ima svoju adresu, /c/4b093a1/<card>, navedenu ispod mape.
Navedite izvor kada objavljujete: Causal map: True Causes, https://truecauses.org/d/4b093a1
PITANJE

Why is the emergency department always behind?

Predložite šta da se uradi, pa procenite da li bi svaka akcija pomerila svaki koren.

Zapečaćeno pre 9 dana: ova soba više ne zna ko je sedeo u njoj; po imenu ostaje samo njen voditelj. Ono do čega je došla ostaje.
za stolom: 30 (simulirano: 29) · 3 predložene akcije za osnovne uzroke (6). Dodajte jednu, pa procenite da li svaka akcija pomera svaki uzrok.
Gledate kao gost. Unesite korisničko ime da biste se pridružili i učestvovali.
Neke tvrdnje utiču jedna na drugu u krug
↺ Winter money arrives in November for a plan ne → Every part of the system optimises its own bud → One-year funding buys agency staff, not perman → A saving in social care is a cost here and nob → …
Krug može biti pravi nalaz — ciklus koji sam sebe hrani — ili veza čiji smer nikad nije zaista rešen. Mapa takav skup tretira kao jedan čvor, pa ništa unutar njega nije osnovni uzrok samo za sebe. Ako je posredi ovo drugo, vredi vratiti par sobi.
Najpre ocenite osnovne uzroke
zašto
Praksa same metode, pre nego što se predloži ijedna akcija: svaki osnovni uzrok dobija ocenu od 1 do 5 za to koliko je izvodljivo baviti se njime, koliki bi uticaj to imalo i koliko je verovatno da će se rešiti sam od sebe, bez ikakve intervencije. Prednost imaju osnovni uzroci sa velikim uticajem, visokom izvodljivošću i malom verovatnoćom da se reše sami — prioritet = uticaj + izvodljivost − verovatnoća. Ocene se uprosečuju za celu grupu i prikazuju uz broj onih koji su ocenjivali.
1 = nisko, 5 = visoko. Vaše ocene; pored njih proseci grupe.
osnovni uzrokizvodljivouticajrešava se samoprioritet
We report to eleven bodies and none of them to each other––––
Beds are full because nobody can be discharged––––
Nobody owns the whole patient journey––––
People wait hours in a corridor before anyone sees them––––
The estate is older than anyone working in it––––
Nobody is paid for the patient who did not need to come––––
Koja akcija bi pomerila koji osnovni uzrok?
Sa strane: akcije koje su ljudi predložili. Gore: osnovni uzroci koje je mapa pronašla. Svako polje je jedno glasanje o jednom pitanju — da li bi ova akcija značajno smanjila taj uzrok? Jedna strana mora da dostigne 75% datih glasova da bi se pitanje rešilo; inače polje ostaje podeljeno. Svako polje pokazuje kako su pali glasovi — da / gore / ne — a polje je rešeno kada jedno od toga dobije tri četvrtine glasova.
zašto
Odgovor važi na 75% datih glasova, kao i svako drugo pitanje ovde. Podeljeno znači da su ljudi glasali, a nijedna strana nije dostigla taj prag — to je rezultat, a ne red čekanja, i ostaje podeljeno dok se dovoljno ljudi ne predomisli. Polje koje niko ne reši ostaje neodlučeno; nikad ne postaje „ne”. Ocenjivanje svakog para posebno sprečava da se popularnoj akciji pripiše da rešava stvari koje ne dotiče.
AKCIJAOSNOVNI UZROCI · da li ga akcija u levoj koloni umanjuje?
We report to eleven bodies and none of them to each otherBeds are full because nobody can be dischargedNobody owns the whole patient journeyPeople wait hours in a corridor before anyone sees themThe estate is older than anyone working in itNobody is paid for the patient who did not need to come
Fund on a ten-year plan, not a winter diskutujjoš nije odlučeno
još nije odlučeno
još nije odlučeno
još nije odlučeno
još nije odlučeno
još nije odlučeno
Pay something for the patient who did not need to come diskutujjoš nije odlučeno
još nije odlučeno
još nije odlučeno
još nije odlučeno
još nije odlučeno
još nije odlučeno
One budget for discharge, held jointly diskutujjoš nije odlučeno
još nije odlučeno
još nije odlučeno
još nije odlučeno
još nije odlučeno
još nije odlučeno
AKCIJE NA MAPI
Prikazano: sve akcije koje je soba ocenila. Direktno deluje na osnovne uzroke: 0 od 6. Bez direktne akcije: 6.
Pročitano samo iz polja koja je soba rešila u fazi Akcije. Osnovni uzrok u zelenom smanjuje bar jedna od prikazanih akcija; u sivom nijedna od njih ne deluje direktno na njega; crveni obrub znači da ga jedna od njih pogoršava.
Podelite ovaj prikaz: kao sliku · kao živu mapu za drugi sajt
