{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T06:48:41Z","timestamp":1771570121578,"version":"3.50.1"},"reference-count":38,"publisher":"FapUNIFESP (SciELO)","issue":"6","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ci\u00eanc. sa\u00fade coletiva"],"abstract":"<jats:p>Abstract Vaccination is crucial in a primary care unit and relevant for society. This study aimed to map and analyze the COVID-19 vaccination process adopting Resilience Engineering concepts to identify possible sources of failure and recommend improvements. A case study was conducted in a Primary Health Care unit, and data were collected through semi-structured interviews in a cross-sectional study. The vaccination process was analyzed and modeled using the Functional Resonance Analysis Method (FRAM), which provided a greater understanding of the procedural flow and the identification of the system\u2019s primary functions and points of variability. The results pointed out the couplings between functions that can generate high variability, which engineered improvements in the system\u2019s resilience by proposing countermeasures for the situations identified as bottlenecks.<\/jats:p>","DOI":"10.1590\/1413-81232025306.03302025en","type":"journal-article","created":{"date-parts":[[2025,6,20]],"date-time":"2025-06-20T11:19:20Z","timestamp":1750418360000},"source":"Crossref","is-referenced-by-count":1,"title":["Modeling the COVID-19 vaccination process using the FRAM Method"],"prefix":"10.1590","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9692-3568","authenticated-orcid":false,"given":"Arlindo Souza","family":"Amaral Neto","sequence":"first","affiliation":[{"name":"Universidade Federal do Rio de Janeiro (UFRJ),  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8477-1587","authenticated-orcid":false,"given":"Nath\u00e1lia Miranda do","family":"Nascimento","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio de Janeiro (UFRJ),  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5974-7120","authenticated-orcid":false,"given":"Alessandra Barrias","family":"Loureiro","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio de Janeiro (UFRJ),  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0951-6612","authenticated-orcid":false,"given":"M\u00f4nica Ferreira da","family":"Silva","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio de Janeiro (UFRJ),  Brasil; UFRJ,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0290-4807","authenticated-orcid":false,"given":"Claudia","family":"Ara\u00fajo","sequence":"additional","affiliation":[{"name":"UFRJ,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1024-4124","authenticated-orcid":false,"given":"Maria del Pilar Anto","family":"Rubio","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio de Janeiro (UFRJ),  Brasil; Universidad San Ignacio de Loyola,  Peru"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4808-1009","authenticated-orcid":false,"given":"Sildenir Alves","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio de Janeiro (UFRJ),  Brasil; Centro Federal de Educa\u00e7\u00e3o Tecnol\u00f3gica Celso Suckow da Fonseca,  Brasil"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"key":"ref1","series-title":"Minist\u00e9rio da Sa\u00fade (MS). 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