Category Archives: FRAMily
The 15th FRAMily meeting/workshop,
June 20th – 22nd 2023
Copenhagen Denmark
Aim of the workshop
The aim of the workshop, affectionately referred to as the FRAMily meeting, is to share experiences from research and practice using the FRAM to analyse activities – how something has happened, how something happens, or how something could happen. Users are encouraged to share their experiences of from using the method, its strengths and weaknesses, and to provide ideas for further developments and enhancements. The workshop is sponsored by the Danish Association of Patient Safety.
(Prensentations can be accessed at the bottom)
Participation
The workshop is open to everyone regardless of their level of experience with the FRAM; the topics of the workshop will address the uses of the FRAM in a variety of fields. Previous workshops have featured the FRAM in work studies, performance management, investigations, planning, and design in different industries as well as academia.
Participating in these workshops provides an opportunity to:
- Discuss and exchange experiences on the use of the FRAM for modelling and analysing socio-technical systems.
- Receive support on your FRAM applications and industry projects.
- Learn about the latest developments and application areas of the FRAM, including the FMV (FRAM Model Visualiser) and the FMI (FRAM Model Interpreter).
- Get a broader perspective on the potential of the FRAM for other applications.
Submission and Enquiries
Please use this website link – here
Important dates
| Registration deadline | 11th June 2023 |
| Abstract submission deadline | 31st May 2023 |
| Notification of acceptance/rejection deadline | 11th June 2023* |
| Tutorial | 20th June 2023 |
| Presentations | 21st and 22nd June 2023 |
| Workshop dinner | 21st June 2023 |
*Notification of acceptance/rejection usually communicated some weeks after the submission
Discussion topics, presentations, and papers
Participants are encouraged and expected to contribute actively to the workshop. All suggestions for contribution will be considered, however we are primary looking for three types of submissions:
- Suggestions for discussion topics (with or without a presentation);
- Suggestions for presentations, of ongoing or already completed work in industry and/or academia (without a paper);
- Suggestions for presentations of ongoing or already completed work in industry and/or academia (with a paper).
For each type of submission, please provide a short abstract (about 200 – 400 words) with a summary of the work you would like to present or discuss and how you see your own role in that. All abstracts will be reviewed and comments to the authors will be provided.
Tutorial
It is traditional in these meetings to organise an additional half day tutorial (Master class!) as a refresher or introductory session for those that are interested, to be chaired by Erik Hollnagel and given by Jeanette Hounsgaard and Enrique Ruiz Zúñiga. Places are normally limited and light lunch is included.
Scientific Organising Committee
Erik Hollnagel
Jeanette Hounsgaard
Enrique Ruiz Zuniga
David Slater
Local Organising Committee
Jeanette Hounsgard
Ditte Hartman
Bettina Ravnborg Thude
Practical Information
News about the workshop will be distributed to the FRAMily group at LinkedIn. This will also be the basis for discussions and preparations of sessions.The FRAM-website will be updated regularly and provide the necessary information and practical links for the workshop.
Venue
The workshop and the dinner will be held at Rungsted gård Hotel
The Rungsted gård Hotel is located in the northern sealand, close to the water – about 28 KM north of Copenhagen.
Rungsted Kyst train station is located about 20 minutes’ walk from Rungsted gård Hotel.
From Copenhagen airport: Go with metro to either Copenhagen Central Station or Nørreport station and change train – please consult the journey planner
From Copenhagen central station: Several options, please consult the journey planner
Public transportation – Journey planner
Please consult the Journey planner
You can buy tickets online or at the train station.
From Copenhagen Central station the train ride is app. 30 minutes to Rungsted Kyst station (you can also get the train from Nørreport station)
The ticket is app. 60 DKK
By taxi to the address: Rungsted strandvej 107, 2960 Rungsted kyst.
Phone: +45 45 86 44 22, email: rec@rungstedgaard.dk
Accomodation support
Rungsted gård hotel offers a limited number of rooms. They can be booked 30 days prior to arrival and the reservation can be cancelled free of charge 5 days prior to arrival.
Booking link:
https://rungstedgaard.nemtilmeld.dk/202/at-ta2x7sbj
There are more possibilities in the center of Copenhagen with easy access by public transportation:
Scandic Hotel, Nørreport – standard room app. 1600 DKK per night.
Located next to Nørreport train and metro station and the heart of Copenhagen.
There’s several other Scandic Hotels in Copenhagen
Imperial Hotel – standard room app. 1400 DKK per night.
Located very close to Copenhagen Central station and Tivoli Gardens.
Wakeup Copenhagen – standard room app. 750 DKK pr. Night.
Different locations:
- Wakeup Copenhagen, Bernstoffgade is located close to Copenhagen central station, Tivoli and the waterfront.
- Wakeup Copenhagen, Borgergade is in the city centre close to Nyhavn and metro.
- Wakeup Copenhagen, Carsten Niebuhrs Gade is located close to Tivoli, Copenhagen Central station, and the harbour front area.
The venue is located in beautiful surroundings.
The venue is a neighbour to the museum Rungsted Lund, where Karen Blixen was born and lived the last years of her life. Karen Blixen Museum
Registration
Registration will be through the Eventbrite website, details here
Presentation Materials FRAMily 2023
Slides of the presentations in PDF can be accessed under the tittle links. Those not available yet hopefully coming soon.
