Links to this site were placed on the access page of the International Journal for Quality in Health Care and the home page of the International Society for Quality in Health Care between November 2004 and January 2005. The same questionnaire was also posted on the internet. Completed questionnaires were collected in a ballot box. A self-completed questionnaire ("the Swiss cheese quiz") was handed out to attendees of the 20 th conference of the International Society for Quality in Health Care (Amsterdam, October 19–22, 2004), at the booth of the International Journal for Quality in Health Care. The data for this cross-sectional survey came from two sources: paper questionnaires filled by conference delegates, and online questionnaires. Reaching consensus about concepts of patient safety requires further work. The interpretations of specific features of the Swiss cheese model varied considerably among quality and safety professionals. Respondents gave on average 2.4 "correct" answers regarding the slice of cheese (out of 4), 2.7 "correct" answers about holes (out of 5), 2.8 "correct" answers about the arrow (out of 4), 3.3 "correct" answers about the active error (out of 5), and 4.1 "correct" answers about improving safety (out of 5). They gave on average 15.3 (SD 2.3, range 10 to 21) "correct" answers out of 23 (66.5%) – significantly more than 11.5 "correct" answers that would expected by chance (p < 0.001). ResultsĮighty five respondents stated that they were very or quite familiar with the model. Eleven interpretations were compatible with this author's interpretation of the model, 12 were not. The questionnaire proposed several interpretations of components of the Swiss cheese model: a) slice of cheese, b) hole, c) arrow, d) active error, e) how to make the system safer. Survey of a volunteer sample of persons who claimed familiarity with the model, recruited at a conference on quality in health care, and on the internet through quality-related websites. The aim of this study was to determine if the components of the model are understood in the same way by quality and safety professionals. Reason's Swiss cheese model has become the dominant paradigm for analysing medical errors and patient safety incidents.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |