• Title/Summary/Keyword: 근본원인분석

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The Analysis on the Soongrae-Mun fire and it's improvement measure (경비업무적 관점에서의 숭례문화재사고 분석과 대책)

  • Chung, Tae-Hwang;Lee, Choong-Soo
    • Korean Security Journal
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    • no.16
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    • pp.321-338
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    • 2008
  • Soongrae-Mun Fire shows safety problem in Korea intimately. People have pressed for the responsibility of persons in charge and have asked for improvement measure whenever Fire accident occur, but similar accidents occur again without any improvement. This research is to provide improvement. measure on the base of the analysis of the cause of Soongrae-Mun fire to prevent similar accident, also to help private security company do effective security job. This research is approached from a security point of view. A lot of accidents occur by direct cause such as people's unsafe action and unsafe condition. but it is very difficult to remove the facts of direct cause, so the facts of indirect cause should be analyzed together. Drew-up of security related legislation should be included when the establishment of fire fighting related legislation is examined, also technical improvement should be examined with legislation. security company should be concerned about securing of expertise and reinvestment for the improvement of expertise to overcome limitations of private security such as job boundary, capability and responsibility. Also private security company should try to service for public benefit and to examine practical compensation for loss occurred by mistake of security company.

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Analysis of Causes of Conflict in Construction Projects (건설공사에서의 갈등원인 연구)

  • Oh, Guk-Yeol;Lee, Young-Dai;Kim, Chang-Soo
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • 2007.11a
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    • pp.473-478
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    • 2007
  • The construction industry is huge-there are lots of project organizations and many different people who work on them. Conflict will occur in any long - term relationship and it happens in personal, professional, family, and social relationships. Disputes between parties to construction projects are of great concern to the industry. The study of construction industry disputes, and the causes of those disputes, is essential. The purpose of this study is to identify the root causes of conflicts in construction industry. A questionnaire field survey was conducted to investigate the root causes of construction conflicts. The professionals working for owner, contractor and consultants were targeted for the collection of data. Descriptive analysis such as mean score and standard deviation as well as factor analysis was employed to find underlying factors related to conflicts in construction field. Student's t-test and ANOVA test tools were used to compare the perceptions of various categories of population and project. Factor analysis was used to group the numbers of conflict causes. This study reveals four root causes of construction conflict. They are: (i) weak project leadership (ii) weak contractor selection (iii) weak project management, and (iv) project participants' attitude.

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Stakeholder's Valuation of Public PMO System Using Laddering (래더링 기법을 이용한 전자정부사업관리 위탁(공공 PMO)제도의 이해관계자 별 가치체계)

  • Back, Hyung-Chung;Park, Chan-Hyuk;Jang, Seong-Yong;Kim, Ja-Hee
    • Journal of the Korea Society for Simulation
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    • v.24 no.4
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    • pp.127-136
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    • 2015
  • The e-government project management consignment system to allow the public PMO has been introduced to resolve the quality management issue and the business risk, pointed out by the reorganized Software Industry Promotion Act. The additional regulation improvements are demanded because the public PMO system cannot settle down due to the different opinions among related parties: owner, operator and PMO. Therefore, to make balanced regulation improvements, the in-depth studies are necessary to analyze the fundamental causes of the disagreement between the related parties. This study analyses the each related party's cognitive structure to perform public PMO successfully and the fundamental reasons that cause the different opinions by applying the cognitive psychological Means-end chain theory, the laddering technique and the HVM, Hierarchical Value Map. In addition, this study analyses the regulations required for the related parties to obtain the expected benefits.

A Study on New Alternatives for Overflowing Internet Information and Blocking Harmful Information (인터넷 정보과잉과 유해정보 차단을 위한 새로운 대안 연구)

  • Kim, Sang-Geun
    • Journal of Convergence for Information Technology
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    • v.9 no.10
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    • pp.81-86
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    • 2019
  • Problems related to information overload and harmful information have already expanded to national social problems as well as personal problems. This study explores the causes of Internet addiction, exposure to harmful information, malicious comments, fake information/information manipulation, and new alternatives that have recently been felt as social problems. Assuming that existing technologies/policies were not applied effectively, psychological cause analysis was performed for the fundamental problem approach. As a result, internal problems such as obsession with knowledge/understanding of wrong information/black and white stereotypes and prejudice were analyzed as main causes. Each proposed solution aims to help improve national technology/policy regarding internet addiction and blocking harmful information.

