• 제목/요약/키워드: Human Errors

검색결과 724건 처리시간 0.029초

염소$(Cl_2)$시설에 대한 누출가능성 예측 (Likelihood Estimation of Release Incidents in Chlorine$(Cl_2)$ Facility)

  • 이재준;김태수;이대희;유병태;백종배;고재욱;안형환
    • 한국가스학회:학술대회논문집
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    • 한국가스학회 2007년도 춘계학술발표회 논문집
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    • pp.180-185
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    • 2007
  • Likelihood analysis was used for the revision of release probability/frequency in chlorine Injection facilities used in chlorine process. Typically these facilities consist of pressure cylinder, vaporizer, pipeline, measuring equipment and safety equipment. This paper described the incident scenarios considered, likelihood analysis procedure and the selection and application of basic events and for failure rates of mechanical components. Human errors were also considered. The major objective of this paper is to estimate the likelihood of each determined incident scenarios. We estimated failure rates of mechanical components based on likelihood analysis procedure. Human errors were also considered. It was estimated to have $5.73{\times}10^{-5}\;Cl_2$ leak per year during the major $Cl_2$ handling process. The probability of failure in scrubber system was $4.11{\times}10^{-2}/demand$.

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AHP 기법의 적용효과및 한계점에 관한 연구 -MIS 성공요인평가를 위한 3가지 통계기법 비교중심- (Application effect and limitation of AHP as a research methodology -A comparison of 3 statistical technique for evaluating MIS success factor-)

  • 윤재곤
    • 한국경영과학회지
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    • 제21권3호
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    • pp.109-125
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    • 1996
  • Biases and errors in the human being's reasoning process have been studied continuously by the researchers, especially psychlogists and social scientists. These bias phenomenon is classified on the basis of the origin, i. e. motivation and cognition. Furthermore the necessity of research on the bias in the management and management information system areas in increased more and more recently, which have their academic backgrounds in the psychology and social science. The biased information stream is transformed into the systematic error due to the motivation and cognitive bias of human-being, then its resulting phenomena are as follows; 1. the availability of salient information 2. preconceived ideas or theories about peoples and event 3. anchoring and perseverence phenomena. In order to reduce the information errors, Satty suggested the Analytic Hierarchy Process (AHP) that is the subject of this paper and that is widely used for evaluation of complex decision making alternatives. THerefore this paper studies AHP's effects and its limitations in applying to the management area. Thus this paper compared the performances of the 3 models : 1 the traditional additive regression model. 2 regression model using the factor score, and 3 the regression model with AHP. As a result, 3 models produce the different outcomes.

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신체 분절의 연조직 변형을 고려한 관성센서신호 기반의 상대위치 추정 칼만필터 (Relative Position Estimation using Kalman Filter Based on Inertial Sensor Signals Considering Soft Tissue Artifacts of Human Body Segments)

  • 이창준;이정근
    • 센서학회지
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    • 제29권4호
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    • pp.237-242
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    • 2020
  • This paper deals with relative position estimation using a Kalman filter (KF) based on inertial sensors that have been widely used in various biomechanics-related outdoor applications. In previous studies, the relative position is determined using relative orientation and predetermined segment-to-joint (S2J) vectors, which are assumed to be constant. However, because body segments are influenced by soft tissue artifacts (STAs), including the deformation and sliding of the skin over the underlying bone structures, they are not constant, resulting in significant errors during relative position estimation. In this study, relative position estimation was performed using a KF, where the S2J vectors were adopted as time-varying states. The joint constraint and the variations of the S2J vectors were used to develop a measurement model of the proposed KF. Accordingly, the covariance matrix corresponding to the variations of the S2J vectors continuously changed within the ranges of the STA-causing flexion angles. The experimental results of the knee flexion tests showed that the proposed KF decreased the estimation errors in the longitudinal and lateral directions by 8.86 and 17.89 mm, respectively, compared with a conventional approach based on the application of constant S2J vectors.

Crew Resource Management 교육훈련 투자수익률 모델 : 원자로 불시정지 측면 (Return on Investment(ROI) Model of Crew Resource Management Training : Reactor Trips' Aspects)

  • 김사길;변승남;이덕주;이동훈;정충희
    • 대한산업공학회지
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    • 제35권2호
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    • pp.178-184
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    • 2009
  • The Nuclear Power Plant(NPP) industry in Korea has been making efforts to reduce the human errors which have largely contributed to about 150 nuclear reactor trips since 2001. Recently, the Crew Resource Management(CRM) training has risen as an alternative countermeasure against the nuclear reactor trips caused by human errors. The effectiveness of CRM training in NPP industry, however, has not been proven to be significant yet. In this study a return on investment(ROI) model is developed to measure the effectiveness of CRM training for the operators in Korean NPP. The model consists of mathematical expressions including multiple variables affecting the CRM training impacts and nuclear reactor trips. Implication of the model is discussed further in detail.

