• Title/Summary/Keyword: Near miss

Search Result 58, Processing Time 0.05 seconds

An Exploratory Structural Analysis of the Accident Causing Factors in Railway Traffic Controllers (철도관제사의 사고유발 요인에 관한 탐색적 구조분석)

  • Kim, Kyung-Nam;Shin, Tack-Hyun
    • Journal of the Korea Society for Simulation
    • /
    • v.27 no.1
    • /
    • pp.119-126
    • /
    • 2018
  • This study intended to exploratively testify human error causing factors for railway traffic controller, using AMOS structural equation model. Through literature survey, fatigue and stress as exogenous variable, errors in information process such as cognitive, memory, storage, and execution error as endogenous variable, and accident and incident(near-miss) as dependent variable were set up. Results based on AMOS using 201 railway traffic controllers' questionnaire showed that a clear causality loop like as 'stress ${\rightarrow}$ memory error ${\rightarrow}$ storage error ${\rightarrow}$ incident(near-miss) ${\rightarrow}$ accident' is formed. This result suggests that for the purpose of mitigation of traffic controller's accident, it is so necessary to reduce memory and execution error in the information processing process based on the effective management of stress, as the precedent of them.

A Case-Control Study on the Predictors of Neonatal Near-Miss: Implications for Public Health Policy and Practice

  • Johnson, Avita Rose;Sunny, Sobin;Nikitha, Ramola;Thimmaiah, Sulekha;Rao, Suman P.N.
    • Neonatal Medicine
    • /
    • v.28 no.3
    • /
    • pp.124-132
    • /
    • 2021
  • Purpose: Neonatal near miss (NNM) allows for the detection of risk factors associated with serious newborn complications and death, the prevention of which could reduce neonatal mortality. This study was conducted with the objective of identifying predictors for NNM in a tertiary hospital in Bangalore city. Methods: This was an unmatched case-control study involving 120 NNM cases and 120 controls. NNM was determined using Pileggi-Castro's pragmatic and management criteria. Data was collected from in-patient hospital records and interviews of postpartum mothers. Multiple logistic regression of exposure variables was performed to calculate adjusted odds ratio (AOR) with 95% confidence interval (CI). Results: Significant predictors were maternal age ≥30 years (AOR, 5.32; 95% CI, 1.12 to 9.29; P=0.041), inadequate antenatal care (ANC) (AOR, 8.35; 95% CI, 1.98 to 51.12; P=0.032), <3 ultrasound scans during pregnancy (AOR, 12.5; 95% CI, 1.60 to 97.27; P=0.016), maternal anaemia (AOR, 18.96; 95% CI, 3.10 to 116.02; P=0.001), and any one obstetric complication (hypertensive disorder in pregnancy, diabetes in pregnancy, preterm premature rupture of membranes, prolonged labour, obstructed labour, malpresentation) (AOR, 4.34; 95% CI, 1.26 to 14.95; P=0.02). Conclusion: The predictors of NNM identified has important implications for public health policy and practice whose modifications can improve NNM. These include expanding essential ANC package to include ultrasound scans, ensuring World Health Organization recommendations of eight ANC visits, capacity building at all levels of health care to strengthen routine ANC and obstetric care for effective screening, referral and management of obstetric complications.

구조물 발파 효율 개선 방안

  • 안명석;최영천;최원규
    • Journal of KSNVE
    • /
    • v.7 no.2
    • /
    • pp.179-188
    • /
    • 1997
  • 본 글에서는 국내의 구조물 해체 시공 사례 중 기술적으로 검토 가치가 있고 성공적으로 해체 작업이 이루어진 모범 사례와 실패 및 니어미스(near-miss) 사례를 소개하고, 그에 따른 개선 방안 및 시공시 유의 사항과 앞으로의 연구과제를 살펴 보았다.