– Alexis McGill – Mapping the Way: Functional Modelling for Integrated Community Based Care for Older People
– Arie Andriaensen – FRAM and AI by applying an Interdependence Analysis to an AI example
– Bettina Ravnborg Thude, Jeanette Hounsgaard – FRAM from the perspective of a patient
– David Slater – Propagation of variability in using FRAM to Model Complex Sociotechnical Systems
– Doug Smith – Dynamic FRAM modelling: a step towards sorting through complexity
– Hideki Nomoto – Machine Learning for FRAM
– Jeanette Hounsgaard, Bettina Ravnborg Thude – Routine FRAM applications in Denmark
– Josué E. Maia França – Studying the recovery actions of Apollo 13, US Airways 1549 and San José Mine accidents with FRAM – discovering the human competencies behind system resilience
– Michael Behm – Lessons Learned from Operationalizing Safety-II, specifically FRAM, in a Graduate Occupational Safety Program
– Naruki Yasue, Tetsuo Sawaragi – Analyzing Adaptive Expertise in Manufacturing
Using FRAM
– Niklas Grabbe, Arifagic, A., Bengler, K. – Assessing the reliability and validity of an FRAM model: the case of driving in an overtaking scenario
– Ralph Mackinnon, Rees Hill, Nomoto Hideki, David Slater – Using FRAM for Hospital Bed Allocations
– Ronaldo Gamermann – Systems Thinking in the context of a Civil Aviation Authority: challenges and opportunities
– Shota Iino, Hideki Nomoto, Takayuki Hirose, Yasutaka Michiura – Revealing success factors of cooperative operations in space manned missions: crucial factors in Apollo 13 mission
Stephane DeWolf – Sherpas wanted: ICAO explores novel approaches to safety management
– Takayuki Hirose, Hideki Nomoto, Yasutaka Michiura, Shota Iino – To Restrict or Tolerate Variety of Systems: Functional Analysis of Law of Requisite Variety Based on FRAM
– Thomas Mühlbradt – FRAM from the viewpoint of qualitative methodology: toeholds for future development?
The titles with link are currently available, the rest of which will be coming soon.
| Day 1 | |
|---|---|
| Presenter | Title |
| Naruki Yasue, Enrique Ruiz Zúñiga | System analysis and improvement methodology with Work Domain Analysis and Functional Resonance Analysis Method, a win-win combination |
| Josué E. Maia França | Attending the requirements of the O&G Regulator in Brazil: use of FRAM for human factors analysis and accident investigation |
| Terutoshi Tomotoki | Near miss analysis of falls from scaffolding in the construction industry using FRAM |
| Tanner Lund | Functional Dynamics of Sociotechnical Software Systems |
| Tomoko Kaneko | Thinking from Incidents – Security Resilience |
| Day 2 | |
|---|---|
| Presenter | Title |
| Kazue Nakajima | Need for graceful extensibility of the adaptive capacity: a lesson from a FRAM analysis of the fatal medication adverse event focusing on ETTOing |
| Mariam Safi, Robyn Clay-Williams, Tine Grau, Frans Brandt, Bettina Ravnborg Thude | FRAM and LEAN as tools for describing and improving the referral process between outpatient clinics in a Danish Hospital: complementary or conflicting? |
| Josué E. Maia França | Learning from the field: using FRAM to analyse the geologist’s works in Brazil, Argentina and South Africa outcrops |
| I Gde Manik Sukanegara Adhita | Ship Navigation from the concept of Safety-II: The Flexibility and Adaptability of Ship Officer. |
| Takayuki Hirose, Hideki Nomoto, Shota Iino, Yasutaka Michiura | Functional Analysis of Safe-Ship Operations: Envisioning Success Factors of Great Captains |
| Day 3 | |
|---|---|
| Presenter | Title |
| David Slater, Rees Hill | On the Emerging Status of FRAM Functions |
| Wulin Tian, Carlo Caponecchia | Understanding human factors variabilities through the lens of FRAM: a FRAM-based human factors taxonomy |
| Doug Smith | Dynamic FRAM modelling Movies: Slide 10, Slide 12, Slide 14, Slide 17, Slide 18, |
| Tomohiro Oda, Shigeru Kusakabe | FRAM to Contextualise Specifications of Software Systems |
| Ronaldo Gamermann | Natural Language Processing for text similarity in Aviation Safety Reports |
| Hideki Nomoto, David Slater, Takayuki Hirose, Shota Iino | BayesianFRAM |
| Shota Iino, Hideki Nomoto, Takayuki Hirose, Yasutaka Michiura | Explainable symptom detection in telemetry of ISS with FRAM, Random Forest and SpecTRM |
The 14th FRAMily Meeting/Workshop in Kyoto, Japan has been successfully finished!
We would like to express our sincere thanks for the significant contributions of all participants toward the success of the 14th FRAMily Meeting/Workshop in Kyoto. There were a total of 33 participants from 10 different countries and 18 presentations. The 15th symposium is expected to be held in Europe in 2023, whose detail will be fixed soon. See you in Europe next year!!
Presentation Materials
Program and Abstracts
Link:
IWIS Kyoto 2022: Co-organized workshop held on November 14, 2022
Contact us: framily_japan@functionalresonance.com
Last Update: December 6, 2022
Aim of the workshop
The aim of the workshop, affectionately referred to as the FRAMily meeting, is to share experiences from research and practice using the FRAM to analyse activities – how something has happened, how something happens, or how something could happen. Users are encouraged to share their experiences of from using the method, its strengths and weaknesses, and to provide ideas for further developments and enhancements.
Participation
The workshop is open to everyone regardless of their level of experience with the FRAM; the topics of the workshop will address the uses of the FRAM in a variety of fields. Previous workshops have featured the FRAM in work studies, performance management, investigations, planning, and design in different industries as well as academia.
