Aetiology of hospital setting adverse events 1: limitations of the 'Swiss cheese' model.
Clinical Honorary Professor in the Faculty of Health, University of Tasmania, Australia.
Michael
M
Buist
Adjunct Senior Lecturer in the School of Law, University of Tasmania, Australia.
Sarah
S
Middleton
D002983:Clinical Competence / Q000592:standards*; D003659:Decision Making, Organizational; D006760:Hospitalization; D006801:Humans; D019300:Medical Errors / Q000517:prevention & control*; D017146:Models, Organizational; D010043:Outcome and Process Assessment, Health Care / Q000379:methods / Q000592:standards; D064406:Patient Harm / Q000517:prevention & control*; D012308:Risk Management / Q000379:methods / Q000458:organization & administration; D017751:Safety Management / Q000379:methods / Q000458:organization & administration / Q000592:standards