Understanding the 'Swiss Cheese Model' and Its Application to Patient Safety
| Autor: | Tara N. Cohen, Scott A. Shappell, Laura J Wood, Douglas A. Wiegmann |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Leadership and Management
business.industry 030503 health policy & services Human error Public Health Environmental and Occupational Health Swiss cheese model Article 03 medical and health sciences Accident (fallacy) Patient safety 0302 clinical medicine Leverage (negotiation) Risk analysis (engineering) Health care Humans Root Cause Analysis Patient Safety 030212 general & internal medicine Causation 0305 other medical science Root cause analysis business Psychology Delivery of Health Care |
| Zdroj: | J Patient Saf |
| ISSN: | 1549-8425 1549-8417 |
| DOI: | 10.1097/pts.0000000000000810 |
| Popis: | This article reviews several key aspects of the Theory of Active and Latent Failures, typically referred to as the Swiss cheese model of human error and accident causation. Although the Swiss cheese model has become well known in most safety circles, there are several aspects of its underlying theory that are often misunderstood. Some authors have dismissed the Swiss cheese model as an oversimplification of how accidents occur, whereas others have attempted to modify the model to make it better equipped to deal with the complexity of human error in health care. This narrative review aims to provide readers with a better understanding and greater appreciation of the Theory of Active and Latent Failures upon which the Swiss cheese model is based. The goal is to help patient safety professionals fully leverage the model and its associated tools when performing a root cause analysis as well as other patient safety activities. |
| Databáze: | OpenAIRE |
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