Non-negligible Occurrence of Errors in Gender Description in Public Data Sets

  • Kim, Jong Hwan;Park, Jong-Luyl;Kim, Seon-Young
    • Genomics & Informatics
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    • 제14권1호
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    • pp.34-40
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    • 2016
  • Due to advances in omics technologies, numerous genome-wide studies on human samples have been published, and most of the omics data with the associated clinical information are available in public repositories, such as Gene Expression Omnibus and ArrayExpress. While analyzing several public datasets, we observed that errors in gender information occur quite often in public datasets. When we analyzed the gender description and the methylation patterns of gender-specific probes (glucose-6-phosphate dehydrogenase [G6PD], ephrin-B1 [EFNB1], and testis specific protein, Y-linked 2 [TSPY2]) in 5,611 samples produced using Infinium 450K HumanMethylation arrays, we found that 19 samples from 7 datasets were erroneously described. We also analyzed 1,819 samples produced using the Affymetrix U133Plus2 array using several gender-specific genes (X (inactive)-specific transcript [XIST], eukaryotic translation initiation factor 1A, Y-linked [EIF1AY], and DEAD [Asp-Glu-Ala-Asp] box polypeptide 3, Y-linked [DDDX3Y]) and found that 40 samples from 3 datasets were erroneously described. We suggest that the users of public datasets should not expect that the data are error-free and, whenever possible, that they should check the consistency of the data.

맥파검출용 트랜스듀서의 개발 (Development of P-5 Transducer or Detection of the Pulse Wave)

  • 한성현;권오상;박승환;홍승홍
    • 대한의용생체공학회:학술대회논문집
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    • 대한의용생체공학회 1997년도 추계학술대회
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    • pp.395-398
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    • 1997
  • Human pulse represents the physical characteristics of heart and cardiovascular system. Therefore, malfunctions and errors of heart and cardiovascular system can be determined by using an automatic diagnosis system that can detect the pulse signal. Not only will the computerised system preclude the possibilities of observational errors by giving an accurate measurement with great stability, but minimize the possibilities of misinterpretation by using an automated diagnostic logic. A new combinational fiber-optic sensor, which has a detecting part and a transmitting part was used to acquire radial pulse signal noninvasively. The development of P-5 transducer makes it possible to obtain more effective detection and obvious display of pulse signals in the aspect of reliability. Using P-5 transducer in the field of plethysomography and MAC- JIN, one of our diagnoses in Korean traditional medicine, it is expected that we can ontain quantitative and valuable information or the diagnosis of human pulses.

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염소$(Cl_2)$시설에 대한 누출사고 가능성 추정 (Likelihood Estimation of Release Incidents in Chlorine$(Cl_2)$ Facility)

  • 백종배
    • 한국가스학회지
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    • 제11권4호
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    • pp.98-103
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    • 2007
  • 발생가능성 분석은 염소공정의 염소투입설비에서 누출 가능성을 교정하는데 자주 사용되고 있다. 그리고 이러한 시설은 전형적으로 압력용기, 기화기, 배관, 측량장비, 안전장치로 등으로 구성되어 있다. 이 논문에서는 가능성 분석절차와 기계적 요소들의 고장률에 대하여 사건 시나리오를 만들 인적오류도 고려하였다. 논문의 주된 목적은 결정된 각각의 시나리오의 발생가능성을 계산하는 것으로 발생가능성분석 방법에 근거하여 기계요소의 고장률과 인적오류를 포함하여 계산하였다. 그 결과, 주요 $Cl_2$ 취급공정에서 누출이 발생할 가능성이 $5.73{\times}10^{-5}$로 예측되었으며 세정시스템의 고장확률은 $4.11{\times}10^{-2}$로 나타났다.

