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Guideline developers are not the only experts: Utilising the FRAM method in sepsis pathways.
1SAPPHIRE, Health Sciences, University of Leicester, Leicester, LE1 7RH, UK. dr98@leicester.ac.uk.
BMC Medicine
|November 22, 2018
Summary
The Functional Analysis Resonance Method (FRAM) helps analyze sepsis management in primary care. This approach identifies barriers and enablers to improve patient care and clinical outcomes for complex diseases.
Area of Science:
- Healthcare systems analysis
- Clinical quality improvement
- Sepsis management
Background:
- Sepsis presents with heterogeneous signs and symptoms, posing challenges to improving clinical outcomes.
- Effective management requires understanding complex sociocontextual factors within healthcare systems.
Purpose of the Study:
- To apply the Functional Analysis Resonance Method (FRAM) to primary care practices managing sepsis.
- To identify barriers and enablers in sepsis care pathways.
- To propose interventions for enhancing sepsis management.
Main Methods:
- Utilized the Functional Analysis Resonance Method (FRAM) framework.
- Analyzed processes and sociocontextual issues in primary care settings.
- Examined sepsis management pathways.
Main Results:
- Identified key barriers and enablers affecting sepsis management in primary care.
- Determined a range of potential interventions to improve patient care.
- Highlighted core considerations for systems addressing complex diseases like sepsis.
Conclusions:
- FRAM is a valuable tool for analyzing complex healthcare processes like sepsis management.
- Understanding system-level factors is crucial for improving care quality.
- Interventions informed by FRAM can enhance patient outcomes in heterogeneous diseases.
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