What key factor is considered in the risk management aspect of the Swiss Cheese Model?

The Swiss Cheese Model emphasizes that in any system, multiple layers of defense are necessary to prevent failures or accidents. Each layer has potential holes, signifying weaknesses or failures. The risk management aspect focuses on identifying and addressing these breakdowns within the healthcare process. By analyzing where these breakdowns occur—such as during communication, handoffs, or procedural adherence—organizations can implement strategies and process improvements to strengthen the overall system.

Addressing and understanding these breakdowns is crucial for enhancing patient safety and minimizing risks. By focusing on the procedural vulnerabilities, healthcare professionals can create more robust protocols and safeguards that bridge the gaps in care delivery, ultimately preventing adverse events and improving patient outcomes. This model supports the idea that human errors or system deficiencies can lead to failures, making it imperative to explore and strengthen these aspects in a healthcare context.