• Title/Summary/Keyword: Risk Events

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Categorizing accident sequences in the external radiotherapy for risk analysis

  • Kim, Jonghyun
    • Radiation Oncology Journal
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    • v.31 no.2
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    • pp.88-96
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    • 2013
  • Purpose: This study identifies accident sequences from the past accidents in order to help the risk analysis application to the external radiotherapy. Materials and Methods: This study reviews 59 accidental cases in two retrospective safety analyses that have collected the incidents in the external radiotherapy extensively. Two accident analysis reports that accumulated past incidents are investigated to identify accident sequences including initiating events, failure of safety measures, and consequences. This study classifies the accidents by the treatments stages and sources of errors for initiating events, types of failures in the safety measures, and types of undesirable consequences and the number of affected patients. Then, the accident sequences are grouped into several categories on the basis of similarity of progression. As a result, these cases can be categorized into 14 groups of accident sequence. Results: The result indicates that risk analysis needs to pay attention to not only the planning stage, but also the calibration stage that is committed prior to the main treatment process. It also shows that human error is the largest contributor to initiating events as well as to the failure of safety measures. This study also illustrates an event tree analysis for an accident sequence initiated in the calibration. Conclusion: This study is expected to provide sights into the accident sequences for the prospective risk analysis through the review of experiences.

Proposing a Method for Robustness Index Evaluation of the Structures Based on the Risk Analysis of Main Shock and Aftershock

  • Abdollahzadeh, Gholamreza;Faghihmaleki, Hadi
    • International journal of steel structures
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    • v.18 no.5
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    • pp.1710-1722
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    • 2018
  • Investigating remained damages from terrible earthquakes, it could be concluded that some events including explosion because of defect and failure in the building mechanical facilities or caused by gas leak, firing, aftershocks, etc., which are occurred during or a few time after the earthquake, will increase the effects of damages. In this paper, by introducing a complete risk analysis which included direct and indirect risks for earthquake (the main shock) and aftershock, the corresponding robustness index was created that called as "robustness index sequential critical events risk-based". One of the main properties of the intended robustness index is using progressive collapse percentage in its evaluation. Then, in a numerical example for a 4-storey moment resisting steel frame structure, a method is presented for obtaining all effective parameters in robustness index evaluation based on the intended risk and at last its results were reported.

Distribution of average intervent times between adjacent rainfall events for overflow risk-based design of storm-water infiltration basin (월류위험도 기반 침투형저류지 설계를 위한 평균무강우지속시간도 작성)

  • Kim, Dae Geun;Park, Sun Jung
    • Journal of Korean Society of Water and Wastewater
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    • v.22 no.2
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    • pp.195-203
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    • 2008
  • This study collected the latest 30-year (1976~2005) continuous rainfall data hourly recorded at 61 meterological observatories in Korea. The continuous rainfall data was divided into individual rainfall events. In addition, distribution charts of average intervent times between adjacent rainfall events were created to facilitate the application to the overflow risk-based design of storm-water infiltration basin. This study shows that the one-parameter exponential distribution is suitable for the frequency distribution of the average intervent times for the domestic rainfall data. Distribution charts of the average intervent times were created for 4 hour and 6 hour of storm separation time, respectively. The inland Gyeongsangbuk-do and Western coastal area had relatively longer average intervent times, whereas Southern coastal area and Jeju-do had relatively shorter average intervent times.

A Systematic Review of Psychological Distress as a Risk Factor for Recurrent Cardiac Events in Patients with Coronary Artery Disease (관상동맥질환자의 심질환 재발에 영향을 미치는 심리적 디스트레스에 대한 체계적 문헌고찰)

