24 mai 2012 FRAM for monitor Application to patient safety · Habit with Clinicom [none,partialy know, satisfactory, expert] Communication [0-3] FRAM Scoreboard 11 Exogeneous variability

FRAM for monitorApplication to patient safety

24 mai 2012Centre de recherche sur les Risques et les Crises

FRAM based scorecard

2

Does my system have the potential to perform correctly?

Human ressources

Work environment

Situation

FRAM based scorecard

3

Does my system have the potential to perform correctly?

Human performance variability

Resistance to fatigue, aptitude, training, availlability, specific knowledge (tool, method, tasks, etc.), ability to communicate, etc.

Work environment variability

Support availlability, technical environment, team working, availlable time, etc.

Variability propagation vector

Shared document, ressources availlability, time availlability, information, etc.

FRAM Scoreboard

4

Drug circuitContext

Drug Circuit functionsModel

Drug Circuit ScorecardTool

Does my system have the potential to perform correctly?

Drug Circuit

5

Prescribe

Validate

Prepare

Stock Final product

Transport

Stock Initial product

Administrate

Follow

Stock Final product

Eliminate

Exit

FRAM Scoreboard

6

Drug circuitContext

Drug Circuit functionsModel

Drug Circuit ScorecardTool

Does my system have the potential to perform correctly?

FRAM Scoreboard

7

Drug circuitContext

Drug Circuit functionsModel

Drug Circuit ScorecardTool

Does my system have the potential to perform correctly?

11 functions24 sub functions

FRAM Scoreboard

9

Name of the function <doctor>.ExchangeInformation

DescriptionDoctor exchange information with patient and/or familly in order to identify symptoms that will support the definition of the treatment

Aspects

Input(s) Patient file

Output(s) Patient file updated and registred

Precondition

Resource(s) Questionnaire, Clinicom software

Control(s) doctor expert

Time  

FRAM Scoreboard

10

Endogeneous variabilityResistance to fatigue [Absent, No satisfactory, satisfactory, Excellent]

Aptitude [Absent, No satisfactory, satisfactory, Excellent]

Training [No training, Training in progress, partially, partially with complementary training in progress, totaly trained, expert]

Habit with Clinicom [none,partialy know, satisfactory, expert]

Communication [0-3]

FRAM Scoreboard

11

Exogeneous variabilityAvaillability of support [Absent, No availlable, low availlability, availlable]

Availlability questionnary [Absent, No availlable, low availlability, availlable]

Room [Critic, unadapted, adapted, excellent]

Team collaboration [critic, no satisfactory, satisfactory, excellent]

Organisation [critic, no satisfactory, satisfactory, excellent]

Coupling variability

Availlability Doctor [Absent, No availlable, low availlability, availlable]

Patient.Communication [0-3]Availlable time [Optimal, Inferior, Superior]

FRAM Scoreboard

12

Drug circuitContext

Drug Circuit functionsModel

Drug Circuit ScorecardTool

Does my system have the potential to perform correctly?

Next steps

Validation of the functionsDevelop a feedback moduleDevelop an event registration moduleDevelop a periodic rapport module

Integrate Resilience Analysis Grid