• 제목/요약/키워드: Failure factors

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Pseudo-renal Failure Caused by Urinary Bladder Rupture in Multiple Trauma Patient

  • Jang, Jihoon;Lim, Kyoung Hoon
    • Journal of Trauma and Injury
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    • 제29권4호
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    • pp.191-194
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    • 2016
  • Pseudo-renal failure presents with renal failure characteristics, such as hypercreatininemia and hyperkalemia without a change in glomerular filtration rate or structure of the kidney. Pseudo-renal failure due to trauma is difficult to diagnose, because symptoms are non-specific and other factors may cause hypercreatininemia and hyperkalemia. In a trauma patient, especially one with pelvic injury, the abrupt elevation of potassium, blood urea nitrogen, and creatinine levels without previous medical history is a key feature in the diagnosis of urinary ascites. We report a case of pseudo-renal failure caused by intraperitoneal bladder rupture in a multiple trauma patient.

Impacts of Job Stress and Cognitive Failure on Patient Safety Incidents among Hospital Nurses

  • Park, Young-Mi;Kim, Souk Young
    • Safety and Health at Work
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    • 제4권4호
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    • pp.210-215
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    • 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.

$217Plus^{TM}$ 시스템 모형의 민감도

  • 전태보
    • 한국신뢰성학회:학술대회논문집
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    • 한국신뢰성학회 2011년도 춘계학술발표대회 논문집
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    • pp.257-264
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    • 2011
  • In this study, we performed sensitivity study of the $217Plus^{TM}$ system model to various parameters. Specific attention was put to logistics model and its behavior has been examined in terms of non-component failure causes. We first briefly explained the $217Plus^{TM}$ methodology with system level failure rate evaluation. We then applied experimental designs with several failure causes as factors. We used an orthogonal array with three levels of each parameter. Our results indicate that cannot duplicate, induced, and wear-out causes have dominant effects on the system failures and design, parts, and system management have much less but a little strong effects. The results in this study not only figure out the behavior of the predicted failure rate as functions of failure causes but provide meaningful guidelines for practical applications.

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SHAFT 어셈블리 신뢰성 보증을 위한 가속시험의 설계 (Design of Accelerated Test for Reliability Assurance of SHAFT Assembly)

  • 김준홍;오근태;김명수
    • 산업경영시스템학회지
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    • 제23권61호
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    • pp.75-87
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    • 2000
  • This paper proposes a procedure for designing an accelerated test using SMAT(Stress, (failure) Mechanism and Test) model describing the relation among stress, failure mode/mechanism and test method. In SMAT model the stresses to be applied are derived from the environmental factor analysis, the relative importance of those stresses can be estimated using AHP(Analytic Hierarchy Process) and failure mode/mechanism and test method are derived from the fields failure information and FMEA(Failure Mode and Effect Analysis). By applying the procedure we can make a selection of major factors to cause the failure of assembly and design the accelerated test using DOE(Design of Experiments) The procedure is illustrated with an qualification test case study of washing machine shaft assembly in "A" electric appliance company.

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배전선로의 무정전공법 개발 연구 (A study on the development for the method without interruption of service in the distribution system)

  • 김영래;박구범;송일근
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 1995년도 추계학술대회 논문집 학회본부
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    • pp.61-63
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    • 1995
  • The main factors to bring out the power failure are trouble and operation power failure, the operation power failure of these includes about 85%. So, it is required that the without interruption of service method reduce the operation power failure. If we develop the without interruption of service method, the operation power failure will reduce greatly. It is necessary to develop the without interruption of service method which it solve various trobles (dissatisfacting solution of customer, sales revenue augmentation, and the reduction of the power failure negotiation work). The results of study are drawing up of the specification for temporary transmission methods, it of the working methods for them, and the scrutiny of the technology contents for them.

