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IMF-073-02-0001-en	What must be secured immediately after an incident, and why does this take priority over investigation?	Care for the affected patient, prevention of further exposure, preservation of equipment and records, notification of leaders, and staff support come first, because investigation must not delay treatment.	Integrated Medical Foundations; chapter 73, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c76ce34e5b3ad3e16df3541efe62511729610f68bd6719cdb3b30e717a01727c; editorial review pending	imf lang::en chapter::073 module::073-02 review::pending
IMF-073-02-0002-en	What does open disclosure involve, and why should uncertainty not justify silence?	It communicates what is known, expresses regret, explains care and investigation, and commits to further information; patients and families may hold facts invisible to the organisation.	Integrated Medical Foundations; chapter 73, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c76ce34e5b3ad3e16df3541efe62511729610f68bd6719cdb3b30e717a01727c; editorial review pending	imf lang::en chapter::073 module::073-02 review::pending
IMF-073-02-0003-en	Why must hindsight be kept out of earlier decision points when reconstructing an incident?	The aim is to explain why decisions appeared reasonable using the information, goals, workload, and constraints present at each moment; knowledge of the outcome was not available then.	Integrated Medical Foundations; chapter 73, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c76ce34e5b3ad3e16df3541efe62511729610f68bd6719cdb3b30e717a01727c; editorial review pending	imf lang::en chapter::073 module::073-02 review::pending
IMF-073-02-0004-en	Why do electronic timestamps need interpretation when building a chronology?	They can reflect delayed entry, automatic processes, copied notes, or clock differences rather than the true time of action.	Integrated Medical Foundations; chapter 73, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c76ce34e5b3ad3e16df3541efe62511729610f68bd6719cdb3b30e717a01727c; editorial review pending	imf lang::en chapter::073 module::073-02 review::pending
IMF-073-02-0005-en	Why are statements such as "staff failed to follow policy" not accepted as causes?	They are descriptions; investigators must ask whether the policy was accessible, workable, trained, monitored, and compatible with demand, what information was missing, and why recovery did not occur.	Integrated Medical Foundations; chapter 73, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c76ce34e5b3ad3e16df3541efe62511729610f68bd6719cdb3b30e717a01727c; editorial review pending	imf lang::en chapter::073 module::073-02 review::pending
IMF-073-02-0006-en	What makes a factor causal rather than merely contributory, and what limits counterfactual reasoning?	A condition is causal if changing it would plausibly alter the outcome in the reconstructed mechanism, but counterfactuals must consider whether another pathway would still have produced harm.	Integrated Medical Foundations; chapter 73, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c76ce34e5b3ad3e16df3541efe62511729610f68bd6719cdb3b30e717a01727c; editorial review pending	imf lang::en chapter::073 module::073-02 review::pending
IMF-073-02-0007-en	Why is diagnostic error often a distributed process rather than one wrong thought?	Diagnosis spans access, symptom elicitation, examination, testing, interpretation, follow-up, and referral, and fails when results miss the right person, responsibility is unclear, or non-attendance triggers no follow-up.	Integrated Medical Foundations; chapter 73, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c76ce34e5b3ad3e16df3541efe62511729610f68bd6719cdb3b30e717a01727c; editorial review pending	imf lang::en chapter::073 module::073-02 review::pending
IMF-073-02-0008-en	How can a reasonable initial diagnosis become unsafe, and what should the investigation track?	It becomes unsafe if disconfirming evidence is ignored, so investigators track when the diagnosis could first reasonably have been made and which later opportunities existed.	Integrated Medical Foundations; chapter 73, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c76ce34e5b3ad3e16df3541efe62511729610f68bd6719cdb3b30e717a01727c; editorial review pending	imf lang::en chapter::073 module::073-02 review::pending
IMF-073-02-0009-en	Why can an independent double-check fail to catch a medication error?	Checks are weak when both clinicians share the same assumption or one merely confirms the other's calculation, and when they do not focus on the high-risk elements.	Integrated Medical Foundations; chapter 73, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c76ce34e5b3ad3e16df3541efe62511729610f68bd6719cdb3b30e717a01727c; editorial review pending	imf lang::en chapter::073 module::073-02 review::pending
IMF-073-02-0010-en	Why should the severity of outcome not decide whether a medication incident's mechanism matters?	Harm without error can still reveal ways to improve monitoring or risk selection, and a large error that caused no harm by chance deserves learning before it recurs.	Integrated Medical Foundations; chapter 73, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c76ce34e5b3ad3e16df3541efe62511729610f68bd6719cdb3b30e717a01727c; editorial review pending	imf lang::en chapter::073 module::073-02 review::pending
IMF-073-02-0011-en	What do balancing measures add to structure, process, and outcome measures?	They detect unintended consequences of a change, such as delays caused by a new safety step, which the other measures would not reveal.	Integrated Medical Foundations; chapter 73, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c76ce34e5b3ad3e16df3541efe62511729610f68bd6719cdb3b30e717a01727c; editorial review pending	imf lang::en chapter::073 module::073-02 review::pending
IMF-073-02-0012-en	Why is statistical process control preferred to reacting to every fluctuation or comparing before-and-after averages?	It separates common-cause variation inherent in the process from special-cause signals; reacting to every fluctuation destabilises a process, and simple averages can conceal temporal change.	Integrated Medical Foundations; chapter 73, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c76ce34e5b3ad3e16df3541efe62511729610f68bd6719cdb3b30e717a01727c; editorial review pending	imf lang::en chapter::073 module::073-02 review::pending
IMF-073-02-0013-en	Why do risk-priority scores in failure-mode and effects analysis need caution?	They can create false precision, so a severe hazard should not be dropped merely because its estimated frequency is low.	Integrated Medical Foundations; chapter 73, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c76ce34e5b3ad3e16df3541efe62511729610f68bd6719cdb3b30e717a01727c; editorial review pending	imf lang::en chapter::073 module::073-02 review::pending
IMF-073-02-0014-en	What do Safety-II and positive deviance study, and what limit applies to successful workarounds?	They study how work usually succeeds despite variability and how teams achieve better outcomes under similar constraints; successful workarounds should not excuse chronic system defects.	Integrated Medical Foundations; chapter 73, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c76ce34e5b3ad3e16df3541efe62511729610f68bd6719cdb3b30e717a01727c; editorial review pending	imf lang::en chapter::073 module::073-02 review::pending