PART 1: Introduction to Clinical Medicine
10 The Safety and Quality of Health Care
 | Figure 10-1 "Swiss cheese" diagram. Reason has argued that most accidents occur when a series of "latent failures" in a system are present and happen to line up in a given instance, resulting in an accident. Examples of latent failures in the case of a fall might be that the unit was unusually busy that day and that the floor... |
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 | Figure 10-2 Plan-Do-Check-Act (PDCA) cycle. The PDCA cycle approach can be used to improve a specific process rapidly. First, planning is performed, and several potential improvement strategies are identified. Next, these strategies are trialed in small "tests of change." "Checking" entails measuring whether they appeared to make... |
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 | Figure 10-3 The chronic care model. The chronic care model, which focuses on improving care for chronic diseases, suggests that delivery of high-quality care requires a range of strategies that must closely involve and engage the patient and, in addition, that team care is essential. (From EH Wagner et al: Eff Clin Pract 1:2,... |
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