Figure 4
The illustration depicts a small semicircle enclosed by a slightly larger semicircle. Further, a large semicircle encloses the small and the slightly larger semicircles. A table is positioned on the right side of the semicircles and is divided into three rows and two columns. Each row of the text box corresponds to a specific semicircle. The top row corresponds to the large, outermost semicircle, the middle row corresponds to the slightly larger, middle semicircle, and the bottom row corresponds to the small, inner semicircle. The entries in the top row are as follows: Column 1: Macro level (health), National or regional healthcare system. Column 2: National health organisations, association and unions; National regulatory model and governance. The entries in the middle row are as follows: Column 1: Meso level, Organisational level. Column 2: Healthcare organisation (organisational safety or third victim); Professional groups. The entries in the bottom row are as follows: Column 1: Micro level, Patient care or service level. Column 2: Individual professionals or team (professional safety or second victim); Patient and family (patient safety or first victim). A rectangular text box is positioned on the right side of the table, labeled “Just or fair culture, Safety-generating culture”. Individual leftward arrows point from this text box to specific rows of the table. From top to bottom, two arrows point at the top row, and one arrow each points at the middle and bottom rows.Application of the systems-level approach and the concept of culture to represent the safety and victim phenomena. Source: Authors’ own work