Flexual-Shear Cracking Mechanism in Slender Reinforced Concrete Bems (철근콘크리트보의 휨전단균열 발생 메카니즘에 대한 연구)

  • Kim, Woo
    • Magazine of the Korea Concrete Institute
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    • v.10 no.3
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    • pp.185-196
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    • 1998
  • 이 논문은 직사각형 단면을 갖는 철근콘크리트 보에서 휨전단균열(Flexural-Shear Crack)이 원인을 규명하기 위해 모두 16개의 보를 실험한 결과를 기술한 것이다. 실험에 이용된 콘크리트보는 전단균열에 영향을 준다고 생각되는 몇 가지 요소를 인위적으로 소거 도는 고립되도록 특수하게 제작된 것이다. 이러한 특수보의 실험결과를 같은 재원을 갖는 보통의 정상보의 결과와 직접 비교하여서 그 차이를 분석함으로써 휨전단 균열의 발생원인을 규명하였다. 그 결과, 일반적인 콘크리트보에서의 휨전단균열 발생은 철근과 콘크리트의 경계면의 부착현상과 매우 밀접한 관련이 있는 것으로 나타났다. 또한 발생된 휨전단균열의 안정성은 주철근을 따라 발생되는 수평균열의 크기에 직접적인 영향을 받고 있는 것으로 나타났다. 본 연구에서 나타난 몇 가지 사실은 현재 사용중인 전단설계규준의 근본을 이루는 전단 위험단면개념과는 상반되는 것도 있었다. 실험에서 알아낸 사실을 근거로 전단파괴기구에 대한 새로운 가설을 제안하였다. 이 새 가설은 지금까지 잘 설명되지 않은 휨전단균열의 발생과 진행에 대한 원인 및 과정을 상당히 잘 설명해주고 있다고 생각된다.

A techno-economical Analysis on Internet Congestion : focused on congestion reasons and its optimal Solution (인터넷 혼잡에 관한 기술경제학적 고찰 : 혼잡의 원인과 해결방향을 중심으로)

  • 박정석;이지형
    • Proceedings of the Technology Innovation Conference
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    • 2002.06a
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    • pp.181-200
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    • 2002
  • 최근 급진전되고 있는 인터넷의 광대역화와 다양한 멀티미디어 컨텐츠의 수요확대 그리고 인터넷 이용자의 급증 등으로 인터넷 트래픽은 기하급수적으로 증가하고 있다. 그러나 최선형 패킷교환방식인 현 인터넷은 급증하는 네트워크 수요를 감당하기에 이미 기술적 한계를 드러내고 있을 뿐 아니라, 네트워크 확장을 통하여 급증하는 트래픽을 수용하는 것도 경제적으로 한계수위에 도달하고 있다. 따라서 네트워크 수요 대비 공급량의 불균형으로 인터넷망에서의 혼잡(congestion)문제가 점차 중요한 이슈로 제기되고 있으며, 이런 문제의 해결방안으로 네트워크공급을 늘리거나, 초과수요를 줄이는 방안에 대한 논의와 구체적인 노력이 이루어지고 있다. 이에 본 고에서는 간단한 기술 경제학적 모형을 이용하여 혼잡의 원인과 이에 대한 해결방향에 대하여 분석적인 설명을 시도하였다. 특히 본 고에서는 인터넷 혼잡의 원인이 '부정적 네트워크 외부성' 이 존재하기 때문이며, 실무적으로 혼잡문제 해결의 대표적인 대안으로 적용되고 있는 네트워크의 용량확대는 혼잡해결의 근본적인 대안이 되지 못하고, 반면 실무적으로 별로 주목받고 있지 않는 네트워크 투자를 최소화하고 트래픽을 통제할 수 있는 '혼잡세'를 부과할 수 있는 요금제 도입이 효율적인 혼잡 해결방안 임을 밝히고 있다.

