Switzerland cheese model to support the patient safety’s culture in a Cuban hospital

Some of the roles that people develop coincide in the other actors’ physical and mental space; these actions are in correspondence with different temporal spheres of life, as visualized in James Reason's Switzerland cheese model. This review purpose of systematizing the theoretical assumptions...

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Main Authors: Rosa María Blanco Quintana, Yuliett Mora Pérez, Tania Solange Bosi de Souza Magnago, Liuva Mariela Navarro Martiatu, Zenia Tamara Sánchez García, Annia Lourdes Iglesias Armenteros
Format: Article
Language:Spanish
Published: Centro Provincial de Información de Ciencias Médicas. Cienfuegos 2023-07-01
Series:Medisur
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Online Access:http://medisur.sld.cu/index.php/medisur/article/view/5689
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author Rosa María Blanco Quintana
Yuliett Mora Pérez
Tania Solange Bosi de Souza Magnago
Liuva Mariela Navarro Martiatu
Zenia Tamara Sánchez García
Annia Lourdes Iglesias Armenteros
author_facet Rosa María Blanco Quintana
Yuliett Mora Pérez
Tania Solange Bosi de Souza Magnago
Liuva Mariela Navarro Martiatu
Zenia Tamara Sánchez García
Annia Lourdes Iglesias Armenteros
author_sort Rosa María Blanco Quintana
collection DOAJ
description Some of the roles that people develop coincide in the other actors’ physical and mental space; these actions are in correspondence with different temporal spheres of life, as visualized in James Reason's Switzerland cheese model. This review purpose of systematizing the theoretical assumptions of the Switzerland cheese model for the patient safety culture support in hospitals. The model maintains that each care system has a series of walls or spaces that separate the elements of exposure to damage, located parallel to each other; however, they communicate through holes that can become sources of exposure. In the fair culture, the person must know what types of unsafe behavior are accepted and what are not. It is concluded that the patient safety culture must be understood as a non-punitive system that tries to become aware that things can go wrong, that it is capable of recognizing mistakes, learning from them and acting to improve, in this sense, the Switzerland cheese model supports these elements.
format Article
id doaj-art-75261184b82646fca34c62a81cb80423
institution Kabale University
issn 1727-897X
language Spanish
publishDate 2023-07-01
publisher Centro Provincial de Información de Ciencias Médicas. Cienfuegos
record_format Article
series Medisur
spelling doaj-art-75261184b82646fca34c62a81cb804232025-01-30T21:29:00ZspaCentro Provincial de Información de Ciencias Médicas. CienfuegosMedisur1727-897X2023-07-012148588642311Switzerland cheese model to support the patient safety’s culture in a Cuban hospitalRosa María Blanco Quintana0Yuliett Mora Pérez1Tania Solange Bosi de Souza Magnago2Liuva Mariela Navarro Martiatu3Zenia Tamara Sánchez García4Annia Lourdes Iglesias Armenteros5Complejo Científico Ortopédico Internacional Frank País García. La Habana, Cuba.Hospital Provincial Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos, Cuba.Universidad Federal de Santa María. Centro de Ciencias de la Salud. Departamento de Enfermería. Santa María, Rio Grande do Sul. Brasil.Complejo Científico Ortopédico Internacional Frank País García. La Habana, Cuba.Universidad de Ciencias Médicas de Cienfuegos. Cuba.Universidad de Ciencias Médicas de Cienfuegos. Cuba.Some of the roles that people develop coincide in the other actors’ physical and mental space; these actions are in correspondence with different temporal spheres of life, as visualized in James Reason's Switzerland cheese model. This review purpose of systematizing the theoretical assumptions of the Switzerland cheese model for the patient safety culture support in hospitals. The model maintains that each care system has a series of walls or spaces that separate the elements of exposure to damage, located parallel to each other; however, they communicate through holes that can become sources of exposure. In the fair culture, the person must know what types of unsafe behavior are accepted and what are not. It is concluded that the patient safety culture must be understood as a non-punitive system that tries to become aware that things can go wrong, that it is capable of recognizing mistakes, learning from them and acting to improve, in this sense, the Switzerland cheese model supports these elements.http://medisur.sld.cu/index.php/medisur/article/view/5689seguridad del pacienteatención al pacienteerrores médicos
spellingShingle Rosa María Blanco Quintana
Yuliett Mora Pérez
Tania Solange Bosi de Souza Magnago
Liuva Mariela Navarro Martiatu
Zenia Tamara Sánchez García
Annia Lourdes Iglesias Armenteros
Switzerland cheese model to support the patient safety’s culture in a Cuban hospital
Medisur
seguridad del paciente
atención al paciente
errores médicos
title Switzerland cheese model to support the patient safety’s culture in a Cuban hospital
title_full Switzerland cheese model to support the patient safety’s culture in a Cuban hospital
title_fullStr Switzerland cheese model to support the patient safety’s culture in a Cuban hospital
title_full_unstemmed Switzerland cheese model to support the patient safety’s culture in a Cuban hospital
title_short Switzerland cheese model to support the patient safety’s culture in a Cuban hospital
title_sort switzerland cheese model to support the patient safety s culture in a cuban hospital
topic seguridad del paciente
atención al paciente
errores médicos
url http://medisur.sld.cu/index.php/medisur/article/view/5689
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