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Author Nicholas Seaton, Julie Crawford, John Moppett, Laura Pickup |
| Abstract This paper describes the use of the Functional Resonance Analysis Method (FRAM) to understand the potential for variability in the delivery of chemotherapy across distributed care providers. The complexity of the system is considered and how the use of a FRAM model enabled cross disciplinary collaboration. This enabled consideration to common scenarios and incidents, where variability in the delivery of care is critical to adapt to a patient’s condition. The use of scenarios and incident-based analysis revealed how core functions within the system influenced the ability of teams and families to effectively monitor and communicate treatment regimes. In using the FRAM model to facilitate discussions, the team were able to challenge their beliefs on how knowledge of treatment regimens and a shared understanding across geographically distributed sites was achieved. This created new and shared knowledge on the potential variability in communication and transfer of information, essential to the reliability of the delivery of chemotherapy as intended. The paper considers the value and role of the FRAM model as a boundary object, an artefact that can support staff with different roles within the team to engage equally to solve a problem or safety concern. |
