• Title/Summary/Keyword: Errors Management

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Aberrant Driving Behaviors by Driver Behavior Questionnaire (DBQ를 이용한 운전자들의 비정상적 행위에 대한 연구)

  • Lee, Jae-In;Lim, Chang-Joo;Lee, Chan-Saem;Hwang, Sang-Hyuck
    • Journal of the Korea Safety Management & Science
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    • v.10 no.4
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    • pp.65-72
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    • 2008
  • The Manchester Driver Behavior Questionnaire (DBQ) is the most commonly used frameworks for investigating the relationship between self-reported driving behavior and accident involvement. After Reason et al. introduced DBQ, there were many studies replicating the research of Reason et al. in many countries. There was, however, no study replication of the Reason's research in Korea. The aim of this study is to replicate the distinction among errors, lapses and violations, and to evaluate the relationship of these behaviors with road traffic accidents on Korean drivers. 223 Korean drivers completed the Korean version of original DBQ with questions regarding background information, such as age, gender, annual mileage and accident involvement. Participants answered self-assessment questions, also. Factor analysis revealed three factors like Reason et al. The three factors were dangerous errors, violations and relatively harmless errors.

Building a Machining Knowledge Base for Intelligent Machine Tools (지능공작기계를 위한 가공 지식의 지식베이스 구성 및 운영)

  • Lee, Seung-Woo;Lee, Hwa-Ki
    • Journal of the Korea Safety Management & Science
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    • v.9 no.5
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    • pp.79-85
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    • 2007
  • Intelligent machines respond to external environments on the basis of decisions that are made by sensing the changes in the environment and analyzing the obtained information. This study focuses on the construction of a knowledge base which enables decision making with that information. Approximately 70% of all errors that occur in machine tools are caused by thermal error. In order to proactive deal with these errors, a system which measures the temperature of each part and predicts and compensates the displacement of each axis has been developed. The system was built in an open type controller to enable machine tools to measure temperature changes and compensate the displacement. The construction of a machining knowledge base is important for the implementation of intelligent machine tools, and is expected to be applicable to the network based intelligent machine tools which look set to appear sooner or later.

Decision Model of Construction Errors Management Based on Modular Method Construction Process (모듈러 공법의 시공 프로세스 기반 시공 오차 관리 의사 결정 모델)

  • Shin, HyunKyu;Kim, SuYoung;Ahn, YongHan
    • Korean Journal of Construction Engineering and Management
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    • v.18 no.6
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    • pp.98-108
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    • 2017
  • Recently, the development of middle and high-rise building technology using modular construction method has emphasized the importance of site construction error management. The modular construction method is very limited to adjust the construction error in the field because of the factory production characteristics. Therefore, in order to prevent the construction error in advance, a management plan reflecting the characteristics of the modular construction method is required, and it is important to make the decision of the construction participant at each stage. This study analyzed the factor of construction error of modular construction and suggested a decision support model for construction error management based on construction process. The result of this study is expected to be a guideline for the modular construction participant to derive the construction error management plan.

An Analysis of Relationship between Unsafe Acts and Human Errors of Workers for Construction Accident Prevention (건설사고 예방을 위한 근로자의 불안전한 행동과 휴먼에러와의 관계 분석)

  • Min, Kwangho;Cha, Yongwoon;Han, Sangwon;Hyun, Changtaek
    • Journal of the Architectural Institute of Korea Structure & Construction
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    • v.35 no.5
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    • pp.161-168
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    • 2019
  • Construction industry is becoming more advanced, but safety accidents are not decreasing and unsafe act (UA) and human errors (HE) are the main causes of safety accidents. Therefore, this study aims to analyze the relationships between unsafe acts and human errors for construction accident prevents. Specifically, the Correlation Analysis is used to quantify 24 combinations of the relationship between the UA and HE. Then, the Kano Model, and Timko Satisfied Coefficient was utilized to find 6 combinations for construction accident prevention plans. As the result of Timko Satisfied Coefficient, an interview was conducted with three safety managers and 6 safety prevention plan is proposed. Through these results, it is expected that the combination of 24 accidents will be basic data of safety management. Especially, the proposed safety prevention plans considering the characteristics of 6 combinations with high correlation can contribute to prevention of safety accidents at the construction site.