Winter money arrives in November for a plan needed in June → Every part of the system optimises its own budgetWinter money arrives in November for a plan needed in June → One-year funding buys agency staff, not permanent onesVacancies are counted as savings in the same month they are a crisis → We are measured on activity, so activity is what we producePeople wait hours in a corridor before anyone sees them → The incentive is to treat, never to preventEvery part of the system optimises its own budget → Winter money arrives in November for a plan needed in JuneEvery part of the system optimises its own budget → A saving in social care is a cost here and nobody nets itThe estate is older than anyone working in it → The incentive is to treat, never to preventOne-year funding buys agency staff, not permanent ones → Staff leave faster than we can hire themNobody is paid for the patient who did not need to come → The incentive is to treat, never to preventA saving in social care is a cost here and nobody nets it → Staff leave faster than we can hire themStaff leave faster than we can hire them → Every part of the system optimises its own budgetStaff leave faster than we can hire them → A saving in social care is a cost here and nobody nets itBeds are full because nobody can be discharged → People wait hours in a corridor before anyone sees themThe incentive is to treat, never to prevent → An improvement takes two years and a chief executive lasts eighteen monthsThe incentive is to treat, never to prevent → The same patients come back within a weekThe data we report is a year old by the time it is published → We have never once been asked to plan for ten yearsWe report to eleven bodies and none of them to each other → Politics changes the target every electionWe report to eleven bodies and none of them to each other → Nobody owns the whole patient journeyNobody owns the whole patient journey → People wait hours in a corridor before anyone sees themWinter money arrives in November for a plan needed in JuneWinter money arrives inNovember for a plan neededin Junedeo povratne petlje⟳Vacancies are counted as savings in the same month they are a crisisVacancies are counted assavings in the same monththey are a crisisEvery part of the system optimises its own budgetEvery part of the systemoptimises its own budgetdeo povratne petlje⟳The estate is older than anyone working in itThe estate is older thananyone working in itšta prikazane akcije čine ovom osnovnom uzrokuNIJEDNA AKCIJA NE DELUJEDIREKTNO NA NJEGAOne-year funding buys agency staff, not permanent onesOne-year funding buysagency staff, not permanentonesdeo povratne petlje⟳Nobody is paid for the patient who did not need to comeNobody is paid for thepatient who did not need tocomešta prikazane akcije čine ovom osnovnom uzrokuNIJEDNA AKCIJA NE DELUJEDIREKTNO NA NJEGAA saving in social care is a cost here and nobody nets itA saving in social care isa cost here and nobody netsitdeo povratne petlje⟳Staff leave faster than we can hire themStaff leave faster than wecan hire themdeo povratne petlje⟳Beds are full because nobody can be dischargedBeds are full becausenobody can be dischargedšta prikazane akcije čine ovom osnovnom uzrokuNIJEDNA AKCIJA NE DELUJEDIREKTNO NA NJEGAThe data we report is a year old by the time it is publishedThe data we report is ayear old by the time it ispublishedWe report to eleven bodies and none of them to each otherWe report to eleven bodiesand none of them to eachotheršta prikazane akcije čine ovom osnovnom uzrokuNIJEDNA AKCIJA NE DELUJEDIREKTNO NA NJEGANobody owns the whole patient journeyNobody owns the wholepatient journeyšta prikazane akcije čine ovom osnovnom uzrokuNIJEDNA AKCIJA NE DELUJEDIREKTNO NA NJEGAPolitics changes the target every electionPolitics changes the targetevery electionWe have never once been asked to plan for ten yearsWe have never once beenasked to plan for ten yearsWe are measured on activity, so activity is what we produceWe are measured onactivity, so activity iswhat we producePeople wait hours in a corridor before anyone sees themPeople wait hours in acorridor before anyone seesthemšta prikazane akcije čine ovom osnovnom uzrokuNIJEDNA AKCIJA NE DELUJEDIREKTNO NA NJEGAThe incentive is to treat, never to preventThe incentive is to treat,never to preventAn improvement takes two years and a chief executive lasts eighteen monthsAn improvement takes twoyears and a chief executivelasts eighteen monthsThe same patients come back within a weekThe same patients come backwithin a week
Svaki broj na mapi označava osnovni uzrok koji ta akcija smanjuje.
① Fund on a ten-year plan, not a winter
② Pay something for the patient who did not need to come
③ One budget for discharge, held jointly
Šta očekujemo da usledi
Predviđanja o akcijama: šta bi svaka trebalo da promeni, kako to izmeriti i kada proveriti. Tog datuma neko ko je bio u sobi upisuje pored predviđanja šta se zaista dogodilo.
zašto
Mapa kaže koje akcije pomeraju koje uzroke. Ne kaže da li ih je iko sproveo, niti da li se išta promenilo. Unos ovde je predviđanje sa datumom i nečim što se meri, napisano pošto je mapa rešena. Kada dođe taj datum, pored njega se upiše šta se zaista dogodilo, a predviđanje ostaje kakvo je bilo: pogrešno je upravo ono korisno. Niko nije glasao ni o čemu od ovoga i to ne menja ništa od onoga što je soba utvrdila.
rok: 24 Mar 2027
akcijaOne budget for discharge, held jointly
očekujemoa patient ready to leave is not held by whose budget it is
merilomedian days of delayed discharge per patient
procenesoba: 5 (medijana; procena: 15; raspon od 2 do 12)