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ヘルスケアにおける機能共鳴分析法(FRAM)の構築:ステップの報告、定義、データによるサポート方法に関する系統的レビュー
Nienke Maria Luijcks1, Tom Bazuin2, Arie Adriaensen3
1Department of Safety and Security Science, Centre for Patient Safety, Delft University of Technology, Delft, the Netherlands n.m.luijcks@tudelft.nl.
BMJ open
|January 22, 2026
まとめ
機能共鳴分析法(FRAM)を使用したヘルスケア研究のほとんどは、4つのステップすべてを完全に報告していません。用語とデータの使用の一貫性のなさは比較可能性を妨げ、ヘルスケアプロセスのより良い分析のためにガイドラインの改善が必要です。
科学分野:
- ヘルスケアプロセス分析; システム工学; ヒューマンファクター工学
背景:
- 機能共鳴分析法(FRAM)は、複雑なヘルスケアプロセスとその固有の変動性を分析するためにますます利用されています。FRAM は、プロセスを分解し、潜在的な混乱を特定するために、構造化された4ステップのアプローチを採用しています。
主な方法:
- PRISMA 2020 ガイドラインに準拠した系統的レビューを実施しました。複数のデータベース(Web of Science、PubMed、Embase、Scopus、PsycINFO、Dimensions、Lens)で2025年12月まで検索を実行しました。ヘルスケアの文脈で視覚化を使用して FRAM を使用した査読済みの英語論文を含め、FRAM ステップとデータサポートに関するデータ抽出を行いました。
結論:
- ヘルスケア FRAM 研究の大多数は、すべての方法論的ステップの包括的な報告を欠いています。主要な用語の解釈とデータ利用における不一致は、研究の一貫性に影響を与えます。特にデータ処理と用語に関する FRAM ガイドラインを改善することは、研究間の比較可能性と厳密性を高めるために不可欠です。
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