The Effectiveness of Error Reporting Promoting Strategy on Nurse's Attitude, Patient Safety Culture, Intention to Report and Reporting Rate (오류보고 촉진전략이 간호사의 오류보고에 대한 태도, 환자안전문화, 오류보고의도 및 보고율에 미치는 효과)

  • Kim, Myoung-Soo
    • Journal of Korean Academy of Nursing
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    • v.40 no.2
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    • pp.172-181
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    • 2010
  • Purpose: The purpose of this study was to examine the impact of strategies to promote reporting of errors on nurses' attitude to reporting errors, organizational culture related to patient safety, intention to report and reporting rate in hospital nurses. Methods: A nonequivalent control group non-synchronized design was used for this study. The program was developed and then administered to the experimental group for 12 weeks. Data were analyzed using descriptive analysis, $\chi^2$-test, t-test, and ANCOVA with the SPSS 12.0 program. Results: After the intervention, the experimental group showed significantly higher scores for nurses' attitude to reporting errors (experimental: 20.73 vs control: 20.52, F=5.483, p=.021) and reporting rate (experimental: 3.40 vs control: 1.33, F=1998.083, p<.001). There was no significant difference in some categories for organizational culture and intention to report. Conclusion: The study findings indicate that strategies that promote reporting of errors play an important role in producing positive attitudes to reporting errors and improving behavior of reporting. Further advanced strategies for reporting errors that can lead to improved patient safety should be developed and applied in a broad range of hospitals.

Optimal Production Planning for Remanufacturing with Quality Classification Errors under Uncertainty in Quality of Used Products

  • Iwao, Masatoshi;Kusukawa, Etsuko
    • Industrial Engineering and Management Systems
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    • v.13 no.2
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    • pp.231-249
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    • 2014
  • This paper discusses a green supply chain with a manufacturer and a collection trader, and it proposes an optimal production planning for remanufacturing of parts in used products with quality classification errors made by the collection trader. When a manufacturer accepts an order for parts from a retailer and procures used products from a collection trader, the collection trader might have some quality classification errors due to the lack of equipment or expert knowledge regarding quality classification. After procurement of used products, the manufacturer inspects if there are any classification errors. If errors are detected, the manufacturer reclassifies the misclassified (overestimated) used products at a cost. Accordingly, the manufacturer decides to remanufacture from the higher-quality used products based on a remanufacturing ratio or produce parts from new materials. This paper develops a mathematical model to find how quality classification errors affect the optimal decisions for a lower limit of procurement quality of used products and a remanufacturing ratio under the lower limit and the expected profit of the manufacturer. Numerical analysis investigates how quality of used products, the reclassification cost and the remanufacturing cost of used products affect the optimal production planning and the expected profit of a manufacturer.

Impact of Psychosocial Factors on Occurrence of Medication Errors among Tehran Public Hospitals Nurses by Evaluating the Balance between Effort and Reward

  • Zaree, Tahere Yeke;Nazari, Jalil;Jafarabadi, Mohhamad Asghary;Alinia, Tahereh
    • Safety and Health at Work
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    • v.9 no.4
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    • pp.447-453
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    • 2018
  • Background: Patient safety and accurate implementation of medication orders are among the essential requirements of par nursing profession. In this regard, it is necessary to determine and prevent factors influencing medications errors. Although many studies have investigated this issue, the effects of psychosocial factors have not been examined thoroughly. Methods: The present study aimed at investigating the impact of psychosocial factors on nurses' medication errors by evaluating the balance between effort and reward. This cross-sectional descriptive study was conducted in public hospitals of Tehran in 2015. The population of this work consisted of 379 nurses. A multisection questionnaire was used for data collection. Results: In this research, 29% of participating nurses reported medication errors in 2015. Most frequent errors were related to wrong dosage, drug, and patient. There were significant relationships between medications errors and the stress of imbalance between effort and reward (p < 0.02) and job commitment and stress (p < 0.027). Conclusion: It seems that several factors play a role in the occurrence of medication errors, and psychosocial factors play a crucial and major role in this regard. Therefore, it is necessary to investigate these factors in more detail and take them into account in the hospital management.

