@article{ref1,
title="Reason's accident causation model: application to adverse events in acute care",
journal="Contemporary nurse",
year="2012",
author="Elliott, Malcolm and Page, Karen and Worrall-Carter, Linda",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Adverse events are unintended harm to a patient caused by the health care provided; more than half of all these events have been deemed avoidable. Adverse events are a common problem in acute care and represent a breach in care quality and safety. They are generally not caused by a single mistake or error and although safety barriers exist in health care, patients today are still harmed. Using an accident causation model is a constructive way of identifying the underlying causes of adverse events and to strengthen a study's theoretical underpinnings. Reason's model (sometimes called the &quot;Swiss cheese&quot; or &quot;cumulative act effect&quot; model) is recommended as a useful framework for adverse event analysis as it promotes a focus on the conditions or situation in which the clinician was trying to perform, rather than apportioning blame.<p /> <p>Language: en</p>",
language="en",
issn="1037-6178",
doi="10.5172/conu.2012.2464",
url="http://dx.doi.org/10.5172/conu.2012.2464"
}