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Module 6: Patient Safety Discussion
In this module, we have explored patient safety and how it contributes to patient care outcomes. Studies of healthcare adverse events reveal that errors do not occur in isolation but are shaped by the nature of the organization in which they occur. The healthcare organizations we work in are complex adaptive systems (CAS). The Swiss Cheese Model described in Chapter 10 (Johnson & Sollecito, 2020) illustrates the complexity of delivering care and how weaknesses and other influences can contribute to an adverse event. For this discussion, review the information from chapter 10 (Figure 10.2) on Reason’s Swiss Cheese Model. Select one of the four failure domains and explain some of the measures the Intensive Care Unit (ICU) takes to prevent this type of harm to patients or staff. These measures are the layers of Swiss cheese that compose the Swiss Cheese model. Nurse leaders work in complex adaptive systems and with this in mind describe what you would do to continue to improve these outcomes. Support your comments with information you obtained from a review of literature. Your comments are to include an 7th Edition APA in-text citations and a Reference List. Source material is to be integrated into the comments. Comments are to use sources found from a literature review, not solely on textbooks for the course.


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