The Coherent Framework: A systems analysis tool for decoding all work (1 July 2025)

Summary

Patient Safety increasingly seeks to adopt a systems-based approach. Healthcare has many different environments and dynamics that require exploration and no single methodology or perspective enables practitioners to explore healthcare in its entirety.

The Coherent Framework will enable practitioners to explore how system improvement can be generated by seeking to understand every day work, proactively improving risk management pertaining to patient safety as well as inform learning following a patient safety vent. The Coherent Framework results in practitioners no longer needing to consider if their system is complex, or if it is complex how complex, to instead ask at each moment; what was the degree of complexity influencing agency?