| 1. |
- Franca, Josue, 1979-, et al.
(author)
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Analysing the interactions and complexities of the operationsin the production area of an FPSO platform using the functionalresonance analysis method (FRAM)
- 2022
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In: Arabian Journal of Geosciences. - : Springer. - 1866-7511 .- 1866-7538. ; 15
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Journal article (peer-reviewed)abstract
- The technological evolution of several productive sectors of society has demanded the same level of evolution for the oiland gas industry, both for energy production and their own systems’ functioning. The production of crude oil and naturalgas in offshore units is one of the answers to this demand. However, these offshore units have critical onboard activities andrisks, notably FPSO units; it is necessary to have adequate recognition of the elements that can support these activities andmanage these risks, enabling productive and safe operations. In this sense, this article aims to increase the understanding ofthe complex interactions and inherent safety issues that arise in the operations of FPSOs, observing and analysing the workdone onboard such platforms. The FRAM methodology has been chosen because it allows for the recognition and analysisof the complex interactions involving workers, equipment, system and offshore environment, focusing on the oil treatmentarea of the process plant. The results demonstrated some interesting findings regarding onboard safety and the relationshipbetween human competences, work demands and process safety.
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| 2. |
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| 3. |
- Hedqvist, Ann-Therese, Doktorand, et al.
(author)
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Entangled in complexity : An ethnographic study of organizational adaptability and safe care transitions for patients with complex care needs
- 2024
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In: Journal of Advanced Nursing. - : John Wiley & Sons. - 0309-2402 .- 1365-2648.
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Journal article (peer-reviewed)abstract
- Aim: The aim of this study was to visualize vulnerabilities and explore the dynamics of inter-professional collaboration and organizational adaptability in the context of care transitions for patients with complex care needs.Design: An ethnographic design using multiple convergent data collection techniques.Methods: Data collection involved document review, participant observations and interviews with healthcare and social care professionals (HSCPs). Narrative analysis was employed to construct two illustrative patient scenarios, which were then examined using the Functional Resonance Analysis Method (FRAM). Thematic analysis was subsequently applied to synthesize the findings.Results: Inconsistencies in timing and precision during care transitions pose risks for patients with complex care needs as they force healthcare systems to prioritize structural constraints over individualized care, especially during unforeseen events outside regular hours. Such systemic inflexibility can compromise patient safety, increase the workload for HSCPs and strain resources. Organizational adaptability is crucial to managing the inherent variability of patient needs. Our proposed ‘safe care transition pathway’ addresses these issues, providing proactive strategies such as sharing knowledge and increasing patient participation, and strengthening the capacity of professionals to meet dynamic care needs, promoting safer care transitions.Conclusion: To promote patient safety in care transitions, strategies must go beyond inter-professional collaboration, incorporating adaptability and flexible resource planning. The implementation of standardized safe care transition pathways, coupled with the active participation of patients and families, is crucial. These measures aim to create a resilient, person-centred approach that may effectively manage the complexities in care transitions.Implications: The recommendations of this study span the spectrum from policy-level changes aimed at strategic resource allocation and fostering inter-professional collaboration to practical measures like effective communication, information technology integration, patient participation and family involvement. Together, the recommendations offer a holistic approach to enhance care transitions and, ultimately, patient outcomes.
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| 4. |
- Hedqvist, Ann-Therese, Doktorand, et al.