Participating in these workshops provides an opportunity to:
- Discuss and exchange experiences on the use of the FRAM for modelling and analysing socio-technical systems.
- Receive support on your FRAM applications and industry projects.
- Learn about the latest developments and application areas of the FRAM, including the FMV (FRAM Model Visualiser) and the FMI (FRAM Model Interpreter).
- Get a broader perspective on the potential of the FRAM for other applications.
Discussion topics, presentations, and papers
Participants are encouraged and expected to contribute actively to the workshop. All suggestions for contribution will be considered, however we are primary looking for three types of submissions:
- Suggestions for discussion topics (with or without a presentation);
- Suggestions for presentations, of ongoing or already completed work in industry and/or academia (without a paper);
- Suggestions for presentations of ongoing or already completed work in industry and/or academia (with a paper).
For each type of submission, please provide a short abstract (about 200 – 400 words) with a summary of the work you would like to present or discuss and how you see your own role in that. All abstracts will be reviewed and comments to the authors will be provided.
Practical Information
News about the workshop will be distributed to the FRAMily group at LinkedIn. This will also be the basis for discussions and preparations of sessions. The FRAM-website will be updated regularly and provide the necessary information and practical links for the workshop.
Venue
The workshop and the dinner will be held at The SODOH Higashiyama Kyoto. The venue is located in Higashiyama district where many historical and cultural heritage sites remain.
Accommodation support
THE GENERAL KYOTO offers you special accommodation rates for hotel reservations. The rates are applied for reservations through a special discount code. The special code will be provided when the registration is completed.
Way to The SODOH Higashiyama Kyoto
- Scientific Organising Committee
- Erik Hollnagel
- David Slater
- Jeanette Hounsgaard
- Pedro Ferreira
- Local Organising Committee
- Tetsuo Sawaragi
- Hideki Nomoto
- Enrique Ruiz Zúñiga
- Takayuki Hirose
Coronavirus (COVID-19) updates:
What’s New
Important: The meeting has been postponed to 2022!
- Due to the uncertain situation of the coronavirus, we unfortunately have to postpone the meeting.
- The meeting is currently scheduled to be held in November, 2022.
Further details on the FRAMily 2022 page.
Contact us: framily_japan@functionalresonance.com
Last Update: October 25, 2021
Aim of the workshop
The aim of the workshop, affectionately referred to as the FRAMily meeting, is to share experiences from research and practice using the FRAM to analyse activities – how something has happened, how something happens, or how something could happen. Users are encouraged to share their experiences of from using the method, its strengths and weaknesses, and to provide ideas for further developments and enhancements.
Participation
The workshop is open to everyone regardless of their level of experience with the FRAM; the topics of the workshop will address the uses of the FRAM in a variety of fields. Previous workshops have featured the FRAM in work studies, performance management, investigations, planning, and design in different industries as well as academia.
Participating in these workshops provides an opportunity to:
- Discuss and exchange experiences on the use of the FRAM for modelling and analysing socio-technical systems.
- Receive support on your FRAM applications and industry projects.
- Learn about the latest developments and application areas of the FRAM, including the FMV (FRAM Model Visualiser) and the FMI (FRAM Model Interpreter).
- Get a broader perspective on the potential of the FRAM for other applications.
Discussion topics, presentations, and papers
Participants are encouraged and expected to contribute actively to the workshop. All suggestions for contribution will be considered, however we are primary looking for three types of submissions:
- Suggestions for discussion topics (with or without a presentation);
- Suggestions for presentations, of ongoing or already completed work in industry and/or academia (without a paper);
- Suggestions for presentations of ongoing or already completed work in industry and/or academia (with a paper).
For each type of submission, please provide a short abstract (about 200 – 400 words) with a summary of the work you would like to present or discuss and how you see your own role in that. All abstracts will be reviewed and comments to the authors will be provided.
Practical Information
News about the workshop will be distributed to the FRAMily group at LinkedIn. This will also be the basis for discussions and preparations of sessions. The FRAM-website will be updated regularly and provide the necessary information and practical links for the workshop.
Venue
The Workshop will be held at The SODOH Higashiyama Kyoto. The venue is located in Higashiyama district where many historical and cultural heritage sites remain.
Accommodation support
THE GENERAL KYOTO offers you special accommodation rates for hotel reservations. The rates are applied for reservations through a special link. The special link will be provided after the meeting is rescheduled.
- Scientific Organising Committee
- Erik Hollnagel
- David Slater
- Jeanette Hounsgaard
- Pedro Ferreira
- Local Organising Committee
- Tetsuo Sawaragi
- Hideki Nomoto
- Takayuki Hirose
Malaga, Spain
The 13th International Workshop on the Functional Resonance Analysis Method (FRAM) was hosted by Universidad de Málaga May 27-29, 2019 in Málaga, Spain. The workshop began with an optional half-day FRAM tutorial on May 27, and continued with two full days of meetings and discussions on May 28 & 29.
On the Thursday and Friday preceding the FRAMily meeting, an International Workshop on “Safety-II in Practice” took place in Lisbon. Please refer to the separate call for that event at http://safetysynthesis.com/wrkshp_2019.html.
Aim of the workshop
The aim of these workshops, affectionately referred to as the FRAMily meetings, is to share experiences from research and practice using the FRAM for systems modelling, event and safety analyses, design, or similar applications. Users are encouraged to share their experiences of strength and weaknesses of the method and to provide ideas for further developments.
Participation
The workshop was open to everyone regardless of their level of experience with the FRAM; the topics of the workshop addressed the uses of the FRAM in a variety of fields. As with previous workshops, this one featured the FRAM in safety investigations, risk analyses, work studies, performance management, planning, and design in different industries as well as academia.
