UNIVERSITY Question 8 (stimulus information from Lecture 3) Q 8 b): Defences, ba
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UNIVERSITY Question 8 (stimulus information from Lecture 3) Q 8 b): Defences, barriers, and safeguards are components of James Reason's (1990) Swiss Cheese Model'. Briefly explain how these factors can prevent a medication error from occurring (4 marks) We anticipate that this question is the one that you will be most challenged by... please don't leave it to the last minute a) b) HINTS: We have included a link to James Reason's (1990) article. This should be your reference. I. look at the Swiss Cheese Model in the James Reason article Il. a few researchers have used the 'Swiss Cheese Model' to explain medication errors. You will be able to locate their work in an academic databaseExplanation / Answer
Defense,barriers and safeguards are components of James reasons Swiss cheese model(1990).
This model focuses on that many layers of barriers occur between accident ans hazards..but their are flaws in each layer.due to these reasons if these layers are arranged ,a medical error can easily occur.
This model focuses on that even even if one layer of defense has its own flaws and weakness,still a medical error doesn't occur that easily as other barriers are. Present to provide a safeguard for the same .
This model was provided to analyse the occurence of system failures for example errors in medical practice.
The model draws attention to the health Care system rather than an individual.it focuses on indeliberate behaviour and not intentional one
Any human error can be seen on the level of an individual and also on the level of a system as a whole.
Swiss cheese model explains that in an ideal world their would no holes in the defense layers and barriers .but in reality this is more like holes like that found in Swiss cheese.
Defense barriers and safeguards form the key factor in system approach.
Any error management has two approach
1)limiting the no of error occuring
2)making sure that their are defense systems present to prevwnp any accident from happening.
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