• Title/Summary/Keyword: Errors Management

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Product Safety Activities for Preventing Human Errors Related with Consumer Products (소비자 제품과 관련된 휴먼에러의 예방을 위한 제품안전활동)

  • Lim, Hyeon-Kyo;In, Byung
    • Journal of the Ergonomics Society of Korea
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    • v.30 no.1
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    • pp.9-17
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    • 2011
  • Consumer products are produced on the premise that consumers can use their products safely and effectively no matter how serious human errors they may make. However, different careers and educational experiences of them may induce diverse human errors when they want to use them. In that sense, not a few policies to reduce human errors may show some implications for human error prevention and industrial design of consumer products. In this paper, producers' safety efforts required by Product Liability(PL) Act were reviewed in view of human error prevention, and legal aspects of manufacturers' responsibility for consumer products were discussed in relation to Product Liability Act. Then, principal approaches for them were introduced under the title of System Safety Precedence. After that, major key points for preventing human errors related with consumer products - such as ergonomic design and effective labeling - were discussed with reference to ISO standards. Therefore, it was shown that all the efforts required by PL Act would be correspondent to human error prevention in the whole manufacturing processes if understood by ergonomists. To make a conclusion, it could be said that, for human error prevention, the principle of System Safety Precedence would be indispensable, and that all the efforts for preventing human errors should be systematically organized in Product Safety Management Systems.

SPEECH-LANGUAGE EVALUATION BEFORE AND AFTER PHARYNGOPLASTY (인두피판성형술 전후의 언어 평가)

  • Yoo Yang-Keun;Han Jin-Soon;Kim Jung-Lock;Hwang Soon-Jung
    • Korean Journal of Cleft Lip And Palate
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    • v.3 no.2
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    • pp.61-66
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    • 2000
  • General characteristics of speech in deft palate patients are hypemasality and articulation disorder, which are affected by velopharyngeal inadequacy(VPI). 17 subjects with a chief complaint of 'nasal sounds and inaccurate pronunciation' underwent a speech-language evaluation before and after pharyngoplasty. Hypemasality and obligatory articulation errors were improved but compensatory articulation errors remained after pharyngoplasty. Above mentioned results indicate that resonance may be normal or improved following successful surgical management of VPI but, compensatory articulation errors will still persist. The separate recognition of hypemasality, compensatory and obligatory articulation errors in deft palate patients is important in determining the timing of therapy and selection of appropriate targets in therapy.

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Reducing Medical Errors : Patients' Self Protect Behaviors and Involvement in Decision Making (의료과오 감소를 위한 환자의 자기보호행동 및 의사결정 참여)

  • An Kyung-Eh;Kim Jeong-Eun;Kang Kim Min-Ah;Jung Yoen-Yi
    • Health Policy and Management
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    • v.16 no.3
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    • pp.70-85
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    • 2006
  • The purposes of this study were (1) to describe patients' behaviors to protect themselves from medical errors and their involvement in decision making on the diagnostic and treatment procedures (2) to examine whether patients' characteristics, such as age, sex, education, experience of hospitalization and/or surgery influence their self protect behaviors and involvement in decision making on the diagnostic and treatment procedures. A survey was conducted with 99 patients visited one university hospital in Seoul, Korea. A 20-item questionnaire, a 4-point Likert scale, was used to measure the degree of patients' active involvement in decision making; patients' self protect behaviors regarding medication, hospitalization, and surgery; and communication (Cronbach's alpha=0.801). SPSS 12.0 was used for the descriptive and correlation analysis. Only 6.1% of the participants were involved in the decision making process for the diagnostic tests and treatment. More patients did self-protect behaviors associated with the medication than other areas but widely varied from 18.2 to 94.3 % among various items. More people with age of 60 or older compared to people in younger age groups reported more protect behaviors particularly associated with medication. Patient education is needed to improve their active role in preventing medical errors and to promote patients' safety.