Participating in these workshops provides an opportunity to:
•Discuss and exchange experiences on the use of the FRAM for modelling and analysing socio-technical systems.
•Receive support on individual FRAM applications and industry projects.
•Learn about the latest developments and application areas of the FRAM, including the FMV (FRAM Model Visualiser).
•Get a broader perspective on the potential of the FRAM for other applications.
Discussion topics, presentations and papers
Scientific Organising Committee
Erik Hollnagel
David Slater
Jeanette Hounsgaard
Pedro Ferreira
Local Organising Committee
Juan Carlos Rubio Romero
María del Carmen Pardo Ferreira
Manuel Suárez Cebador
Antonio López Arquillos
María Martínez Rojas
Francisco Salguero Caparrós
Juan Antonio Torrecilla García
The Final Program is available here
The Presentations are available on the links below
Tutorial Sessions – Professor Erik Hollnagel
Part 1
Part 2
Part 3
Workshop Session 1 – Healthcare (Erik Hollnagel Chair)
Ralph Mackinnon
Bernadette Schutijser
Patricia Wimmer
Al Ross
Session 2 – Alternative uses of FRAM (David Slater Chair)
Professor Shigeru Kusakabe
Takayuki Hirose
Enrique Ruiz Zuniga
Session 3 – FRAM Software Developments( Erik Hollnagel Chair)
Riccardo Patriarca
Erik Hollnagel
(Pending)
Rees Hill
Session 4 – Applications of FRAM Part 1 (Al Ross Chair)
Toni Wafler
Carmen Pardo-Ferreira
(Pending)
Josue Eduardo Maia Franca
Session 5 – Part 2 – (Juan Carlos Rubio-Romero Chair)
Niklas Grabbe
Pedro Ferreira
(pending)
Jesus Ariza
Session 6 – Part 3 – (Pedro Ferreira Chair)
Paulo Victor de Cavalho
Hideki Nomoto
Moacyr Cardoso Junior
(Pending)
Paulo Victor de Cavalho
(Pending)
Cardiff University , Wales
12th Workshop on the Functional Resonance Analysis Method (FRAM)
Presentations
(If the Author(s) is (are) not highlighted, they have not yet provided a copy for the record)
1. D. McNab et al. – Participatory design of a complex improvement intervention for the primary care management of Sepsis using the Functional Resonance Analysis Method
2. Nippin Anand, David Slater – Writing Better Procedures using FRAM
3. Yasutaka Michiura – FRAM analysis on two spacecraft accidents
4. Axel Ros, Erik Hollnagel – The use of FRAM in a government investigation in health care in Sweden.
5. Jeanette Hounsgaard – Understanding and using the ETTO principle in modelling with FRAM
6. Nikki Damen – Preoperative anticoagulation management in everyday clinical practice
7. Toshinori Omura et al. – FRAM model for driving a car
8. Josue Franca et al. – A Resilience Engineering Approach for Sustainable Safety in Green Construction
9. Takayuki Hirose, Tetsuo Sawaragi, Yukio Hiroguchi – Numerical Safety Analysis of Complex Supply-Chain Systems Integrating Functional Resonance Analysis Method and Cellular Automaton
10. Doug Smith – A method for visualizing functional dynamics and operational scenarios
11. Jan Magott, Jacek Skorupski – Quantification of FRAM models using Coloured Petri Nets
12. Yuranan Kitrungrotsakul – Weight Function Model for Quantitative Analysis of Functional Resonance Analysis Method
13. Yoshinari Toda – FRAM/STPA: A hazard analysis method for FRAM mode
14. Keita Sakemi et al. – Clarification of Design Philosophy for Railway Crossing System Based on FRAM
15. Tenna Bloch Olesen – Using FRAM to get insight in the medication reconciliation workflow for patients being when discharged
16. María del Carmen Pardo-Ferreira, Juan Carlos Rubio-Romero – Applying FRAM to the construction of concrete structures
17. Sira Skibsholt – Using FRAM to identify possible interventions for improving patient safety
18. Liz Buikstra – Using FRAM to analyse Medication Administration Incidents
19. Al Ross – Trade-offs in connecting people to FRAM
20. Mikkel Ussing, Bettina Ravnborg Thude – Systematic training programme in the use of FRAM
21. Hideki Nomoto, David Slater – Decision making under Uncertainty – It’s all in the Functions of the Mind!
22. Shigeru Kusakabe – Analysing Resonance of Motivation in Software Development Process Training by Using FRAM
23. Riccardo Patriarca – `myFRAM: An Open Tool Support for the FRAM
And the next meeting FRAMily 2019
Malaga
12th Workshop on the Functional Resonance Analysis Method (FRAM)
Tutorial Slides
Building a FRAM Model
FRAM – 1 Setting the Scene
FRAM – 2 The Four Principles
FRAM – 3 The First Steps
Malaga, Spain
The 13th International Workshop on the Functional Resonance Analysis Method (FRAM) was hosted by Universidad de Málaga May 27-29, 2019 in Málaga, Spain. The workshop began with an optional half-day FRAM tutorial on May 27, and continued with two full days of meetings and discussions on May 28 & 29.
On the Thursday and Friday preceding the FRAMily meeting, an International Workshop on “Safety-II in Practice” took place in Lisbon. Please refer to the separate call for that event at http://safetysynthesis.com/wrkshp_2019.html.
Aim of the workshop
The aim of these workshops, affectionately referred to as the FRAMily meetings, is to share experiences from research and practice using the FRAM for systems modelling, event and safety analyses, design, or similar applications. Users are encouraged to share their experiences of strength and weaknesses of the method and to provide ideas for further developments.
