Swiss cheese model

Uncommon card · No. 79566

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 have 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 different types of defenses which are "layered" behind each other. Therefore, in theory, lapses and weaknesses in one defense (e.g. a hole in one slice of cheese) do not allow a risk to materialize, since other defenses also exist (e.g. other slices of cheese), to prevent a single point of failure. The model was originally formally propounded by James T. Reason of the University of Manchester, and has since gained widespread acceptance. It is sometimes called the "cumulative act effect". Applications include aviation safety, engineering, healthcare, emergency service organizations, and as the principle behind layered security, as used in computer security and IT's defense in depth. Although...

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