(author)
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Exploring interdependencies, vulnerabilities, gaps and bridges in care transitions of patients with complex care needs using the Functional Resonance Analysis Method
- 2023
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In: BMC Health Services Research. - : BioMed Central (BMC). - 1472-6963. ; 23:1
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Journal article (peer-reviewed)abstract
- BackgroundHospital discharge is a complex process encompassing multiple interactions and requiring coordination. To identify potential improvement measures in care transitions for people with complex care needs, intra- and inter-organisational everyday work needs to be properly understood, including its interdependencies, vulnerabilities and gaps. The aims of this study were to 1) map coordination and team collaboration across healthcare and social care organisations, 2) describe interdependencies and system variability in the discharge process for older people with complex care needs, and 3) evaluate the alignment between discharge planning and the needs in the home.MethodsData were collected through participant observations, interviews, and document review in a region of southern Sweden. The Functional Resonance Analysis Method (FRAM) was used to model the discharge process and visualise and analyse coordination of care across healthcare and social care organisations.ResultsHospital discharge is a time-sensitive process with numerous couplings and interdependencies where healthcare professionals’ performance is constrained by system design and organisational boundaries. The greatest vulnerability can be found when the patient arrives at home, as maladaptation earlier in the care chain can lead to an accumulation of issues for the municipal personnel in health and social care working closest to the patient. The possibilities for the personnel to adapt are limited, especially at certain times of day, pushing them to make trade-offs to ensure patient safety. Flexibility and appropriate resources enable for handling variability and responding to uncertainties in care after discharge.ConclusionsMapping hospital discharge using the FRAM reveals couplings and interdependencies between various individuals, teams, and organisations and the most vulnerable point, when the patient arrives at home. Resilient performance in responding to unexpected events and variations during the first days after the return home requires a system allowing flexibility and facilitating successful adaptation of discharge planning.
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| 5. |
- Hult, Carl, 1953-, et al.
(author)
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On the Future of Maritime Transport - Discussing Terminology and Timeframes
- 2019
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In: TransNav, International Journal on Marine Navigation and Safety of Sea Transportation. - : Faculty of Navigation. - 2083-6473 .- 2083-6481. ; 13:2, s. 269-273
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Journal article (peer-reviewed)abstract
- This paper offers an analytical discussion on the terminology and timeframes related to the future of shipping. The discussion is based on issues that have surfaced within the Swedish research project Autonomy and responsibility. The paper argues that the concept 'autonomous ships' has become an indicator of that seafarers soon will become obsolete - which may have negative consequences for the supply of maritime competence in coming years - and that the proper definition of the term 'autonomous' describes something that will never apply to a ship. Ships can be given the possibility, but hardly the full right or condition of self-government. It is argued that 'smart ships', or perhaps 'intelligent ships', are more appropriate, since these terms describe the current and future state of technology without predicting how humans will prefer to use it. The estimated timeframes for implementation of unmanned ships suggest no threat to the seafaring occupation for coming generation. The content of the occupation will of course change due to the phase of implementation of degree of digitalization, but there will always be a need for maritime knowledge and understanding.
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| 6. |
- Huzzard, Tony, et al.
(author)
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Utforska ohälsans orsaker
- 2017
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In: Upsala Nya Tidning (UNT). - 1104-0173.
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Journal article (pop. science, debate, etc.)abstract
- Organisationsforskning ur arbetsperspektiv har fått sämre förutsättningar, fast den kan minska ohälsa på arbetsplatserna, skriver fem forskare.
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| 7. |
- Hybinette, Karl, et al.
(author)
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Exploring patient flow management through a lens of cognitive systems engineering
- 2023
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In: Ergonomics. - : Taylor & Francis. - 0014-0139 .- 1366-5847. ; 66:12, s. 2106-2120
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Journal article (peer-reviewed)abstract
- Hospitals work to provide quality, safety, and availability to patients with a wide variety of care needs, which makes efficient prioritisation and resource utilisation essential. Anticipation of each patients' trajectory, while monitoring available resources across the hospital, are major challenges for patient flow management. This study focuses on how hospital patient flow management is realised in situ with the help of concepts from cognitive systems engineering. Five semi-structured interviews with high level managers and shadowing observations of seven full work-shifts with management teams were conducted, to explore how patient flow is coordinated and communicated across the hospital. The data has been analysed using qualitative content analysis. The results describe patient flow management using an adapted Extended Control Model (ECOM) and reveal how authority and information might be better placed closer to clinical work for increased efficiency of patient flow.Practitioner summary: This study describes how a large tertiary paediatric hospital's patient flow management functions. The results offer a new understanding of how patient flow management is communicated and coordinated across organisational levels of the hospital and how authority and information might be better placed closer to clinical work for increased efficiency.
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| 8. |
- Kataria, Aditi, et al.
