Comparison of the SEIPS model, the Reason/Vincent model, and Donabedian’s quality model
| Model | Strengths | Weaknesses |
|---|---|---|
| SEIPS model of work system and patient safety | Focus on system design and its impact on processes and outcomes Broad view of processes Description of system, its components and interactions among components Impact on patient safety and employee/organizational outcomes | Descriptive model; no specific guidance as to the critical elements |
| Reason/Vincent model of accidents and adverse events | Focus on etiology of accidents and adverse events Description of contributing factors | No discussion of processes No guidance for system redesign and improvement of patient safety |
| Donabedian’s model of quality (structure-process-outcome, SPO) | Description of relationships between structure, processes and outcomes | Narrow description of “structure”Limited description of processes |