![]() There has been critique of the SCM within literature and many safety scientists, including Reason himself, have identified limitations of the model. Since the development of these models, our workplaces, patients and treatments are more complex, our use of technology has transformed our healthcare practices and societal awareness of emotional and psychological health has increased dramatically. Reason’s Swiss Cheese Model (SCM) was developed in 1990, and Heinrich’s Safety Triangle (ST) was first published in 1931. These represent the healthcare workplaces and culture of the time in which they were created and have contributed hugely to our understanding and improvements in patient safety systems. There are several models to describe patient safety, which have become almost universal. By applying the principles of Safety II and replacing outdated models for understanding patient safety performance, a more accurate, beneficial and respectful understanding of safety outcomes is possible. This replaces the simple, linear approach of The Swiss Cheese Model when analysing outcome causation. This includes recognition of the complexity of our workplace, the impact of micro-interactions, effective leadership behaviours as well as patterns of behaviour that all provide learning. From a cross-sectional view, we are able to gain insights into how these outcomes come to manifest. This supersedes the widely used Safety Triangle and provides a more accurate conceptual model for understanding what outcomes are generated within healthcare. From above, we are able to observe the organisational outcomes. There are two viewpoints of the Lilypond that provide insight into patient safety performance. It radically diverges from established patient safety models to develop the reality of complexity within the healthcare systems as well as incorporating Safety II principles. The Lilypond is a new conceptual model to describe patient safety performance. Gould's gut feeling says you should "repeat an accidental if sounding at aĭifferent octave, even when the same pitch is used with an octave sign".All subjects Allied Health Cardiology
0 Comments
Leave a Reply. |