Using the functional resonance analysis method on the drug administration process to assess performance variability

Kaya, Gulsum Kubra; Ovalı, Hüsnü Fahri; Öztürk, Fatih

doi:10.1016/j.ssci.2019.06.020

Cited by 50 publications

(72 citation statements)

References 15 publications

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“…The results of the analyzed studies indicated that there are approaches for validating FRAM models (Buikstra et al, 2020; Kaya et al, 2019; O'Hara et al, 2020). Workshop, meeting, group discussion, and interview with expert were used by 11.5% (6 out of 52) of the analyzed studies to validate constructed FRAM models.…”

Section: Resultsmentioning

confidence: 99%

“…It is noteworthy that accident/incident investigation report was the most popular approach in aviation-related studies as it was employed by 70% (7 out of 10) of the investigated studies in the aviation domain (Tables 3 and 4). Conducting interviews with experts to validate the outcomes of developed FRAM models was highlighted by Kaya et al (2019) and Bridges et al (2018). Workshop is another appropriate approach for validating the reliability of developed FRAM models (Ross et al, 2018).…”

Section: Other Objectivesmentioning

confidence: 99%

“…One justification is the capability of FRAM for describing and analyzing interdependencies among system elements or functions. Unlike most conventional safety management methods that do not consider human and organizational factors (Hollnagel, 2016;Woods & Cook, 2002), FRAM considers technological, human, and organizational functions together (Hollnagel, 2012b | 137 complexity of socio-technical systems' processes (De Carvalho, 2011;de Vries, 2017;Kaya et al, 2019). FRAM plays a vital role in understanding complex systems.…”

Section: Other Objectivesmentioning

confidence: 99%

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Modeling complex socio‐technical systems using the FRAM: A literature review

Salehi

Veitch

Smith

2020

Hum Ftrs & Erg Mfg Svc

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This is a review paper of studies that have employed the functional resonance analysis method (FRAM). FRAM is a relatively new systemic method for modeling and analyzing complex socio-technical systems. This review aims to address the following research questions: (a) Why is FRAM used? (b) To what domains has FRAM been applied? (c) What are the appropriate data collection approaches in practice? (d) What are the deficiencies of FRAM? A review of 52 FRAM-related studies published between 2010 and 2020 revealed that FRAM-based models can be used as a basis for improving safety management, accident/incident investigation, hazard identification/risk management, and complexity management in complex socio-technical systems. The outcomes also showed that healthcare was the most common domain that employed FRAM (31% of the investigated studies). The results of exploring data collection methods indicated a mixed method (interview, focus group, observation) was employed in 52% of the analyzed studies, and the accident investigation report was the most popular approach in aviation-related studies. An investigation of the deficiencies of the FRAM showed that it should be upgraded by exploiting supplementary methods to enhance its analytical and computational capacity to help risk analysts and safety managers in complex socio-technical systems. K E Y W O R D S accident investigation, complex socio-technical systems, complexity management, functional resonance analysis method (FRAM), hazard identification, safety management 1 | INTRODUCTION 1.1 | Background Complex socio-technical systems consist of some subsystems and subactivities linked in known or unknown ways (Hollnagel, 2012a, 2012b). Examples of socio-technical systems include healthcare, aviation, manufacturing, power industry, and automotive (Soliman & Saurin, 2017). They are inherently complex, nonlinear, uncertain, and dynamic (Jensen & Aven, 2018). Complex relationships between humans and their environments, including technologies and organizations, show that safety is not a linear and straightforward process in such systems (Grant et al., 2018). In the Safety-I perspective, the focus is on reducing adverse outcomes, such as accidents, incidents, and near misses (Hollnagel, 2018). The core idea of the established techniques for analyzing risks and accidents in the Safety-I approach is based on event chains: unexpected outcomes and potential accidents cannot be anticipated by considering event chains or possible

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Section: Resultsmentioning

confidence: 99%

Section: Other Objectivesmentioning

confidence: 99%

Section: Other Objectivesmentioning

confidence: 99%

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Modeling complex socio‐technical systems using the FRAM: A literature review

Salehi

Veitch

Smith

2020

Hum Ftrs & Erg Mfg Svc

View full text Add to dashboard Cite

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“…This is not a surprising result since FRAM was developed in the aeronautical field. Other emerging sectors are healthcare (13,99%) and industrial operations (12,44%) as demonstrated by several publications [14][15][16]. Furthermore, some authors pointed out that FRAM does not assess the human behavior and the human performance to analyze the human error [17,18].…”

Section: General Overview On Resilience Engineering Approachmentioning

confidence: 99%

“…Other publications demonstrated how FRAM is a qualitative approach for accident, risk and system analysis and it does not support quantification [19][20][21]. Definitely, FRAM is a qualitative method.…”

Section: General Overview On Resilience Engineering Approachmentioning

confidence: 99%

The Analytic Functional Resonance Analysis to Improve Safety Management

Petrillo¹,

Felice²,

Petrillo³

2021

Operations Management - Emerging Trend in the Digital Era

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Complex industrial plants are characterized by digitalization and innovation. In this context it is strategic to ensure the systematic design, implementation, and continuous improvement of all processes (operations management). One of the most obvious ways to improve operations performance is to reduce the risk of accidents and human errors. In this pilot study the Functional Resonance Analysis Method (FRAM) is proposed to analyze the complexity of safety in industrial plants. This research integrates FRAM with Analytic Hierarchy Process (AHP), a multi criteria technique, to overcome the limits of the FRAM. The result is a proposal of an alternative approach to risk assessment based on principles of resilience engineering. A real case study in a petrochemical company is analyzed.

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Critical path planning for discharging older adults using a functional perspective

Salehi

Veitch

Smith

2023

Hum Ftrs & Erg Mfg Svc

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This study aims to introduce an innovative method to schedule and analyze the discharge planning processes under uncertain individual activity completing times. Hospital care processes ending in discharging older adults represent a major challenge, as a number of interrelated tasks or activities are involved in the processes. The functional resonance analysis method (FRAM) is used to identify activities that constitute a descriptive model of the discharge planning processes and to assign the completion time to each task or activity. Then the critical path planning technique is utilized to identify the critical path of the discharge process. To this end, the Program Evaluation and Review Technique (PERT) is employed. Published data regarding six older patients are used to examine the potential utility of the introduced method to improve the discharge process of older adults. The results show that the integration of the FRAM and PERT is able to identify the critical activities that constitute the critical path of the discharge process. It also helps analyze the completion time assigned to each task/activity and calculate the completion time of the discharge process. The probability of completing the discharge process within a target completion time is also discussed. The results add further evidence showing the applicability of the FRAM and PERT to scheduling systems for the discharge planning processes. Health care professionals could use the findings of this study in designing a scheduling system to complete the discharge process of older adults in a reasonable time.

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Using the functional resonance analysis method on the drug administration process to assess performance variability

Cited by 50 publications

References 15 publications

Modeling complex socio‐technical systems using the FRAM: A literature review

Modeling complex socio‐technical systems using the FRAM: A literature review

The Analytic Functional Resonance Analysis to Improve Safety Management

Critical path planning for discharging older adults using a functional perspective

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