Applying fram for problem solving in complex socio-techincal systems: case study of a hospital unit
DOI:
https://doi.org/10.14488/1676-1901.v19i1.3093Keywords:
FRAM. Problem solving. Hospital. Medication erros. Prescription.Abstract
Characterized by its constant changing nature, healthcare sector has complex problems, which needs a proper and robust approach. The Functional Resonance Analysis Method (FRAM), a method developed for modeling complex systems, shows potential as an alternative to problem solving in the hospital environment. Since it is a relatively new method, this study proposes to analyze FRAM performance when used for problem solving in an inpatient unit of an academic hospital. For this, the results of FRAM utilization were evaluated according to the following criteria: the total number of improvement actions proposed, implementation difficult, replication possibility along the departments of the hospital, the time required to apply the method, the number of people involved and the need of training for the team. In the evaluated context, FRAM application resulted in improvement actions that were considered satisfactory by the involved team, providing a realistic view of how the work is routinely done.
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