  • Park, Jin-Hee;Bae, Sun-Hyoung
    • Journal of Korean Academy of Nursing
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    • v.41 no.5
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    • pp.704-714
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    • 2011
  • Purpose: The purpose of this study was to determine whether psychological distress is an independent risk factor for recurrent cardiac events in patients with coronary artery disease (CAD). Methods: A prospective cohort of studies that measured psychological distress and the incidence of recurrent cardiac events in the adult population were included. Three computerized databases were assessed (PubMed, CINAHL, and PSYCINFO). Meta-analysis was conducted using a random-effects model to determine summary estimates of risks of major recurrent cardiac events associated with each psychological distress. Of 506 publications identified, 33 met inclusion criteria, and 24 studies were used to estimate effect size of psychological distress on recurrent cardiac events. Results: Mean number in the research sample was 736 and mean time of follow-up was 4.0 years. Depression, anxiety, anger, and hostility as psychological factors were studied. According to estimation of effect size using random model effect, depression (OR=1.39, 95% CI: 1.22-1.57), anxiety (OR=1.22, 95% CI: 0.96-1.56), and anger/hostility (OR=1.29, 95% CI: 1.07-1.57) CAD patients in significantly increased risk for recurrent cardiac events. Conclusion: Finding suggests that psychological distress in forms of depression, anxiety, anger, and hostility impact unfavorably on recurrent cardiac events in CAD patients.

Hazardous Events and Causes for Train Collision and Derailment (열차 충돌/탈선사고의 위험사건 정의 및 원인 분류)

  • Park, Joo-Nam;Wang, Jong-Bae;Park, Chan-Woo;Kwak, Sang-Log
    • Proceedings of the KSR Conference
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    • 2007.05a
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    • pp.1174-1179
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    • 2007
  • Train collision and derailment are types of accident that happen with low probability of occurrence but could lead to disastrous consequences including multiple life losses. Risk assessment of the accidents are typically performed per their hazardous events, which are defined as events that cause accidents. This study classifies the train collision and derailment based on the relevant hazardous event, and investigates the causes related to the hazardous events. Finally, the relation of the causes, hazardous events, and the accidents are defined.

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A Study on Project Management for Product Development using Quality Tools (품질도구를 활용한 제품개발 프로젝트관리)

  • Park, Young Hyun
    • Journal of Korean Society for Quality Management
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    • v.45 no.4
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    • pp.665-676
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    • 2017
  • Purpose: The purpose of this paper proposes an effective and systematic methods of risk management in product development project. Methods: This paper first discusses what risk factors be considered during product development period and then presented a model for preventive risk management. For that, this paper proposes how to evaluate the risk factors and risk events, and how to select prevention action for managing risk factors effectively. For this process, this paper uses well-known quality tools such as House of Quality (HOQ) and Failure Mode and Effects Criticality Analysis (FMECA) methods. Results: There is an inherent need for the development of robust risk management framework in order for product development projects to be successful. The identification and quantification of risk factors, risk events, and prevention actions can have significant effects on the success of a product development projects. Project managers can implement the proposed model to improve project success. Conclusion: The findings showed that this method would be effective for project managements in dealing with risk management issues in product development projects. This method presented would be an one of good guidelines for practitioners in the industry.

Safety of Acupuncture Therapy for Patients Undergoing Anticoagulants / antiplatelet-Hwalhyeolgeoeo Herbal Medication: Retrospective Casecontrol Study (항응고제 또는 항혈전제와 활혈거어 한약 병용환자에서 침치료 안전성에 대한 후향적 환자-대조군 연구)

  • Lee, Min Jun;Im, Se Hoon;Lee, Seung Min;Kim, Eun Seok;Lee, Seung Hoon;Kang, Jung Won;Lee, Jae Dong
    • Journal of Acupuncture Research
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    • v.31 no.4
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    • pp.71-79
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    • 2014
  • Objectives : The aim of this study is to evaluate the safety of acupuncture therapy when applied to patients who are undergoing anticoagulants / antiplatelet medication therapy combined with herbal medicine using a retrospective, case-control study. Methods : 428 charts of patients were reviewed in this study. Odds ratio between case of bleeding-related adverse event and control was calculated as main analysis. Exposures were anticoagulants / antiplatelet medication, Hwalhyeolgeoeo herbal medicine and combination of both drugs. Additionally, odds ratios were calculated according to the severity of bleeding-related adverse events. Results : The results were as following: 1. Analysis of all bleeding-related adverse events showed there was no increased risk of combined therapy compared with other exposures and control group. 2. Analysis of only clinically significant adverse events showed there was no increased risk of combined therapy compared with other exposure and control group. 3. Hwalhyeolgeoeo herbal medicine group showed a tendency of increased risk of bleeding-related adverse events in all analysis but was not statistically significant. Conclusions : The results suggest that Hwalhyeolgeoeo herbal medicine-anticoagulant / antiplatelet medication combined therapy may not increase risk of bleeding-related adverse events in acupuncture therapy. By executing various modules of analysis, it was possible to acquire useful data for possible future studies. Further research is needed to confirm such results.