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Development of Diagnosis System Based on Alarm Processing (경보처리 기반 진단 시스템 개발)

  • 정학영;박혁신
    • Journal of Intelligence and Information Systems
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    • v.4 no.1
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    • pp.103-114
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    • 1998
  • 본 논문은 화력발전소 적용을 위한 경보처리 기반 고장진단 전문가 시스템(APDX(Alarm Processing and Diagnosis Expert System)개발에 관하여 논의한다. 본 연구에서 제시된 경보처리 알고리즘은 근본적으로는 경보 인과관계 트리를 사용하고 있으나 최종 원인 경보선택에 있어서는 경보 발생시간과 경보 우선순위 Meta-Rul를 활용한다. 경보처리 모듈에서 처리된 원인경보를 근거로 하여 본 원인경보와 관련된 고장부위를 진단하게 된다. 진단모듈에서는 경보에 관련된 센서들과 고장들 사이의 관계를 정상적으로 모델링하고 센서들의 트랜드를 정성적 해석기로 분석하여 증가, 정상, 감소의 세가지 상태에 대한 신뢰도를 출력한다. 또한 각 경보로부터 고장이 예상되는 고장타입을 센서 천이도로 모델링하여 진단에 활용된다. 최종적으로 추론모듈에서 퍼지(Fuzzy) 추론 알고리즘을 이용하여 모델된 고장 타입과 계산된 고장과의 매칭과정을 통하여 진단을 수행하게 되며, 계산 창 (Window)를 변경하면서 고장을 재 확인하게 된다.

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Guidelines for Performing Root Cause Analysis (근본원인분석 수행을 위한 지침)

  • Lee, Hyeon-Jeong;Choi, Eun-Young;Ock, Min-Su;Lee, Sang-Il
    • Quality Improvement in Health Care
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    • v.23 no.1
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    • pp.25-38
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    • 2017
  • Root cause analysis (RCA) is systematic process for identifying contributing factors and root causes. It detects system-level vulnerabilities and prevents them from occurring in the future. In many countries, RCA guidelines have been developed and used for these purposes, and various practical tools are suggested according to stages of RCA implementation. In Korea, adverse events occur in 7.2-8.3 percent of inpatients according to studies conducted in hospitals. However, frontline staffs are suffering from lack of knowledge about RCA implementation. This study introduces RCA guidelines that may be used in hospitals to improve the quality of medical care and patient safety.

Reliability Problem Solving Through Root Cause Analysis (근본원인분석을 이용한 신뢰성 문제 해결)

  • Jeong, Hai Sung
    • Journal of Applied Reliability
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    • v.16 no.1
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    • pp.71-77
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    • 2016
  • Purpose: Root cause analysis (RCA) refers to any systematic process that identifies the causes that contribute to a focus event. The immediate cause of a focus event is often a symptom of underlying causes and may not truly identify the root causes that should be identified and addressed. Currently many RCA tools are available. Different investigators use different RCA tools on different issues. No standardized or commonly agreed way to analyse root causes exists. The purpose of this study is to propose the methodology of RCA process commonly useable for various issues. Methods: The methodology of RCA process is produced based on the hybrid RCA tools. The effectiveness assessment matrix of actions through the root cause candidates is presented. Results: No single RCA technique proposed has so far covered all necessary aspects. A hybrid approach which combines the best features of various techniques is proposed. The effectiveness assessment matrix helps us to identify the root cause to correct or eliminate system vulnerabilities effectively. Conclusion: This hybrid approach and effectiveness assessment matrix can provide guidance of RCA process across many industries and situations.

Root Cause Analysis on Delamination Failure between Coating Film and Paper (코팅지 박리파손에 대한 근본원인분석)

  • Lee Deok Bo
    • Proceedings of the Korean Reliability Society Conference
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    • 2005.06a
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    • pp.199-208
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    • 2005
  • In the calendar and the advertising catalog, the surface Is usually coated by coating polypropylene film. The delamination failure of coating film depends on surface roughness and quality of the substrate paper. In this paper, the mechanisms of delamination failure between the coating film and the paper is investigated by using the root cause analysis as one of techniques of reliability evaluation. The papers used in failure analysis are three kind products made by two domestic and one foreign companies. It found that the main causes of delamination failure between the coating film and the paper were the creation of microvoids caused by shape of filler and their growth caused by contraction of paper.

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