Participation
The workshop was open to everyone regardless of their level of experience with the FRAM; the topics of the workshop addressed the uses of the FRAM in a variety of fields. As with previous workshops, this one featured the FRAM in safety investigations, risk analyses, work studies, performance management, planning, and design in different industries as well as academia.
Participating in these workshops provides an opportunity to:
•Discuss and exchange experiences on the use of the FRAM for modelling and analysing socio-technical systems.
•Receive support on individual FRAM applications and industry projects.
•Learn about the latest developments and application areas of the FRAM, including the FMV (FRAM Model Visualiser).
•Get a broader perspective on the potential of the FRAM for other applications.
Discussion topics, presentations and papers
Scientific Organising Committee
Erik Hollnagel
David Slater
Jeanette Hounsgaard
Pedro Ferreira
Local Organising Committee
Juan Carlos Rubio Romero
María del Carmen Pardo Ferreira
Manuel Suárez Cebador
Antonio López Arquillos
María Martínez Rojas
Francisco Salguero Caparrós
Juan Antonio Torrecilla García
The Final Program is available here
The Presentations are available on the links below
Tutorial Sessions – Professor Erik Hollnagel
Part 3
Workshop Session 1 – Healthcare (Erik Hollnagel Chair)
Ralph Mackinnon
Bernadette Schutijser
Patricia Wimmer
Al Ross
Session 2 – Alternative uses of FRAM (David Slater Chair)
Professor Shigeru Kusakabe
Takayuki Hirose
Enrique Ruiz Zuniga
Session 3 – FRAM Software Developments( Erik Hollnagel Chair)
Riccardo Patriarca
Erik Hollnagel
(Pending)
Rees Hill
Session 4 – Applications of FRAM Part 1 (Al Ross Chair)
Toni Wafler
Carmen Pardo-Ferreira
(Pending)
Josue Eduardo Maia Franca
Session 5 – Part 2 – (Juan Carlos Rubio-Romero Chair)
Niklas Grabbe
Pedro Ferreira
(pending)
Jesus Ariza
Session 6 – Part 3 – (Pedro Ferreira Chair)
Paulo Victor de Cavalho
Hideki Nomoto
Moacyr Cardoso Junior
(Pending)
Paulo Victor de Cavalho
(Pending)
Cardiff University , Wales
12th Workshop on the Functional Resonance Analysis Method (FRAM)
The 12th International Workshop on the Functional Resonance Analysis Method (FRAM) was hosted by Cardiff University (www.cardiff.ac.uk ) on June 11-13, 2018 in Cardiff, UK. The workshop began with an optional half-day FRAM tutorial on June 11, and continued with two full days of meetings and discussions on June 12 & 13.
On the Thursday and Friday following the FRAMily meeting, an International Workshop on “Safety-II in Practice” took place at the same venue. http://safetysynthesis.com/s-ii_wrkshp_2018.html.
Aim of the workshop
The aim of these workshop, affectionately referred to as the FRAMily meetings, is to share experiences from research and practice using the FRAM for systems modelling, event and safety analyses, design, or similar applications. Users are encouraged to share their experiences ofstrengths and weaknesses of the method, and to provide ideas for further developments.
Participation
The workshops address the uses of the FRAM in a variety of fields.This one, like the previous workshops featured the FRAM in safety investigations, risk analyses, work studies, performance management, planning, and design in different industries as well as academia.
Thanks are due to the team at Cardiff University and the
Scientific Organising Committee
Erik Hollnagel
David Slater
Jeanette Hounsgaard
Pedro Ferreira
Local Organising Committee
David Slater
Nippin Anand
Phil Bowen
Alastair Ross
University of Rome, Italy
Agenda
The programme for the 2017 FRAMily meeting is here.
Participants
Manuela Vieli Swiss Federal Railways
Rogier Woltjer Swedish Defence Research Agency FOI
Ivonne Andrade Herrera SINTEF/NTNU
Hideki Nomoto JAMSS
Pedro Ferreira Universidad de Granada
Jose Juan Canas Universidad de Granada
Jeanette Hounsgaard Centre of Quality Region Syddanmark
Arie Adriaensen Lund University
Johan Bergstrom Lund University
Miha Pielick Slovenia Control
Shigeru Kusakabe University of Nagasaki
Doug Smith Memorial University of Newfoundland
Abdullah Abalkhi Delft University
Cristina Martelli University of Florence
Maria Flora Salvatori University of Florence
Michele Buonsanti University of Reggio Calabria
Federico Terenzi HUMANA Consulting
Annamaria Ciccarelli CAL srl Servizi Logistici
David Slater Cardiff University
Guillermo Gomez Garay FORCE Technology
John Hutchins STC-Group
Giulio Di Gravio Sapienza University of Rome
Francesco Costantino Sapienza University of Rome
Riccardo Patriarca Sapienza University of Rome
Massimo Tronci Sapienza University of Rome
Maeve O’Loughlin Middlesex University
Giusy Sciacca ANACNA
Keita Sakemi JAMSS
Ichiro Okabe Tokyo Institute of Technology
Yasutaka Michiura JAMSS
Lacey Colligan Sharp End Advisory; LLC
Giuseppe Fauci Aeronautica Militare
Marco Moesker NIVEL (Netherlands Institute for Health Services Research)
Stefano Piccoli RAMS&E
Ray Reagan Airborne AS
Erik Hollnagel Centre of Quality Region Syddanmark
Gianluca Del Pinto ANACNA
Mario Leone-
Emanuele Bellini University of Florence
Luca Leone-
Romano Luisoni PwC
Andrea Falegnami Sapienza University of Rome
Filippo De Carlo University of Florence
Ahmad Bahoo Toroody University of Florence
Natalia Trapani Università degli Studi di Catania
Andrea Ferracuti Sapienza University of Rome
Eleonora Cartoni Sapienza University of Rome
Tommaso Giovannelli Sapienza University of Rome
Camilla Bianco Sapienza University of Rome
Anna Lisa Demofont Sapienza University of Rome
Giulia Reggiani Sapienza University of Rome
Ruggiero Seccia Sapienza University of Rome
Dylan Di Biase Sapienza University of Rome
Arianna Aversano Sapienza University of Rome
Anna Livia Croella Sapienza University of Rome
Federico Zomparelli University of Cassino and Southern Latium
Documentation
Tutorial
The presentations from the tutorial were: Understanding how things happen, The four principles of FRAM,First steps of FRAM.
