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  2. Swiss cheese model - Wikipedia

    en.wikipedia.org/wiki/Swiss_cheese_model

    The Swiss cheese model of accident causation is a model used in risk analysis and risk management. It likens human systems to multiple slices of Swiss cheese , which has randomly placed and sized holes in each slice, stacked side by side, in which the risk of a threat becoming a reality is mitigated by the differing layers and types of defenses ...

  3. Healthcare error proliferation model - Wikipedia

    en.wikipedia.org/wiki/Healthcare_error...

    The Swiss Cheese Model, likens the complex adaptive system to multiple hole infested slices of Swiss cheese positioned side-by-side. [2] [3] The cheese slices are dubbed defensive layers to describe their role and function as the system location outfitted with features capable of intercepting and deflecting hazards. The layers represent ...

  4. James Reason - Wikipedia

    en.wikipedia.org/wiki/James_Reason

    Among his many contributions is the introduction of the Swiss cheese model, a conceptual framework for the description of accidents based on the notion that accidents will happen only if multiple barriers fail, thus creating a path from an initiating cause all the way to the ultimate, unwanted consequences, such as harm to people, assets, the ...

  5. Human Factors Analysis and Classification System - Wikipedia

    en.wikipedia.org/wiki/Human_Factors_Analysis_and...

    Swiss cheese model of accident causation. See also. Accident classification; Crew resource management; National Fire Fighter Near-Miss Reporting System; SHELL model;

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  7. Tripod Beta - Wikipedia

    en.wikipedia.org/wiki/Tripod_Beta

    Such research contributed towards the development of the Swiss cheese model of accident causation, and in the late 1990s and early 2000s, towards the development of the Hearts and Minds safety culture toolkit. The research was based on the following hypotheses Accidents happen because controls fail (now known as the Swiss Cheese model)

  8. System accident - Wikipedia

    en.wikipedia.org/wiki/System_accident

    James Reason extended this approach with human reliability [6] and the Swiss cheese model, now widely accepted in aviation safety and healthcare. These accidents often resemble Rube Goldberg devices in the way that small errors of judgment, flaws in technology, and insignificant damages combine to form an emergent disaster. Langewiesche writes ...

  9. Swiss cheese - Wikipedia

    en.wikipedia.org/wiki/Swiss_cheese

    Swiss cheese (mathematics), subset of the complex plane with circular holes; Swiss cheese features, pits in the south polar ice cap of Mars; Swiss cheese model, of accident causation, used in risk analysis and risk management