Research Trends of International Guides for Human Error Prevention in Nuclear Power Plants

  • Lim, Hyeon-Kyo;Kim, Hyunjung;Jang, Tong-Il;Lee, Yong Hee
    • Journal of the Ergonomics Society of Korea
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    • v.32 no.1
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    • pp.125-137
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    • 2013
  • Objective: The aim of this study was to comprehend major concepts and flows that penetrate international guides or standards for developing a quantitative possibility measure of human errors that can be committed or omitted in nuclear power plants. Background: For a few past decades, lots of researchers have studied the effect of stress and/or fatigue which can result in human errors. Thus, this study was carried out on the assumption that much of them were summarized as an international guidelines or manuals, if any, for human error prevention. Method: A literal survey was conducted with materials and documentation published by international organizations related with safety and standardization, such as ISO, OSHA, NIOSH, NASA, and so on with special reference to human error prevention through management of work stress and fatigue as major Performance Shaping Factors. Results: International guides or management manuals on stress or fatigue management for human error prevention hardly were found, and most researches seemed to concentrate on one of them individually. Conclusion: There was few vestige of research that studied both concurrently. However, it was verified that not a few researches have been tried to develop quantitative measures to estimate probability or job characteristics for human error prevention and/or performance downgrading. Application: The results of this study would help to develop a causal model of human errors due to work stress and fatigue that can result in unexpected accidents in nuclear power plant.

Conceptual Models of Violation Error in a Nuclear Power Plant (원자력 산업의 위반오류 발생 메커니즘 개발 및 유형 분류)

  • Kang, Bora;Han, Sung H.;Jeong, Dong Yeong;Lee, Yong-Hee
    • Journal of the Korean Society of Safety
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    • v.31 no.1
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    • pp.126-131
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    • 2016
  • Although many studies have been conducted to find solutions to deal with human errors effectively, violations have been rarely studied in depth. The violation is a type of human error when an employee takes an action with intention but does not intend harmful outcomes. Violations have characteristics similar to other types of human errors but it is difficult to understand the intention of an employee from accident reports. The objective of this study is to develop a conceptual model of violation errors for preventing accidents/failures in a nuclear power plant from violation errors. Based on the previous studies, the characteristics of violations were collected in 9 categories and 136 items. They were classified into three-kinds of characteristics (human-related, task-related, organization-related characteristics) to construct conceptual models of routine/situational violations. The representative cases of accidents/failures in a nuclear power plant were analyzed to derive the specific types of routine/situational violation occurrence. Three types of conceptual model for each violation were derived according to whether the basic, human-related, and task-related characteristics are included or not. The conceptual models can be utilized to develop guidelines to support employees preventing routine/situational violations and to develop supportive system in nuclear power plant.

An Efficient On-the-fly Repairing System of Order Violation Errors for Health Management of Airborne Software (항공기 소프트웨어의 건전성 관리를 위해서 순서 위배 오류를 자율 수리하는 효율적인 시스템)

  • Kim, Tae-Hyung;Choi, Eu-Teum;Jun, Yong-Kee
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.48 no.10
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    • pp.821-829
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    • 2020
  • Health management system of airborne software repairs runtime errors to provide safety and to reduce cost of maintenance. It is critical to on-the-fly repair order violation errors, because it is difficult to identify them at the development phase. Previous work, called Repairing Atomicity Violations (Repairing-AV) diagnoses order violations for each access event by comparing execution order of accesses. As a result, Repairing-AV has time overhead that is proportional to the number of access events to shared variable. This paper presents a tool called On-the-fly Repairing System (ORS) that can repair order violations of object methods containing access events. The ORS diagnoses order violations by using correct order of object methods, and treats them by stalling its thread where the error is about to occur. Experimentation with five synthetic programs shows that ORS is more efficient than Repairing-AV when the number of access events is greater than sixty.