Workshop presentations
Hideki Nomoto: FRAM analysis of walking in Tokyo
Abdullah Abalkhili; Modelling Nuclear Safety: A Sociotechnical Systems Approach
Cristina Martelli: Using FRAM to reduce skill mismatch: an application to public employment offices guidelines
Jeranette Hounsgaard: Five years of applying FRAM in Danish Healthcare settings
Manuela Vieli: Effect of standardisation on the partial process of wheelset exchange in a repair centre of Swiss Federal Raiways
Roger Woltjer: Functional Modelling ofthe expected and actual impact of resilience guidelines on European critical infrastructure crisis management – added vaslue of functional modelling for crisis mamgement
Pedro Ferreira:Understanding the impacts of enhanced automation in future ATM performance
Shigeru Kusakabe: Analysing software development process using FRAM: Case Study of personal level software process
Jeanette Hounsgaard: FRAM supporting the implementation of a patient responsible consultant
Miha Pielick: Automation of the FRAM method for the purpose of Hazard Analysis
Doug Smith:Applying and visualising the FRAM for Arctic ship navigation
Riccardo Patriarca: A multi- layer FRAM: the Abstraction/ Agency framework for modelling complex sociotechnical systems.
Arie Adriaensen:Functional Analysis of a Joint Cognitive System: Agent and Inter Agent Transformation Flow, a case study in a Cockpit Environment
David Slater (submitted for Group Discussion): FRAM Model Visualiser – Where Next?
The Abstracts can be found here
University of Lisbon, Portugal
Agenda
The programme for the 2016 FRAMily meeting is here.
Participants
Alastair Ross, Lecturer, University of Glasgow
Anabela Simões, Professor, Universidade Lusófona
Ângelo Teixeira, Professor, CENTEC
Arie Adriaensen, Safety researcher, Safety consultant
Bart Accou, Head of Methods and safety manag., Infrabel
Benedicte Schou, Risk Manager, Mental Health services – Capital region, Denmark
Carlos Guedes Soares, Professor, CENTEC
Christian Beckert, Captain, German Air Line Pilots’ Association
Cristina Martelli, Associate professor, Department of Statistics, UniFi
David Slater, Professor, Cardiff University
Dominic Furniss, Senior research associate, University College London
Doug Smith, PhD Student, Memorial University of Newfoundland
Duncan McNab, Associate adviser in patient safety and quality improvement, NHS education for Scotland
Erik Hollnagel, Professor, Centre for Quality – University of Southern Denmark
Fernando Santos, CENTEC
Flora Salvatori, Research fellow, Department of Statistics, UniFi
François Laporte, Conceiller, Infrabel
Georg Effenberger, Head of Prevention Department, Austrian Workers´ Compensation Board
Gianluca Del pinto, Air traffic controller, ANACNA
Heinrich Kuhn, Professor, Zurich University of Applied Sciences
Ivonne Herrera, Adjunct Associate Professor, Norwegian University of Science and Technology
Jaap Hamming, Prof. Of surgery, Leiden University – Medical Centre
Jan van Schaik, Vascular Surgeon, Leiden University – Medical Centre
Jeanette Hounsgaard, Deputy Manager, Centre for Quality – University of Southern Denmark
Joana da Guia, CENTEC
Karen Ørnebjerg, Risk Manager, Mental Health services – Capital region, Denmark
Marcus Arenius, Research Fellow, University of Kassel
Maria André, Técnica Superior, GPIAA – Gabinete de Prevenção e Investigação de Acidentes com Aeronaves
Marit de Vos, PhD researcher, Leiden University – Medical Centre
Nicolas Wertz, Ingenieur FOH, Infrabel
Nippin Anand, Principal Specialist Safety Man. Sys., DNV-GL
Pedro Ferreira, CENTEC Tecnico
Ray Master, Director Loss prevention/safety consultant, Construction risk partners
Riccardo Patriarca, PhD Stud. (MSc Aeronautical Engineering), University of Rome
Roberto Gnesotto, MD, MPH, MSc ,Doctors with Africa/Cuamm
Romano Luisoni, Risk Manager, PricewaterhouseCoopers Switzerland
Simon Albery, Safety Innovation Leader, THIESS
Vivek Menon, Maritime Health & Safety consultant, SeaHealth
Documentation
Tutorial
The presentations from the tutorial were: Understanding how things happen, The four principles of FRAM, First steps of FRAM.
