This study in Applied Ergonomics looks at how the Functional Resonance Analysis Method (FRAM) can be used to identify process improvements in surgical settings. FRAM focuses on the conflicts and trade-offs inherent in the process of response, and how staff adapt to them, rather than on identifying and eliminating error.
The authors examined responses to deteriorating patients following emergency abdominal surgery in a large surgical emergency unit. They concluded that FRAM can be used to analyse surgical work systems to identify ways to strengthen organisational resilience. They suggest further evaluation of its use in systems improvement is needed to determine its potential value.