James Reason's Swiss Cheese Theory
Not what you're looking for?
From the perspective of a healthcare administrator, how would one promote collaboration among clinical professionals and encourage physician leadership to enhance patient care with quality initiatives that reduce organizational risk and support patient safety using the Swiss Cheese Theory? Please give me examples.
Purchase this Solution
Solution Summary
James Reason's Swiss cheese theory is examined.
Solution Preview
James Reason's Swiss Cheese Theory is sometimes also called the Cumulative Act Theory. It proposes that an organization creates defenses to prevent accidents, that line up or stack next to each other. However, within each defense, there may be human weakness, which is represented by the holes in the swiss cheese. Accidents occur when the weaknesses momentarily align. A hazard would have to make it through each of the defenses to cause an accident. Reason proposes that there are four levels of failure: Organizational influences, unsafe supervision, preconditions for unsafe acts, and the unsafe acts themselves.
His theory is often applied to healthcare. Organizational influences include systems or protocols that are mandated by the organization to ensure proper care (eg. the nurse must fill out or sign this form before giving any ...
Purchase this Solution
Free BrainMass Quizzes
Stress Continuum
All humans experience stress and a certain level is motivating for learning. However, a high level of stress for prolonged periods of time may have a negative impact. This information focuses on the four stages of stress. Understanding stress assists in maintaining a healthy level.
Test your health planning and program evaluation knowledge
Health planning and program evaluation is an important aspect of the Health Sciences' field. Organizations and communities must understand the needs of their audiences, and a way to obtain this datum is through proper design and assessment. This quiz will test your ability to understand the importance of planning and evaluation in the health sector.
Vitals about a Patient's Vitals
Basic questions about blood pressure and measurements.
What everyone should know about MRSA
This quiz focuses on what everyone should know about community MRSA. Community MSRA is an infection in healthy people.
Fibromyalgia
This quiz provides a brief overview of Fibromyalgia. Research is currently evolving regarding this diagnosis.