As an important part of medical and health field, nursing safety management plays a vital role in ensuring patients’ life safety. Swiss cheese model is an efficient system security management strategy, covering four dimensions: organizational influence, poor supervision, potential unsafe behavior and unsafe operation behavior. Through in-depth analysis of the risk factors of accidents, this model constructs a multi-level defense system from the above four dimensions in order to prevent accidents. In order to continuously improve nursing safety management and nursing service quality, and promote the sustainable development of nursing work, this study mainly summarized and analyzed the Swiss cheese model and its application progress in the field of nursing safety, aiming at providing theoretical reference for subsequent researchers’ research and clinical practice.
References
[1]
Liu, J. and Xiao, M.M. (2021) Thinking and Enlightenment on the Global Patient Safety Action Plan Proposed by WHO. China Hospital, 25, 62-64.
[2]
Olson, J.A. and Raz, A. (2021) Applying Insights from Magic to Improve Deception in Research: The Swiss Cheese Model. Journal of Experimental Social Psychology, 92, Article 104053. https://doi.org/10.1016/j.jesp.2020.104053
[3]
Zheng, J.T. and Ding, Y.Z. (2024) Analysis and Prevention of Man-Made Maintenance Errors of Aviation Accidents Based on the Improved Reason Model. Sci-Tech Wind, 17, 145-148. https://doi.org/10.992/j.cnki.1671-7711.100000001076
[4]
Congo (2024) Risk Control Analysis of Tunnel Engineering Based on Human Error Model. Anhui Architecture, 31, 146-147.
[5]
Puthillath, B., Marath, B. and Ayappan, B.C. (2021) Analyzing the Cause of Human Electrical Accidents Using Swiss Cheese Model. Vilakshan—XIMB Journal of Management, 20, 193-208. https://doi.org/10.1108/xjm-01-2021-0004
[6]
Weng, F., Wu, J. and Cheng, S.D. (2023) The Application of Swiss Cheese Model in Improving the Monitoring and Management of Medical Device Adverse Events. China Hospital Building and Equipment, 24, 74-78.
[7]
Wang, Q.K., Meng, N., Ma, Y.X., et al. (2024) Study on the Key Influencing Factors of Operational Obstacles of Health Emergency Mechanism Based on Reason Cheese Model. Chinese Health Service Management, 41, 884-890.
[8]
Howard, R. and Dimick, J.B. (2024) Human Factors and Principles of Patient Safety: The James Reason Model. In: Principles of Perioperative Safety and Efficiency, Springer, 3-15. https://doi.org/10.1007/978-3-031-41089-5_1
[9]
Shabani, T., Jerie, S. and Shabani, T. (2023) A Comprehensive Review of the Swiss Cheese Model in Risk Management. Safety in Extreme Environments, 6, 43-57. https://doi.org/10.1007/s42797-023-00091-7
[10]
Wiegmann, D.A., Wood, L.J., Cohen, T.N. and Shappell, S.A. (2021) Understanding the “Swiss Cheese Model” and Its Application to Patient Safety. Journal of Patient Safety, 18, 119-123. https://doi.org/10.1097/pts.0000000000000810
[11]
Kong, D.Y., Chu, T., et al. (2019) Monitor Safety Risk Management Based on “Swiss Cheese Model”. China Medical Equipment, 16, 106-108.
[12]
Noh, J.Y., Song, J.Y., Yoon, J.G., Seong, H., Cheong, H.J. and Kim, W.J. (2020) Safe Hospital Preparedness in the Era of COVID-19: The Swiss Cheese Model. International Journal of Infectious Diseases, 98, 294-296. https://doi.org/10.1016/j.ijid.2020.06.094
[13]
Zhang, Y.H., Xu, Y. and Xu, X. (2022) Exploration on the Security of University Laboratories Based on Swiss Cheese Model. Research and Exploration in Laboratory, 41, 304-308.
[14]
Ji, J., Zhao, L., Ma, X.F., et al. (2023) Application of Swiss Cheese Model Theory in Biosafety Management. Laboratory Science, 26, 205-208+212.
[15]
National Health Commission (2022) National Nursing Development Plan (2021-2025). Chinese Nursing Management, 22, 801-804.
[16]
Hagiwara, M.A., Magnusson, C., Herlitz, J., Seffel, E., Axelsson, C., Munters, M., et al. (2019) Adverse Events in Prehospital Emergency Care: A Trigger Tool Study. BMC Emergency Medicine, 19, Article No. 14. https://doi.org/10.1186/s12873-019-0228-3
[17]
Wang, T.T., Fang, J., Chen, Y., Chen, Y.Y., Ge, Q. and Wang, F. (2022) Research Status of Analysis Methods of Nursing Adverse Events Abroad. Journal of Nursing Administration, 22, 575-579.
