Can using the functional resonance analysis method, as an intervention, improve patient safety in hospitals?: a stepped wedge design protocol

Abstract Background Healthcare professionals are sometimes forced to adjust their work to varying conditions leading to discrepancies between hospital protocols and daily practice. We will examine the discrepancies between protocols, ‘Work As Imagined’ (WAI), and daily practice ‘Work As Done’ (WAD)...

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Autores principales:	Liselotte M. van Dijk, Meggie D. Meulman, Linda van Eikenhorst, Hanneke Merten, Bernadette C. F. M. Schutijser, Cordula Wagner
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Patient safety Stepped wedge trial FRAM Safety-II Hospital Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/c0dd7e5cae6c473192c88c80df0b6311
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spelling	oai:doaj.org-article:c0dd7e5cae6c473192c88c80df0b63112021-11-14T12:09:47ZCan using the functional resonance analysis method, as an intervention, improve patient safety in hospitals?: a stepped wedge design protocol10.1186/s12913-021-07244-z1472-6963https://doaj.org/article/c0dd7e5cae6c473192c88c80df0b63112021-11-01T00:00:00Zhttps://doi.org/10.1186/s12913-021-07244-zhttps://doaj.org/toc/1472-6963Abstract Background Healthcare professionals are sometimes forced to adjust their work to varying conditions leading to discrepancies between hospital protocols and daily practice. We will examine the discrepancies between protocols, ‘Work As Imagined’ (WAI), and daily practice ‘Work As Done’ (WAD) to determine whether these adjustments are deliberate or accidental. The discrepancies between WAI and WAD can be visualised using the Functional Resonance Analysis Method (FRAM). FRAM will be applied to three patient safety themes: risk screening of the frail older patients; the administration of high-risk medication; and performing medication reconciliation at discharge. Methods A stepped wedge design will be used to collect data over 16 months. The FRAM intervention consists of constructing WAI and WAD models by analysing hospital protocols and interviewing healthcare professionals, and a meeting with healthcare professionals in each ward to discuss the discrepancies between WAI and WAD. Safety indicators will be collected to monitor compliance rates. Additionally, the potential differences in resilience levels among nurses before and after the FRAM intervention will be measured using the Employee Resilience Scale (EmpRes) questionnaire. Lastly, we will monitor whether gaining insight into differences between WAI and WAD has led to behavioural and organisational change. Discussion This article will assess whether using FRAM to reveal possible discrepancies between hospital protocols (WAI) and daily practice (WAD) will improve compliance with safety indicators and employee resilience, and whether these insights will lead to behavioural and organisational change. Trial registration Netherlands Trial Register NL8778; https://www.trialregister.nl/trial/8778 . Registered 16 July 2020. Retrospectively registered.Liselotte M. van DijkMeggie D. MeulmanLinda van EikenhorstHanneke MertenBernadette C. F. M. SchutijserCordula WagnerBMCarticlePatient safetyStepped wedge trialFRAMSafety-IIHospitalPublic aspects of medicineRA1-1270ENBMC Health Services Research, Vol 21, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Patient safety Stepped wedge trial FRAM Safety-II Hospital Public aspects of medicine RA1-1270
spellingShingle	Patient safety Stepped wedge trial FRAM Safety-II Hospital Public aspects of medicine RA1-1270 Liselotte M. van Dijk Meggie D. Meulman Linda van Eikenhorst Hanneke Merten Bernadette C. F. M. Schutijser Cordula Wagner Can using the functional resonance analysis method, as an intervention, improve patient safety in hospitals?: a stepped wedge design protocol
description	Abstract Background Healthcare professionals are sometimes forced to adjust their work to varying conditions leading to discrepancies between hospital protocols and daily practice. We will examine the discrepancies between protocols, ‘Work As Imagined’ (WAI), and daily practice ‘Work As Done’ (WAD) to determine whether these adjustments are deliberate or accidental. The discrepancies between WAI and WAD can be visualised using the Functional Resonance Analysis Method (FRAM). FRAM will be applied to three patient safety themes: risk screening of the frail older patients; the administration of high-risk medication; and performing medication reconciliation at discharge. Methods A stepped wedge design will be used to collect data over 16 months. The FRAM intervention consists of constructing WAI and WAD models by analysing hospital protocols and interviewing healthcare professionals, and a meeting with healthcare professionals in each ward to discuss the discrepancies between WAI and WAD. Safety indicators will be collected to monitor compliance rates. Additionally, the potential differences in resilience levels among nurses before and after the FRAM intervention will be measured using the Employee Resilience Scale (EmpRes) questionnaire. Lastly, we will monitor whether gaining insight into differences between WAI and WAD has led to behavioural and organisational change. Discussion This article will assess whether using FRAM to reveal possible discrepancies between hospital protocols (WAI) and daily practice (WAD) will improve compliance with safety indicators and employee resilience, and whether these insights will lead to behavioural and organisational change. Trial registration Netherlands Trial Register NL8778; https://www.trialregister.nl/trial/8778 . Registered 16 July 2020. Retrospectively registered.
format	article
author	Liselotte M. van Dijk Meggie D. Meulman Linda van Eikenhorst Hanneke Merten Bernadette C. F. M. Schutijser Cordula Wagner
author_facet	Liselotte M. van Dijk Meggie D. Meulman Linda van Eikenhorst Hanneke Merten Bernadette C. F. M. Schutijser Cordula Wagner
author_sort	Liselotte M. van Dijk
title	Can using the functional resonance analysis method, as an intervention, improve patient safety in hospitals?: a stepped wedge design protocol
title_short	Can using the functional resonance analysis method, as an intervention, improve patient safety in hospitals?: a stepped wedge design protocol
title_full	Can using the functional resonance analysis method, as an intervention, improve patient safety in hospitals?: a stepped wedge design protocol
title_fullStr	Can using the functional resonance analysis method, as an intervention, improve patient safety in hospitals?: a stepped wedge design protocol
title_full_unstemmed	Can using the functional resonance analysis method, as an intervention, improve patient safety in hospitals?: a stepped wedge design protocol
title_sort	can using the functional resonance analysis method, as an intervention, improve patient safety in hospitals?: a stepped wedge design protocol
publisher	BMC
publishDate	2021
url	https://doaj.org/article/c0dd7e5cae6c473192c88c80df0b6311
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Can using the functional resonance analysis method, as an intervention, improve patient safety in hospitals?: a stepped wedge design protocol

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