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Preventing cascading failure of electric power protection systems in nuclear power plant

  • Moustafa, Moustafa Abdelrahman Mohamed Mohamed;Chang, Choong-koo
    • Nuclear Engineering and Technology
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    • 제53권1호
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    • pp.121-130
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    • 2021
  • Cascading failure is the main cause of large blackouts in electrical power systems; this paper analyzes a cascading failure in Hanbit nuclear power plant unit two (2) caused by a circuit breaker (CB) operation failure. This malfunction has been expanded to the loss of offsite power (LOOP). In this study, current practices are reviewed and then the methodologies of how to prevent cascading failures in protection power systems are introduced. An overview on the implementation of IEC61850 GOOSE messaging-based zone selective interlocking (ZSI) scheme as key solution is proposed. In consideration of ZSI blocking time, all influencing factors such as circuit breaker opening time, relay I/O response time and messages travelling time in the communication network should be taken into account. The purpose of this paper is to elaborate on the effect of cascading failure in NPP electrical power protection system and propose preventive actions for this failures. Finally, the expected advantages and challenges are elaborated.

도로교 RC 바닥판의 피로파괴에 관한 연구 (Fatigue failure of decks in highway bridge)

  • 김경찬;사림신장;정상정일;권혁문
    • 한국콘크리트학회:학술대회논문집
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    • 한국콘크리트학회 1993년도 봄 학술발표회 논문집
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    • pp.169-175
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    • 1993
  • Possibility of fatigue failure in punching shear of reinforced concrete decks of highway bridges is analytically investigated by applying Matsui et al.'s experimental finding to models of 2-meter span decks designed in compliance with previous and current codes. Decks made of concrete of compressive strength of 240㎏/㎠ showed longer fatigue life than decks made of 210㎏/㎠ concrete at the same Md/U rations ; higher Md/U ratio resulted in linger fatigue life but its effect is insignificant in decks having effective depths of 14 and 15cm. Decks designed to higher load factors as specified by current codes showed longer fatigue life than decks designed to lower load factors specified by previous codes ; yet fatigue failure appeared to occur in both decks within their normal life span, thus indicating need for redefining the minimum deck thickness.

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쥐 대퇴 동맥의 미세 문합시 개존성에 영향을 미치는 인자 (Factors Affecting Patency Rate in Microvascular Anastomosis of the Femoral Artery in Rat)

  • 이준모;서규범
    • Archives of Reconstructive Microsurgery
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    • 제11권1호
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    • pp.63-66
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    • 2002
  • Microvascular anastomosis is too important to reduce the failure in operating room because of no choice in case of failure and prognosis of the failure would be more worse than any other success ones. Factors for microsurgery trainee influencing patency in microvascular anastomosis at the laboratory are numerous but three basic prerequisites are magnification, instruments and suture material and training. First Author trained microsurgical technique to the second author using femoral artery of the rat and patency of the anastomosis was evaluated by the milking test. Period which microsurgeon successes femoral arterial anastomosis in rat in both of 5 and 30 minutes was 7th week at the laboratory which has done 2 vessels a week under the supervise of the skilled first author.

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A Safety Assessment Methodology for a Digital Reactor Protection System

  • Lee Dong-Young;Choi Jong-Gyun;Lyou Joon
    • International Journal of Control, Automation, and Systems
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    • 제4권1호
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    • pp.105-112
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    • 2006
  • The main function of a reactor protection system is to maintain the reactor core integrity and the reactor coolant system pressure boundary. Generally, the reactor protection system adopts the 2-out-of-m redundant architecture to assure a reliable operation. This paper describes the safety assessment of a digital reactor protection system using the fault tree analysis technique. The fault tree technique can be expressed in terms of combinations of the basic event failures such as the random hardware failures, common cause failures, operator errors, and the fault tolerance mechanisms implemented in the reactor protection system. In this paper, a prediction method of the hardware failure rate is suggested for a digital reactor protection system, and applied to the reactor protection system being developed in Korea to identify design weak points from a safety point of view.

Reliability Equivalence of a Non-identical Components Parallel System

  • Montaser, M.;Sarhan, Ammar M.
    • International Journal of Reliability and Applications
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    • 제9권1호
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    • pp.95-112
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    • 2008
  • This paper gives the reliability equivalence factors of a parallel system with n independent and non-identical components. It is assumed here that, the failure rates of the system's components are constants. We used three different methods to improve the system given. Two reliability characteristics (the mean time to failure and the reliability function) are used to perform the system improvement. For this purpose, the reliability functions and the mean times to failures of the original and improved systems are obtained. The results given in this paper generalize the results given in the literatures by setting n = 1, 2. An illustrative numerical example is presented to compare the different reliability factors obtained.

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