[18]
Lu, Z.H., Wang, Y., Guo, X.B. and Yang, X.K. (2019) Research Progress on the Cause Analysis Model of Nursing Adverse Events. Journal of Nursing Science, 34, 107-110.
[19]
Hessels, A.J., Paliwal, M., Weaver, S.H., Siddiqui, D. and Wurmser, T.A. (2019) Impact of Patient Safety Culture on Missed Nursing Care and Adverse Patient Events. Journal of Nursing Care Quality, 34, 287-294. https://doi.org/10.1097/ncq.0000000000000378
[20]
Durstenfeld, M.S., Statman, S., Dikman, A., Fallahi, A., Fang, C., Volpicelli, F.M., et al. (2019) The Swiss Cheese Conference: Integrating and Aligning Quality Improve-ment Education with Hospital Patient Safety Initiatives. American Journal of Medical Quality, 34, 590-595. https://doi.org/10.1177/1062860618817638
[21]
Watson, B., Salmoni, A. and Zecevic, A. (2018) Case Analysis of Factors Contributing to Patient Falls. Clinical Nursing Research, 28, 911-930. https://doi.org/10.1177/1054773818754450
[22]
Fu, B., Mei, Y.X., Lin, B.L., et al. (2023) Research Progress on the Application of Root Cause Analysis in the Fall Management of Elderly Patients. China Journal of Gerontology, 43, 2041-2044.
[23]
Zhai, Y. and Geng, Z.X. (2020) Analysis of Adverse Events in Psychiatric Nursing Based on Reason Model and Discussion on Countermeasures. Nursing of Integrated Traditional Chinese and Western Medicine (Chinese and English), 6, 219-223.
[24]
Yu, C.G., Liu, M.F., Gao, Y.P., Li, C.M., et al. (2021) Analysis of Patients Falling/ Falling out of Bed Based on Evidence-Based and Reason Model. Shandong Medicine, 61, 75-78.
[25]
Zhang, L., Lu, M.Q., Xu, R.F., et al. (2023) Application Analysis of Reason Model in Perioperative Nursing Safety Management of Patients with Liver Cancer Intervention. General Nursing, 21, 3952-3955.
[26]
Guo, L., Ding, J. and Li, Y.N. (2019) Cheese Model Analysis of Human Factors of Drug Adverse Events in Hospitalized Children. General Nursing, 17, 94-96.
[27]
Karimi, A., Abbasi, M., Zokaei, M. and Falahati, M. (2021) Development of Leading Indicators for the Assessment of Occupational Health Performance Using Reason’s Swiss Cheese Model. Journal of Education and Health Promotion, 10, Article 158. https://doi.org/10.4103/jehp.jehp_1326_20
[28]
Gong, M.Y., Xu, Y.H. and Diao, W.L. (2024) Application of Swiss Cheese Model in the Management of Gastrointestinal Intolerance of Enteral Nutrition after Esophageal Cancer Surgery. General Nursing, 22, 1894-1897.
[29]
Wang, Y., Sun, B., Li, M.Q., et al. (2024) Application of Nursing Management Model Based on Swiss Cheese Model in Safe Medication for Patients Undergoing Chemotherapy in Day Wards. West China Medicine, 39, 229-233.
[30]
Tian, H. and Wang, X.Y. (2021) Application of Swiss Cheese Model in the Management of Safe Drug Use in Cardiology. Journal of Chinese Medicine Management, 29, 120-122. https://doi.org/10.16690/j.cnki.1007-9203.2021.18.00
[31]
Yu, Q.M. (2023) Application of Risk Nursing Model Based on Swiss Cheese Model in the Prevention of Adverse Events of Children’s Convulsions. Contemporary Nurses (Last Issue), 30, 107-110.
[32]
Hu, X.X., Guo, Y.Y. and Zheng, Z.N. (2021) The Effect of Swiss Cheese Model in ICU Drug Safety Management. International Journal of Nursing Science, 40, 4225-4228.
[33]
Zhou, L.N. and Wang, Z.M. (2022) Application of Swiss Cheese Model in Prevention and Management of Unplanned Extubation in ICU. General Nursing, 20, 3367-3370.
[34]
Wang, G.Y., Zhang, L.L., Li, X.Y., et al. (2023) Application of Swiss Cheese Model in Nursing Management of Enteral Nutrition Support for Patients with Severe Neurological Diseases. Xinjiang Medicine, 53, 101-105.