A Case Study for the Selection of a Railway Human Reliability Analysis Method (철도 인간신뢰도분석 방법 선정을 위한 사례분석)

  • Jung, Won-Dea;Jang, Seung-Cheol;Wang, Jong-Bae;Kim, Jae-Whan
    • Journal of the Korean Society for Railway
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    • v.9 no.5 s.36
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    • pp.532-538
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    • 2006
  • The railway human reliability analysis(R-HRA) plays a role of identifying and assessing human failure events in the framework of the probabilistic risk assessment(PRA) of the railway systems. This study introduces a case study that was performed to select an appropriate R-HRA method. Three HRA methods were considered in the case study: (1) the K-MRA(THERP/ASEP-based) method, (2) the HEART method, (3) the RSSB-HRA method. Two case events were selected based on the review of the railway incidents/accidents, which include (1) a real-end collision event, which occurred on the railway between the Gomo and Kyungsan stations in 2003, (2) the signal passed at danger(SPAD) events, which are caused from a variety of factors. The three HRA methods were applied to both case events, and then the strengths and limitations of each method were derived and compared with each other from the viewpoint of the applicability of a HRA method to the railway industry.

Development of an Accident Sequence Precursor Methodology and its Application to Significant Accident Precursors

  • Jang, Seunghyun;Park, Sunghyun;Jae, Moosung
    • Nuclear Engineering and Technology
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    • v.49 no.2
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    • pp.313-326
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    • 2017
  • The systematic management of plant risk is crucial for enhancing the safety of nuclear power plants and for designing new nuclear power plants. Accident sequence precursor (ASP) analysis may be able to provide risk significance of operational experience by using probabilistic risk assessment to evaluate an operational event quantitatively in terms of its impact on core damage. In this study, an ASP methodology for two operation mode, full power and low power/shutdown operation, has been developed and applied to significant accident precursors that may occur during the operation of nuclear power plants. Two operational events, loss of feedwater and steam generator tube rupture, are identified as ASPs. Therefore, the ASP methodology developed in this study may contribute to identifying plant risk significance as well as to enhancing the safety of nuclear power plants by applying this methodology systematically.

Development of Risk Evaluation Models for Railway Casualty Accidents (철도사상 사고위험도 평가 모델 개발에 관한 연구)

  • Park, Chan-Woo;Kim, Min-Su;Wang, Jong-Bae;Choi, Don-Bum
    • Proceedings of the KSR Conference
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    • 2008.06a
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    • pp.1499-1504
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    • 2008
  • This study shows risk-based evaluation results of casualty accidents for passengers, railway staffs and MOP(Member of public) on the national railway in South Korea. To evaluate risk of these accidents, the hazardous events and the hazardous factors were identified by the review of the accident history and engineering interpretation of the accident behavior. A probability evaluation model for each hazardous event which was based on the accident appearance scenario was developed by using the Fault Tree Analysis (FTA) technique. The probability for each hazardous event was evaluated from the historical data and structured expert judgment. In addition, the severity assessment model utilized by the Event Tree Analysis (ETA) technique was composed of the accident progress scenarios. And the severity for the hazardous events was estimated using fatalities and weighted injuries. The risk assessment model developed can be effectively utilized in defining the risk reduction measures in connection with the option analysis.

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