Development of an E-learning Education Program for Preventing Nursing Errors and Adverse Events of Operating Room Nurses (수술실의 간호오류 및 과오 예방을 위한 E-learning 실무교육 프로그램의 개발 및 평가)

  • Kim, Jung-Soon;Kim, Myung-Soo;Hwang, Sun-Kyung
    • Korean Journal of Adult Nursing
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    • v.17 no.5
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    • pp.697-708
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    • 2005
  • Purpose: This study was to develop, implement, and evaluate an e-learning education program for improving practical knowledge and preventing nursing errors and adverse events of nurses working in the operating room (OR). Method: The e-learning program was developed and evaluated according to the following processes: 1) preparation phase 2) implementation phase 3) evaluation phase. In evaluation phase, the effectiveness was analyzed based on the Kirkpatrick's model. Results: The e-learning program consisted of OR basic nursing skills and techniques and nursing activities' manual based on the categories of nursing errors: surgical operation preparation, nursing skills and techniques, environment management, patient safety and comfort, and patient monitoring. The program was provided through on-line, http://cafe.daum.net/pnuhorn, for 4 weeks. The mean score(percent) of participants' satisfaction was $21.24{\pm}1.71$(68.2%). Their total knowledge level was significantly improved(Z=-3.00, p=.003) and specifically in the category of environment management(Z=-3.77, p<.001) and patient monitoring(Z=-2.46, p=.014). The occurrence of nursing errors or adverse events was a little decreased, but not statistically significant(Z=-3.10, p=.756). Conclusion: E-learning for nurses is one way of effective and efficient teaching-learning strategies. For better e-learning, it is important to develop the vital content of the education and objective measures for detecting nursing errors and adverse events.

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A Study on the Multistage Screening Procedure when Inspection Errors are Present (검사 오류를 고려한 다단계 선별절차에 관한 연구)

  • Kwon, Hyuck-Moo;Kim, Young-Jin
    • Journal of Korean Society for Quality Management
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    • v.33 no.4
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    • pp.88-95
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    • 2005
  • Multistage screening is a common practice when a component has a critical effect on the function of the assembly. A defect in a component might incur malfunction of an electronic device, resulting in a great amount of loss. Multistage screening, including duplicated screening inspections, may provide a good solution for this problem when inspection errors are present. In the company studied here, the manufacturing process of the multiple layer chip capacitor includes two-stage screening. In the first stage, screening inspection is performed repeatedly until no defects are found in the lot. In the second stage, sampling inspection is performed by a group of experts prior to shipment. In this article, we review the procedure used in the field and suggest a revised model of the multiple screening procedure and solution method for this situation. The usefulness of the proposed model is discussed through a practical example.

Long-term Water Balance Analysis of Irrigation Reservoir using Open Water Management Program (개방형물관리 프로그램을 이용한 관개용 저수지의 장기물수지 분석)

  • Kim, Sun-Joo;Kim, Phil-Shik
    • Proceedings of the Korean Society of Agricultural Engineers Conference
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    • 2003.10a
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    • pp.235-238
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    • 2003
  • In this study, we developed Open Water Management Program (OWMP) with an open architecture to deal with newly arising upgrade problems for a water management automation system. When we executed OWMP with data produced from an experimental field in Korea, the relative errors of this simulation were less than 5%. We developed runoff calculation model and verified it with measured data of 4 basins included in IHP. The relative errors came out less than 5% in all basins, except for one basin. We also applied OWMP to seongju irrigation reservoir to simulate daily runoff from 1998 to 2002, and the day, month, and year relative error between measured and simulated value was 0.25-0.05. Therefore the OWMP can be a tool nicely adapted to the optimal water management of irrigation reservoir.

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