História: Ligar decisões a causas e consequências

Nível: C1

A delayed examination

The imaging referral was incomplete, so the examination could not be scheduled immediately. As a result, the family experienced a longer period of uncertainty. The delay reduced confidence in the service, although no immediate harm occurred. The team reviewed the decision chain rather than blaming one person.

A changed process

The revised handover made critical information easier to find. The service accepted a slower step in order to reduce avoidable risk. The process was so clear that the receiving team could prepare earlier. Access was monitored to ensure that the improvement did not exclude families.

Notas de vocabulário

• decision chain — cadeia de decisões
• prepare earlier — preparar-se antes
• did not exclude — não excluísse