MHA 624 Week four assignment
The James Reason’s Swiss Cheese Theory
Alban Evans
MHA 624 Continuous Quality Improvements & Risk Management (NDI1407A) March 10, 2014,
Instructor: Judy Roberts
Introduction This paper will demonstrate from the perspective of a health care administrator, elaborate on how I would promote collaboration amongst clinical professionals and encourage physician leadership to enhance patient care with quality initiatives that reduce organizational risk and support patient safety.
Health Care Administrator Let talk about what an Administrator does, administrator does planning and manage the delivery of health care services. The duties include business functions, finance, admissions, operations and personnel. The day-to-day tasks of health care, department, practices and the entire facilities. Now, let look at this from the James Reason’s Swiss cheese Theory. This theory is a model of accident causation is a model used in risk analysis and risk management, including aviation, engineering and healthcare. This system is to multiple slices of Swiss cheese, is side by side. James Reason's Swiss Cheese Theory is also called the Cumulative Act Theory. It proposes that an organization creates defenses to prevent accidents that line up or stack next to each other. However, within each defense, there may be human weakness, which is represented by the holes in the Swiss cheese. Accidents occur when the weaknesses momentarily align. A hazard would have to make it through each of the defenses to cause an accident. Reason proposes that there are four levels of failure: Organizational influences, unsafe supervision, preconditions for unsafe acts, and the unsafe acts themselves. His theory is often applied to healthcare. Organizational influences include systems or protocols that are mandated by the organization to ensure proper care (the nurse must fill out or sign this form before giving any medication). Organizational influences also include
Alban Evans
MHA 624 Continuous Quality Improvements & Risk Management (NDI1407A) March 10, 2014,
Instructor: Judy Roberts
Introduction This paper will demonstrate from the perspective of a health care administrator, elaborate on how I would promote collaboration amongst clinical professionals and encourage physician leadership to enhance patient care with quality initiatives that reduce organizational risk and support patient safety.
Health Care Administrator Let talk about what an Administrator does, administrator does planning and manage the delivery of health care services. The duties include business functions, finance, admissions, operations and personnel. The day-to-day tasks of health care, department, practices and the entire facilities. Now, let look at this from the James Reason’s Swiss cheese Theory. This theory is a model of accident causation is a model used in risk analysis and risk management, including aviation, engineering and healthcare. This system is to multiple slices of Swiss cheese, is side by side. James Reason's Swiss Cheese Theory is also called the Cumulative Act Theory. It proposes that an organization creates defenses to prevent accidents that line up or stack next to each other. However, within each defense, there may be human weakness, which is represented by the holes in the Swiss cheese. Accidents occur when the weaknesses momentarily align. A hazard would have to make it through each of the defenses to cause an accident. Reason proposes that there are four levels of failure: Organizational influences, unsafe supervision, preconditions for unsafe acts, and the unsafe acts themselves. His theory is often applied to healthcare. Organizational influences include systems or protocols that are mandated by the organization to ensure proper care (the nurse must fill out or sign this form before giving any medication). Organizational influences also include