FRAM Reporting Completeness
FRAM studies in healthcare complete Steps 3 and 4 less often than FRAM studies in other domains. Twenty-eight studies (41%) described Step 4 consequences, with proposed process improvements as the near-universal focus. Only 20 of 68 health…
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FRAM studies in healthcare complete Steps 3 and 4 less often than FRAM studies in other domains. Twenty-eight studies (41%) described Step 4 consequences, with proposed process improvements as the near-universal focus. Only 20 of 68 healthcare FRAM studies (29%) reported at least one aspect of all four steps. The low rate of full-step reporting likely reflects that healthcare FRAM studies more often aim to understand a process than to quantify and manage variability. The fact that FRAM studies in healthcare are often led by clinical staff rather than safety scientists is proposed as a contributing explanation for incomplete step reporting.