(author)
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Exploring Bridge-Engine Control Room Collaborative Team Communication
- 2015
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In: TransNav, International Journal on Marine Navigation and Safety of Sea Transportation. - : Faculty of Navigation. - 2083-6473 .- 2083-6481. ; 9:2, s. 169-176
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Journal article (peer-reviewed)abstract
- The EC funded CyClaDes research project is designed to promote the increased impact of the human element in shipping across the design and operational lifecycle of ships. It addresses the design and operation of ships and ship systems. One of the CyClaDes’ tasks is to create a crew‐centered design case‐study examination of the information that is shared between the Bridge and Engine Control Room (ECR) that helps the crew coordinate to ensure understanding and complete interconnected tasks. This information can be provided in various ways, including communication devices or obtained from a common database, display, or even the ship environment (e.g., the roll of the ship). A series of semi‐structured interviews were conducted with seafarers of diverse ranks to get a better idea of what communication does, or should, take place and any problems or challenges existing in current operations and interdepartmental communications, as seen from both the bridge and ECR operators’ perspectives. Included in the interview were both the standard communications and information shared during planning and executing a voyage, as well as special situations such as safety/casualty tasks or encountering heavy weather. The results were analyzed in terms of the goals of the communication, the primary situations of interest for communication and collaboration, the communication media used, the information shared, and the problems experienced. The seafarer interviews helped to explore on‐board interdepartmental communication and the results are presented in the paper.
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| 9. |
- Lundberg, Jonas, 1974-, et al.
(author)
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Modelling operator control work across traffic management domains : implications for interaction design
- 2024
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In: Cognition, Technology & Work. - : Springer. - 1435-5558 .- 1435-5566.
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Journal article (peer-reviewed)abstract
- Traffic management in aviation, shipping, and rail transport shows similarities and dissimilarities in the work process. For example, they share the temporal aspect, but different levels of urgency in the control work set different requirements on monitoring, decisions, and actions. However, few studies have been presented that model and compare the different domains in terms of temporal decision-making. The Joint Control Framework (JCF) is an approach to analyse and temporally model operators’ control processes from a cognitive systems engineering perspective. In this study, we have used JCF to map, and compare, cognitive joints, such as perceptions, decisions, and actions, in temporally challenging control situations in air traffic control, maritime vessel traffic service, and train traffic management. Data was collected collaboratively with traffic operators, focusing on (1) identifying challenging traffic situations and (2) jointly modelling the temporal decision-making patterns of these situations using simplified JCF. Post-analysis was done by breaking down the results into different processes and comparing domains to ascertain how operators maintain control. An intermediate level of activity—between general monitoring and work with specific vehicles—was identified: processes-in-focus. A shared problem arises in the shift between general monitoring and the processes-in-focus. All processes-in-focus comprise cognitive joint cycles of perceptions, decisions, and actions. However, depending on the framing of processes-in-focus, the patterns of joints, such as temporal extension and complexity, differ. In the remainder of the article, implications for the interaction design, in particular the potential for human–AI/automation teaming with higher levels of automation and cognitive autonomy, are discussed.
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| 10. |
- Patriarca, Riccardo, et al.
(author)
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Framing the FRAM : A literature review on the functional resonance analysis method
- 2020
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In: Safety Science. - : Elsevier. - 0925-7535 .- 1879-1042. ; 129, s. 1-23
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Journal article (peer-reviewed)abstract
- The development of the Functional Resonance Analysis Method (FRAM) has been motivated by the perceived limitations of fundamentally deterministic and probabilistic approaches to understand complex systems’ behaviour. Congruent with the principles of Resilience Engineering, over recent years the FRAM has been progressively developed in scientific terms, and increasingly adopted in industrial environments with reportedly successful results. Nevertheless, a wide literature review focused on the method is currently lacking. On these premises, this paper aims to summarise all available published research in English about FRAM. More than 1700 documents from multiple scientific repositories were reviewed through a protocol based on the PRISMA review technique. The paper aims to uncover a number of characteristics of the FRAM research, both in terms of the method’s application and of the authors contributing to its development. The systematic analysis explores the method in terms of its methodological aspects, application domains, and enhancements in qualitative and quantitative terms, as well as proposing potential future research directions.
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