• Safety and Health at Work
• /
• v.4 no.4
• /
• pp.210-215
• /
• 2013

Background: This study aimed to identify the impacts of job stress and cognitive failure on patient safety incidents among hospital nurses in Korea. Methods: The study included 279 nurses who worked for at least 6 months in five general hospitals in Korea. Data were collected with self-administered questionnaires designed to measure job stress, cognitive failure, and patient safety incidents. Results: This study showed that 27.9% of the participants had experienced patient safety incidents in the past 6 months. Factors affecting incidents were found to be shift work [odds ratio (OR) = 6.85], cognitive failure (OR = 2.92), lacking job autonomy (OR = 0.97), and job instability (OR = 1.02). Conclusion: Patient safety incidents were affected by shift work, cognitive failure, and job stress. Many countermeasures to reduce the incidents caused by shift work, and plans to reduce job stress to reduce the workers' cognitive failure are required. In addition, there is a necessity to reduce job instability and clearly define the scope and authority for duties that are directly related to the patient's safety.

• Journal of the Korean Society of Safety
• /
• v.26 no.4
• /
• pp.7-13
• /
• 2011

A study on reliability estimation of sequential-ordered multiple failure modes, which are sequentially ordered between failure modes in a considering system, was performed. Especially, an approach to estimate the probabilities of failure modes has been proposed under an assumption that failure modes are mutually exclusive and sequentially ordered by only a critical variable. A feasibility of the proposed approach were studied by a practical example, which is a reliability estimation of passive safety systems for a probabilistic safety assessment(PSA) of a very high temperature reactor(VHTR) that is under development as a future nuclear system with enhanced safety features. It is difficult to define a robust failure state of this nuclear system because of its enhanced radiation release characteristics, so the new approach is a useful concept to estimate not only its safety but also a PSA. A feasibility study applied two failure modes(e.g., small and large release of radioactive materials) with considering the integrated behavior of this nuclear system. It is expected that the multiple release states for a practical estimation can be easily extended to the aforementioned example. It was found out that the proposed approach was a useful technique to cover the unfavorable features of this nuclear system as to performing a VHTR PSA.

• Journal of the Korean Society of Safety
• /
• v.31 no.2
• /
• pp.10-17
• /
• 2016

The purpose of this paper is to deduct components that are in the group of highest risk(top 10%). the group is conducted for classification into groups by values according to risk priority through risk priority number(RPN) of FMEA(Failure modes and effects analysis) sheet. Top 10% of failure mode among total potential failure modes(72 failure modes) of ESS included 5 BMS(battery included) failure modes, 1 invert failure mode, and 1 cable connectors failure mode in which BMS was highest. This is because ESS is connected to module, try, and lack in the battery part as an assembly of electronic information communication and is managed. BMS is mainly composed of the battery module and communication module. There is a junction box and numerous connectors that connect these two in which failure occurs most in the connector part and module itself. Finally, this paper proposes RPN by each step from the starting step of ESS design to installation and operation. Blackouts and electrical disasters can be prevented beforehand by managing and removing the deducted risk factors in prior.

• Journal of the Korean Society for Aviation and Aeronautics
• /
• v.25 no.2
• /
• pp.12-17
• /
• 2017

Manned aircraft structural design is based on structural safety factor of 1.5, and this safety factor is equivalent to a probability of failure of between 10-2 and 10-3. The target failure probability of FARs is between 10-6 and 10-9 per flight according to aircraft type. NATO released STANAG 4703 to established the airworthiness requirements for small UAV which is less than 150kg. STANAG 4703 requires the Target Level of Safety according to MTOW. The requirements of failure probability for small UAV is between 10-4 and 10-5. In this paper, requirements of airworthiness certification for small UAV were investigated and the relationship of safety factors to the probability of structural failure is analyzed to reduce measure of safety factor and structural weight of unmanned aircraft.

• Journal of the Korean Society for Aviation and Aeronautics
• /
• v.21 no.2
• /
• pp.21-25
• /
• 2013

The system and components for aircraft are required the design data on which the safety requirements are properly reflected for their certification. This paper presents the procedure and results of a safety assessments analysis for the rotorcraft fuel pumps in oder to confirm and verify them. The fuel pumps design assessment must be performed, including a detailed failure analysis to identify all failures that will prevent continued safe flight or safe landing. In order to assess the fuel pumps design safety, not only system safety hazard analysis and but FTA(Fault Tree Analysis) for proofing the safety objective of the fuel pumps are performed. The results of the safety assessment for fuel pumps validate that no single failure or malfunction could result in catastrophic failure or critical accidents of the rotorcraft.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.19 no.10
• /
• pp.410-417
• /
• 2018