Workshop presentations
Jeanette Hounsgaard: FRAM and implementation of Safeward
Nippin Anand: Boxing and dancing – The challenges of enforcement in global shipping
Doug Smith: Experiences using FRAM in engineering and the maritime domain
Gianluca Del Pinto: FRAM model applied to the Aerodrome Air Traffic Control to manage the variability in regard of runway incursion
Simon Albery: The visualisation of FRAM
Dominic Furniss: Using FRAM beyond safety: A case study to explore how sociotechnical systems can flourish or stall
Benedicte Schou: Use of the FRAM as Accident Analysis tool in Risk Management
Marcus Arenius: From quantitative to qualitative: Transforming quantitative data regarding the distribution of visual attention into a representation compatible with FRAM
Riccardo Patriarca: Monte Carlo simulation to assess performance variability in the FRAM
Cristina Martelli: FRAM visualizer and relational databases integrated approach: potentialities and perspectives
David Slater (submitted after FRAMily meeting): FRAM as a “front end” to quantification and dynamic simulation
Erik Hollnagel: The way ahead: FMV and FMI
Group discussions
A proposal from Nicolas Wertz.
A View of the Key (Unique) current Advantages and achievable Advances of the FRAM methodology, highlighted in FRAMILY 2016 by David Slater.
School of Applied Psychology (APS), University of Applied Sciences and Arts Northwestern Switzerland (FHNW)
Olten, Switzerland
Agenda
The program for this year’s meeting is available here.
Participants
Alex Ackermann, MSc student of Applied Psychology, FHNW
Andrea Franz, GL, Swissi AG
Andreas Blum, Head Operational Feedback Group, NPP Leibstadt AG
Armin Feurer, Ernst Basler und Partner AG,
Barbara Linz, Neosys AG,
Beat Kistler, Safety & Risk Officer, SR Technics
Caroline Kruseman, MSc student of Applied Psychology, FHNW / NOSE Design AG
Christian Kunz, Research Assistant, School of Applied Psychology FHNW
Colleen Butler, Senior Human Factors Specialist, Health and Safety Laboratory
Cornelia Ryser, Dr./Human & Organizational Factors Specialist, Swiss Federal Nuclear Safety Inspectorate ENSI
Cornelia Schneeberger, Projektleiterin Safety, SBB AG Konzern Sicherheit & Qualität
Elvira Porrini, Geschäftsführerin, X-CHALLENGE CONSULTING
Eric van Kleef, Ph.D. student, Delft University of Technology
Erik Hollnagel, Professor, University of Southern Denmark / Region of Southern Denmark
Gesa Praetorius, PhD/ Research Associate, Maritime Risk and System Safety/ World Maritime University
Harald Kolrep, Prof. Dr., HMKW Hochschule für Medien Kommunikation und Wirtschaft
Herbert Manser, riskCare,
Hillary Bennett, Dr / Director, Leading Safety
Holger Knissel, Dr./ HOF Specialist, Swiss Federal Nuclear Safety Inspectorate ENSI
Jasmin Zimmermann, Researcher School of Applied Psychology FHNW,
Jeanette Hounsgaard, Deputy Manager, Centre for Quality
Jens O. Meissner, Prof. Dr. / Co-Head MAS Risk Management, Lucerne University of Applied Sciences and Arts
John Van den Bremen, Fachleiter Arbeitssicherheit und Gesundheitsschutz, SBB Cargo
John Lovegrove, Owner, Canary Designs Limited
Jonas Brüngger, Researcher, School of Applied Psychology FHNW
Julia Bezzola, Fachspezialistin Meldewesen – Ereignisanalyse, SBB Personenverkehr
Katarzyna Hongler, Dr.,
Katrin Fischer, Prof. Dr., School of Applied Psychology FHNW
Luis López, Research Assistant, ZHAW Zürcher Hochschule für Angewandte Wissenschaften
Luzia Kopp, lic.phil I. / MAS in Corporate Finance / Facilitator / CEO aMedia Unternehmen beraten & entwickeln,
Manuela Vieli, MSc student of Applied Psychology, FHNW/ SBB
Marc Werfs, PhD student, University of St Andrews
Marcel Huser, Riskmanager Safety, Safety & Quality, SBB
Marcel Lüthi, Airlines Safety Management,
Martin Rejzek, Dipl. el. Ing FH, Zurich University of Applied Sciences, IAMP
Melina Zeballos, MSc student of Applied Psychology, FHNW
Michael Grüninger, Managing Director, Great Circle Services AG
Nicolas Wertz, Human Factors and Risk Management Engineer, Infrabel
Nicole Stoller, MSc student of Applied Psychology, FHNW
Nippin Anand, Principal Specialist Safety Management Systems, DNV GL
Noëmi Cerny, Research Assistant, School of Applied Psychology FHNW
Pascale Stalder, Assistant, Nuclear Fuel Division, Kernkraftwerk Gösgen-Däniken AG
Patricia Schauenburg, Quality Manager in organ donation and transplantation Swisstransplant,
Pedro Ferreira, Assistant Professor/researcher, ULHT-DREAMS
Philip Voss, Dr / Director, Leading Safety
Reta Lusser, Projektleiterin Betreibssicherheit, SBB AG Konzern Sicherheit & Qualität
Roberto Gnesotto, MD; MSc Community Health; MS Health Policy and , Management; MS Patient Safety Leadership
Romano Luisoni, PricewaterhouseCoopers AG,
Sandra-Miriam Engel, Operational Feedback Group, NPP Leibstadt AG
Sarah Kramer, MSc student of Applied Psychology, FHNW
Sean Reid, Management Consultant, Kanovis GmbH
Sebastien Constant, Editions Seb CONSTANT,
Simon Steiner, MSc student of Applied Psychology, FHNW
Toni Wäfler, Prof. Dr., School of Applied Psychology FHNW
Tony Wynn, Senior Human Factors Specialist, Health and Safety Laboratory
Documentation
Jeanette Hounsgaard. From policy to practice: a new way of developing protocols that work. Can FRAM contribute to a successful implementation of a new protocol?