Hands-on Tools to Prevent Human Errors in Highway Construction (고속도로 건설현장의 인적오류 예방을 위한 실무자용 도구 개발)

  • Kim, Jung-Yong;Yoon, Sang-Young;Cho, Young-Jin
    • Journal of the Ergonomics Society of Korea
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    • v.30 no.1
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    • pp.19-28
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    • 2011
  • Objective: The aim of this study is to reclassify human errors and to develop hands-on tools to apply the new classification for preventing human error accidents in highway construction site. Background: The main cause of accidents in highway construction was reported as the carelessness of workers. However, such diagnosis could not help us operationally prevent accidents in real workplace. Method: The accidents in highway construction were reanalyzed and the causes of human error were reclassified in order to educate and improve the awareness of human error in highway construction. Field survey and interview with safety managers and workers were conducted to find the causal relationship between the actual accidents and the human errors. Results: The most frequently observed human errors in highway construction were classified into six categories such as mis-perception, distraction, memory fail, slip, cognition error and mis-judgment. In order to provide hands-on tools to increase the awareness of human error in construction field, the human error checklist and card sorting diary were developed. Especially, the card sorting diary was designed to increase the ability in human error inspection of safety manager at construction site. Moreover, posters were developed based on actual accident cases. Conclusion: We suggested that the improved awareness and analytical report on checklist, card sorting diary and posters for construction field could collectively prevent the accident. Application: The classification of human error, hands-on tools and posters can be directly applicable on highway construction site. This analytical and collective approach preventing human error-related accident could be extended to other construction workplaces.

Suggestions for Solving Errors and Integrity Guarantees in the Process of Transferring Standard Electronic Documents (표준 전자문서 이관 시 발생하는 무결성 보장 및 오류 해결에 대한 제언)

  • Yu, Young-Moon
    • Journal of Korean Society of Archives and Records Management
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    • v.20 no.3
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    • pp.1-21
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    • 2020
  • Although the National Archives of Korea has been receiving transfer of standard electronic documents with a retention period of more than 30 years from the central administration since 2015, errors and inefficiencies persist. Despite this, however, there remain no studies that analyze or address these issues. This study aims to bridge this gap and found that most errors in the transfer process occur at the production stage. To address such, this study proposes a four-step solution. First, before electronic document approval, the text and attached files are checked for defects to prevent errors. Second, as soon as the signature is made, digital signatures are applied on a file-by-file basis to ensure integrity. Third, integrity verification and transfer inspection are automatically performed through digital signature investigation and defect check procedure during transfer and preservation. Fourth and last, the criteria of acquiring records and integrity guarantee technologies are properly applied in production stage with proper management and supervision.

Asymmetric data storage management scheme to ensure the safety of big data in multi-cloud environments based on deep learning (딥러닝 기반의 다중 클라우드 환경에서 빅 데이터의 안전성을 보장하기 위한 비대칭 데이터 저장 관리 기법)

  • Jeong, Yoon-Su
    • Journal of Digital Convergence
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    • v.19 no.3
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    • pp.211-216
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    • 2021
  • Information from various heterogeneous devices is steadily increasing in distributed cloud environments. This is because high-speed network speeds and high-capacity multimedia data are being used. However, research is still underway on how to minimize information errors in big data sent and received by heterogeneous devices. In this paper, we propose a deep learning-based asymmetric storage management technique for minimizing bandwidth and data errors in networks generated by information sent and received in cloud environments. The proposed technique applies deep learning techniques to optimize the load balance after asymmetric hash of the big data information generated by each device. The proposed technique is characterized by allowing errors in big data collected from each device, while also ensuring the connectivity of big data by grouping big data into groups of clusters of dogs. In particular, the proposed technique minimizes information errors when storing and managing big data asymmetrically because it used a loss function that extracted similar values between big data as seeds.

A Study on the Impedimental Factors for Flight Safety of Cockpit Automation Systems (조종석 자동화 시스템의 안전저해요인에 관한 연구)

  • 한경근;이병기
    • Journal of the Korea Safety Management & Science
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    • v.2 no.1
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    • pp.99-116
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    • 2000
  • Accident statistics cite the flightcrew as a primary contributor in about 70 percent of accidents involving transport category airplanes. The introduction of modem flight deck designs, which have automated many piloting tasks, has reduced or eliminated some types of flightcrew errors, but other types of errors have been introduced. To identify the impedimental factors in highly automated modem airplane cockpit systems, this study used readily available information sources and case study, From the evidence, this study identified issues that show vulnerabilities in pilot management of automation, situation awareness, communication between pilots and controllers, pilot's training and evaluation methods. The next step will require the aviation community to solve these problems for the safety improvement.

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