Variability thus represents a normal, necessary part of clinical work, and it demands the ability to cope with unpredictable, unstable working environments [ 14 ].
Recruitment during hospitalization may be ethically challenging owing to the ability of elderly patients to provide informed consent as a result of functional decline, strain, and cognitive impairments. The final step is to propose ways of managing or diminishing the possible occurrence of uncontrolled performance variability.
The experiences of complex patients can be used to identify gaps in hospital discharge practices and design interventions to improve outcomes. Journal of Hospital Medicine ; The FRAM clarifies outcomes in terms of how functions become connected, how everyday performance variability may result from the way individual functions are completed, and how these functions affect one another.
Chest x-ray reveals upper- and middle-lobe opacities on the right side and some atelectasis in the lower lobe.
Success here was defined in terms of reported quality of information transfer, the level of post-discharge care, the duration of the process, and level of satisfaction. The appropriate level of analysis at which to operationalize variety in organizational work processes has been questioned [ 22 ].