Jeanette Hounsgaard. Facilitation of FRAM by material repre-sentation. What do the FRAM hexagon and the LEGO block have in common?
Patricia Schauenburg and Michael Grüninger. Analysis of Interdependencies within the Organ Allocating Function of Swisstransplant
Simon Steiner. Resources and dependencies in the departure of suburban trains
Marc Werfs. cFRAM – Adapting to technological discontinuities while becoming more resilient
Gesa Praetorius. Applying Functional Resonance Analy-sis Method (FRAM) to enhance Formal Safety Assessment (FSA) within the maritime domain
Noëmi Cerny. Use of FRAM in aviation
Group discussions
Refinement of the six aspects of the FRAM (Lead: Eric van Kleef)
The evolution of FRAM tools and the future needs / requirements (Lead: Pedro Ferreira)
LEANed processes: What happens when linearity meets complexity? (Lead: Jeanette Hounsgaard)
Comparison of methods (FRAM and traditional): Everyday operations related to medication use and adverse drug events (ADEs) (Lead: Roberto Gnesotto)
The contents of this discussion comprises two files: a narrative and the FRAM model.
How can we operationalize resilience and detect / identify indicators which enable resilience? (Lead: Luzìa Kopp)
Breakout session (FRAM exercises) (Lead: Gesa Praetorius, Jeanette Hounsgaard, Milena Studic)
Chalmers University of Technology, Gothenburg, Sweden
The abstracts of talks, etc. can be found here.
And here are the various presentation materials.
Hounsgaard, J. What is the difference between a good and a bad day at a spine centre?
Hounsgaard, J. & Ros, A. Experience from Sweden and Denmark with training of staff using FRAM.
Hounsgaard, J. & Langkilde, P. K. Ward Rounds in a Geriatric Ward.
Studic, M. A framework to assess the safety impact of airport integration into the ATM system.
Nilsson, J. & Forsman, F. High Speed Navigation in the lens of FRAM
Werfs, M. FRAM for system design
Alm, H. FRAM case example for the industry
Prison, J. (Discussion). FRAM – a concern – too complex to be actively used outside of academia?
T. Wäfler, N. Cerny, B.Kohli & C.Vogel. FRAM in comparison to another modelling method for socio-technical systems.
van Kleef. E. Discrete event simulation of a FRAM model in SimPy
Slater, D. (Discussion). What methods can be a meaningful compliment to FRAM?
Technical University of Munich, Germany
Agenda
The agenda can be found here.
Documentation
Thanks to the hard work by enthusiastic volunteers, the presentations from the FRAMily meeting in München in 2013 is now available. You can get it by clicking at the links below.
If you are interested in getting further information, please contact the individual authors/presenters.
FRAM case: Train accident & maintenance (Ferreira)
The Clayton Tunnel (Slater)
Mobile crane accident analysis using FRAM (von Buren)
Vessel traffic service as contributor to traffic management (Praetorius)
A FRAM analysis in a department of obstetrics (Shamoun)
Using FRAM as a quality improvement tool in healthcare (Hounsgaard)
Preparing planes for take-off: looking at what happens on the apron during turnarounds (Studic)
FRAM and ATM (Leonhardt)
What Next (Licu)
Middelfart, Denmark
Agenda
The agenda can be found here.
Documentation
Thanks to the hard work by volunteers, the presentations from the FRAMily meeting in Middelfart in 2012 is now available. You can get it by clicking at the links below.
If you are interested in getting further information, please contact the individual authors/presenters.
Ringhals FRAM Case Study on Risk Assessment – Challenges in a pro-active application
Indicator Madness – Challenges in Prospective Risk Assessment in Healthcare
FRAM for risk assessment and design process
Adverse event analysis in psychiatry
Using FRAM for the design of a resilient Traffic Management System
Sophia Antipolis, France
Agenda
The agenda can be found here.
Minutes
The minutes are no longer avaliable.
Documentation
To inquire about available documentation from this FRAMily meeting, please contact Denis Besnard.
Sophia Antipolis, France
Agenda
The agenda can be found here.
Minutes
The minutes are no longer available.
Documentation
To inquire about available documentation from this FRAMily meeting, please contact Denis Besnard.
Sophia Antipolis, France
Agenda
The agenda is no longer avaliable.
Minutes
The minutes can be found here.
Documentation
To inquire about available documentation from this FRAMily meeting, please contact Denis Besnard.
Sophia Antipolis, France
The agenda can be found here.
Minutes
The minutes can be found here.
Documentation
Hollnagel, E. From FRAM to FRAM
Carvalho, P. Normal people in normal organisations: FRAM analysis of a mid-air collision
Woltjier, R. Air accident analysis and/or ATC risk assessment with FRAM
Travadel, S. A FRAM analysis of aviation mishaps
Herrera, I. A comparison of the FRAM and STEP models in the aviation domain
Furniss, D. From A4, to the FRAM Visualiser, to Post-It notes, to Visio
Robson, R.. The amplitude of resonating features and conditions of healthcare systems
McMenemy , J. The building of predictive performance models from empirical data
Herrera, I. & Tveiten, C. FRAM Modelling of normal work
Sophia AAgenda
The agenda is no longer avaliable
Minutes
The minutes can be found here.
Documentation
To inquire about available documentation from this FRAMily meeting, please contact Denis Besnard, France