System design errors are more likely to occur in modern systems because of their steadily increasing size and complexity. Failures due to system design errors can cause safety-related accidents in the system, resulting in extensive damage to people and property. Therefore, international standards organizations, such as the U.S. Department of Defense and the International Electrotechnical Commission, have established international safety standards to ensure system safety, and recommend that system design and safety activities should be integrated. Recently, the safety of a system has been verified by modeling through a model-based system design. On the other hand, system design and safety activities have not been integrated because the model for system design and the failure model for safety analysis and verification were developed using different modeling language platforms. Furthermore, studies using UML or SysML-based failure models for deriving safety requirements have shown that these models have limited applicability to safety analysis and verification. To solve this problem, it is essential to extend the existing methods for failure model implementation. First, an improved SysML-based failure model capable of integrating system design and safety verification activities should be produced. Next, this model should help verify whether the safety requirements derived via the failure model are reflected properly in the system design. Therefore, this paper presents the concept and method of developing a SysML-based failure model for an automotive system. In addition, the failure model was simulated to verify the safety of the automotive system. The results show that the improved SysML-based failure model can support the integration of system design and safety verification activities.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.14 no.8
• /
• pp.3665-3671
• /
• 2013

This study was investigate to impact on safety accidents occurrence for the safety practices of middle school students learn the extent of the failure. A total of 292 patients and it survey data were collected from 5 November 2012 to 11 May 25 of research subjects. Research tools were used SPSS win17.0, the mean and standard deviation, Paired t-test, Pearson's correlation coefficient was used. Safey practice and cognitive failure of subjects was related to negative correlation and according as safety practices was higher, cognitive failure was low. According as safety practices and cognitive failure was low, Safety incidents experienced was high. Therefore, by applying safety practices and cognitive failure degree, it need to for research to come up with ways for the prevention of safety accidents. Besides, A variety of safety and accident prevention training programs by expanding the scope of the study in school, it should be done generalization of safety awareness, cultivate and Safety practice.

• Proceedings of the KSR Conference
• /
• 2007.05a
• /
• pp.262-265
• /
• 2007

This paper is about the study on the failure mode identification of railway signaling embedded system thru which quantitative reliability and safety can be compared reciprocally. Frequency of each failure mode makes possible to compare the reliability of each system and frequency of dangerous failure is used as the measurement standards for system safety. Therefore, this paper provides both reliability-related failure mode and safety-related failure mode by modeling the railway signaling embedded system.

• Journal of the Korean Society of Safety
• /
• v.34 no.1
• /
• pp.14-20
• /
• 2019

This paper presents a safety assessment based approach for the safe operation for PCS(Power Conditioning System) of photovoltaic and energy storage systems, applying FTA. The approach established top events as power outage and a failure likely to cause the largest damage among the potential risks of PCS. Then the Minimal Cut Set (MCS) and the importance of basic events were analyzed for implementing risk assessment. To cope with the objects, the components and their functions of PCS were categorized. To calculate the MCS frequency based on IEEE J Photovolt 2013, IEEE Std. 493-2007 and RAC (EPRD, NPRD), the failure rate and failure mode were produced regarding the basic events. In order to analyze the top event of failure and power outage, it was assumed that failures occurred in DC breaker, AC breaker, SMPS, DC filter, Inverter, CT, PT, DSP board, HMI, AC reactor, MC and EMI filter and Fault Tree was drawn. It is expected that the MCS and the importance of basic event resulting from this study will help find and remove the causes of failure and power outage in PCS for efficient safety management.

• Journal of the Korean Society of Safety
• /
• v.35 no.1
• /
• pp.18-24
• /
• 2020

This research conducted an the failure analysis was performed based on the failure and operation data for Seven years using the Reliability, Availability, Maintainability, and Safety(RAMS) constructed at the operation stage after the opening of the D urban railway. therefore, the risk priority was selected for failure frequency component within the door system that showed high failure. Finally, the goal was to suggest ways to improve the door system. For this purpose, the analysis of thermal characteristics of failed components such as Door Control Unit(DCU) in the door system based on the Seven-year failure analysis data of RAMS was performed. These results were applied to the main component exchange cycle of the door unit, the mean time between failure(MTBF) and mean kilometer between failure(MKBF) values of RAMS increased by 26% in 2017-2018 when the improvement measures were taken, and the MTBF value of DCU was 300,000 hours, which was a 57% improvement in reliability. The results of this thesis identify potential enhancements in reliability and improvements in maintenance of the door system that, if implemented, would contribute to train safety and reduce instances of failure in the future.