TY  - JOUR
PY  - 2012//
TI  - Reason's accident causation model: application to adverse events in acute care
JO  - Contemporary nurse
A1  - Elliott, Malcolm
A1  - Page, Karen
A1  - Worrall-Carter, Linda
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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 "Swiss cheese" or "cumulative act effect" 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>
LA  - en
SN  - 1037-6178
UR  - http://dx.doi.org/10.5172/conu.2012.2464
ID  - ref1
ER  -