  • PDF

A Cause Analysis of the Construction Incident Using Causal Loop Diagram : Safety Culture Perspective (인과지도를 활용한 건설 안전사고 원인 분석 : 안전문화 관점)

  • Choi, Yun Gil;Cho, Keun Tae
    • Journal of the Korean Society of Safety
    • /
    • v.35 no.2
    • /
    • pp.34-46
    • /
    • 2020
  • Unlike research focused on existing technologies and individual errors to analyze the causes of incidents, this study approached them from an organization and culture. And this study is not a one way study but cyclical study what can track cause down using causal loop diagram methodology. Four diagnostic criteria for the negative state of the safety culture : secretive, blame, failure to learning, and incremental learning, combine literature study and expert opinion to derive 41 variables. Connecting these variable make 4 causal loop diagrams and total causal loop diagram. Case accumulation in secretive, accident report in blame, knowledge accumulation in failure to learning, near miss discovery in incremental learning are the main variables. Safety incident is the objective variable by classifying them into 4 stages in total loop, leading track as the most affect is case accumulation, and Step 4 as you can see accident report and near miss discovery are the result of tracking down the cause. This study can be used as a basis for improving the management priority and the system in incident prevention.

Improvement of the Avoidance Performance of TCAS-II by Employing Kalman Filter (Kalman Filter를 적용한 TCAS-II 충돌회피 성능 개선)

  • Jun, Byung-Kyu;Lim, Sang-Seok
    • Journal of Advanced Navigation Technology
    • /
    • v.15 no.6
    • /
    • pp.986-993
    • /
    • 2011
  • In this paper we consider the problem of the existing TCAS-II systems that fail to be satisfactory solution to mid-air collisions (MACs) and near mid-air collisions (NMACs or near misses). This is attributed to the fact that the earlier studies on the collision avoidance mainly have focused on determination logic of avoidance direction and vertical speed, reversal of the avoidance direction, multiple aircraft geometry, and availability in certain air spaces. But, the influence of sensor measurement errors on the performance of collision avoidance was not properly taken into account. Here we propose a new TCAS algorithm by using Kalman filter instead of '${\alpha}-{\beta}$' tracker to improve the avoidance performance under the influence of barometric sensor errors due to air-temperature, pressure leaks, static source error correction, etc.

Methodology for Near-miss Identification between Earthwork Equipment and Workers using Image Analysis (영상분석기법을 활용한 토공 장비 및 작업자간 아차사고식별 방법론)

  • Lim, Tae-Kyung;Choi, Byoung-Yoon;Lee, Dong-Eun
    • Korean Journal of Construction Engineering and Management
    • /
    • v.20 no.4
    • /
    • pp.69-76
    • /
    • 2019
  • This paper presents a method that identifies the unsafe behaviors at the level of near-misses using image analysis. The method establishes potential collision hazardous area in earthmoving operation. It is implemented using a game engine to reproduce the dangerous events that have been accepted as major difficulty in utilizing computer vision technology to support construction safety management. The method keeps realistically track of the ever-changing hazardous area by reflecting the volatile field conditions. The method opens a way to distinguish unsafe conditions and unsafe behaviors that have been overlooked in previous studies, and reflects the causal relationship which causes an accident. The case study demonstrate how to identify the unsafe behavior of a worker exposed to an unsafe area created by dump trucks at the level of near-misses and to determine the hazardous areas.

Target Adaptive Guidance Using Near-Zone Information from IR Seeker (근접영역에서의 IR 탐색기 정보를 이용한 표적적응유도)

  • 엄태윤;김필성
    • Journal of the Korea Institute of Military Science and Technology
    • /
    • v.5 no.3
    • /
    • pp.113-119
    • /
    • 2002
  • A target adaptive guidance(TAG) algorithm is proposed employing the near-zone signal that can be measured from an infrared seeker. The guidance order is composed of a conventional PNG command and an additional command to be calculable from an additional LOS rate between a hot point of target and a required intercept point. The characteristic of the near-zone signal is similar to that of LOS rate that is inversely proportional to the square of time-to-go. Hence the proposed scheme can be applied to real systems with no estimator for time-to-go. From analysis results on the miss distance with perfect missile and perfect seeker, it follows that the proposed TAG algorithm guarantees missile to be ideally guided to the required intercept point. And it is less affected by the TAG start time and a proportional navigation ratio than other TAG schemes using a LOS rate such as a step bias or a ramp bias.