Patient Safety Analysis in General Practitioner’s Work Using Functional Resonance Analysis Method (FRAM)

Magott, Jan; Wikiera-Magott, Irena

doi:10.2478/jok-2020-0059

Cited by 2 publications

(1 citation statement)

References 2 publications

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“…The tests that the GP can refer for are: u rine, blood, ultrasound examination and simple X-ray examination. The Functional Resonance Analysis Method (FRAM) [7,17] model of this process has been provided in paper [13]. FRAM is a systemoriented approach to safety.…”

Section: Introductionmentioning

confidence: 99%

Optimization of Tests for Verification of a Diagnosis Made by a General Practitioner (Gp)

Magott,

Wikiera-Magott

2024

PJAMBP

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Introduction: In a GP’s work, the fundamental problem is the accuracy of the diagnosis under time constraints, cost limitations on health care and medical standards. A GP selects the medical tests for verification of a hypothetical (preliminary) diagnosis made after an interview and physical examination. Optimization of such verification tests as urine, blood, ultrasound examination and simple X-ray examination in order to improve the diagnosis accuracy has been attempted in the paper. Diagnostic potential, cost and precision of tests have been accepted as optimization criteria. Methods: For a health problem, a set of preliminary diagnoses is given. The diagnostic potential of tests in verification of the diagnosis from this set is determined using the Analytic Hierarchy Process. Then for each of these diagnoses, a set of tests with sufficiently great total diagnostic potential and minimal cost is found using a binary linear programming problem. The precision of tests in verification of the diagnoses is estimated using medical expert intuition. Then the pairs (hypothetical diagnosis, test) with the greatest coefficient of test precision impact in verification of the hypothetical diagnosis are selected. Finally, the recommendations for improving precision of the selected tests are defined. Results: In the case study, a lumbar pain health problem is considered. Six preliminary diagnoses and four tests have been theoretically considered, i.e., no sample of patients. Two recommendations for the tests have been formulated. Discussion and Conclusions: A quantitative method for indicating week points of medical tests in order to improve diagnosis accuracy has been proposed. A limitation of the case study is the estimation of diagnostic potential of tests and their precision by one medical expert only.

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Section: Introductionmentioning

confidence: 99%

Optimization of Tests for Verification of a Diagnosis Made by a General Practitioner (Gp)

Magott,

Wikiera-Magott

2024

PJAMBP

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Selection of train traffic managers activities in training process using functional resonance analysis method

Haładyn

Magott

Restel

et al. 2023

AoT

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In training process of rail traffic manager (controller) using virtual reality technology, selection of activities among those assigned to a workplace and scenarios that should be taken in training is an important issue. The selection method that is based on performance variability of her/his activities has been proposed in the paper. This variability has been characterized by timing and precision. The traditional reliability and safety analysis methods are not sufficient when building the training program for traffic managers. In the paper the train controller work has been modelled using Functional Resonance Analysis Method (FRAM) that is system oriented approach. Scales of values of timing and precision that are train transport driven have been presented. They are different when comparing with typical timing and precision scales given in FRAM literature. In the paper the estimation of prob-abilities of occurring of values of timing and precision scales for these activities has been calculated as the mean from the values obtained by questionnaire done in traffic manager community or using Analytic Hierarchy Process (AHP) method. In FRAM with AHP approaches presented in literature, AHP pairwise comparison is executed using natural numbers and their reciprocals what is typical in AHP method. In our paper the AHP is used for estimating the probabilities, so in pairwise comparing the rational numbers are applied, because natural numbers and their reciprocals would limit the set of values of probabilities. The activities and scenarios that the training should be concentrated on are selected from those with the greatest variability.

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Patient Safety Analysis in General Practitioner’s Work Using Functional Resonance Analysis Method (FRAM)

Cited by 2 publications

References 2 publications

Optimization of Tests for Verification of a Diagnosis Made by a General Practitioner (Gp)

Optimization of Tests for Verification of a Diagnosis Made by a General Practitioner (Gp)

Selection of train traffic managers activities in training process using functional resonance analysis method

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