在医疗保健中构建功能共振分析方法 (FRAM):对如何报告,定义和数据支持步骤进行系统审查
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
概括
大多数使用功能共振分析方法 (FRAM) 的医疗保健研究并不完全报告所有四个步骤. 不一致的术语和数据使用阻碍了可比性,需要改进指南,以便更好地分析医疗保健过程.
科学领域:
- 医疗保健过程分析分析
- 系统工程是系统工程.
- 人类因素工程 人类因素工程
背景情况:
- 功能共振分析方法 (FRAM) 越来越多地用于分析复杂的医疗保健过程及其固有的变性.
- FRAM采用结构化的四步方法来剖析流程并识别潜在的干扰.
研究的目的:
- 系统地审查和评估医疗保健研究中FRAM四个步骤的报告,定义和数据支持.
- 在医疗保健领域内识别FRAM应用和解释中的不一致性.
主要方法:
- 根据PRISMA 2020指南进行了系统审查.
- 在多个数据库 (Web of Science,PubMed,Embase,Scopus,PsycINFO,Dimensions,Lens) 进行了搜索,截至2025年12月.
- 包括使用FRAM的同行评审的英语研究,在医疗保健环境中进行可视化,并对FRAM步骤和数据支持进行数据提取.
主要成果:
- 包括68项研究;只有20%报告了所有四个FRAM步骤.
- 虽然85%的人描述了对函数的数据支持,但方法差异很大.
- 观察到与变性,其输出和综合效应有关的术语不一致.
结论:
- 大多数医疗保健FRAM研究缺乏对所有方法步骤的全面报告.
- 关键术语的解释和数据利用的差异会影响研究的一致性.
- 完善FRAM准则,特别是关于数据处理和术语的准则,对于提高跨研究的可比性和严格性至关重要.
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