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Improving Patient Safety and Control in Operating Room by Leveraging RFID Technology

  • Su, Chuan-Jun
    • Industrial Engineering and Management Systems
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    • 제8권1호
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    • pp.37-46
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    • 2009
  • Patient safety has become a growing concern in health care. The U.S. Institute of Medicine (IOM) report "To Err Is Human: Building a Safer Health System" in 1999 included estimations that medical error is the eighth leading cause of death in the United States and results in up to 100,000 deaths annually. However, many adverse events and errors occur in surgical practice. Within all kinds of surgical adverse events, wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events are the most devastating, unacceptable, and often result in litigation. Much literature claims that systems must be put in place to render it essentially impossible or at least extremely difficult for human error to cause harm to patients. Hence, this research aims to develop a prototype system based on active RFID that detects and prevents errors in the OR. To fully comprehend the operating room (OR) process, multiple rounds of on site discussions were conducted. IDEF0 models were subsequently constructed for identifying the opportunity of improvement and performing before-after analysis. Based on the analysis, the architecture of the proposed RFID-based OR system was developed. An on-site survey conducted subsequently for better understanding the hardware requirement will then be illustrated. Finally, an RFID-enhanced system based on both the proposed architecture and test results was developed for gaining better control and improving the safety level of the surgical operations.

FES보행중의 피드백제어를 위한 관절 각도계측 시스템 개발 (Development of Joint Angle Measurement System for the Feedback Control in FES Locomotion)

  • 문기욱;김철승;김지원;이재호;권유리;강동원;강곤;김요한;엄광문
    • 전기학회논문지
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    • 제58권1호
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    • pp.203-209
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    • 2009
  • The purpose of this study is to develop a minimally constraint joint angle measurement system for the feedback control of FES (functional electrical stimulation) locomotion. Feedback control is desirable for the efficient FES locomotion, however, the simple on-off control schemes are mainly used in clinic because the currently available angle measurement systems are heavily constraint or cosmetically poor. We designed a new angle measurement system consisting of a magnet and magnetic sensors located below and above the ankle joint, respectively, in the rear side of ipsilateral leg. Two magnetic sensors are arranged so that the sensing axes are perpendicular each other. Multiple positions of sensors attachment on the shank part of the ankle joint model and also human ankle joint were selected and the accuracy of the measured angle at each position was investigated. The reference ankle joint angle was measured by potentiometer and motion capture system. The ankle joint angle was determined from the fitting curve of the reference angle and magnetic flux density relationship. The errors of the measured angle were calculated at each sensor position for the ankle range of motion (ROM) $-20{\sim}15$ degrees (dorsiflexion as positive) which covers the ankle ROM of both stroke patients and normal subjects during locomotion. The error was the smallest with the sensor at the position 1 which was the nearest position to the ankle joint. In case of human experiment, the RMS (root mean square) errors were $0.51{\pm}1.78(0.31{\sim}0.64)$ degrees and the maximum errors were $1.19{\pm}0.46(0.68{\sim}1.58)$ degrees. The proposed system is less constraint and cosmetically better than the existing angle measurement system because the wires are not needed.

로봇의 신뢰회복 행동이 인간-로봇 상호작용에 미치는 영향 (The effect of trust repair behavior on human-robot interaction)

  • 맹호영;김환이;박재은;한소원
    • 인지과학
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    • 제33권4호
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    • pp.205-228
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    • 2022
  • 본 연구는 인간 로봇 상호작용에서 로봇의 사회적이고 관계적인 행동 유형이 인간의 인식에 끼치는 영향을 확인하고자 하였다. 이를 위한 실험에서는 연구 참여자들이 로봇 나오가 인간과 상호작용 하면서 로봇이 오류를 일으키고 신뢰회복을 위한 행동을 영상으로 시청한 후 로봇에 대한 신뢰를 평가하였다. 신뢰회복 행동은 로봇이 오류를 인정하고 사과하는 내부 귀인, 오류가 있었음을 사과하지만 외부로 귀인하는 조건, 오류 자체를 부인, 오류에 대해 아무런 사후 행동을 하지 않는 비 행동 조건으로 설정하였다. 이후 로봇에 대한 인간의 평가를 3가지 측면에서 분석하였다. 첫째, 로봇의 유능함과 정직성에 기반한 신뢰, 둘째 로봇에 대한 지각된 유능함과 정직성, 그리고 로봇의 오류로 인한 신뢰 위반에 대하여 오류의 심각성을 어떻게 지각하는지 탐색하였다. 실험의 결과는 3가지 모든 경우에서 로봇이 사과하지 않을 때보다 사과할 때 오류가 덜 심각하다고 지각하였으며 로봇에 대한 능력 또한 높이 평가하였다. 이러한 연구 결과는 로봇의 행동유형과 오류 극복 방법에 따라 로봇에 대한 인간의 태도가 민감하게 반응 할 수 있다는 근거를 제공하며 로봇에 대한 인간의 지각이 변할 수 있음을 시사한다. 특히 로봇이 스스로의 오류를 인정하고 사과하는 것이 더 신뢰를 높인다는 결과는 로봇이 인간처럼 사회적이고 매너있는 행동을 통해 긍정적인 인간 로봇상호작용을 증진시킬 수 있음을 보여준다.