• 한국안전학회지
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• 제13권4호
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• pp.279-285
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• 1998

This study investigated human error characteristics of the 42 fatal industrial accidents reported by staff members of Korea Industrial Safety Corporation. Various types of human error were judged to be primary contributing factors in about 74 percent of the cases. Most of human error made by involved industrial operators resulted from two types of mistakes: (1) mistake in judgement of work situation, and (2) omission in daily check. It was concluded that preparation/observance for work procedure manuals, danger predication training and enforcement/Education of daily check routine would be effective preventive tools for these types of human error attributable to fatal industrial accidents.

• 한국초등수학교육학회지
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• 제14권3호
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• pp.885-905
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• 2010

수학과 평가에서 주로 제기되는 문제점은 평가 내용이 단편적인 지식을 암기하는 쪽으로 치우쳐 있다는 점과 평가 문항이 객관식 문제 중심의 지필 검사에 한정되어 있다는 것이다. 교육현장에서는 이러한 문제점올 해결하기 위한 방안으로 서술형 평가를 통해 학생들의 문제해결과정을 검토하고, 이 과정에서 비롯되는 오류 유형을 분석하려는 연구가 진행되어왔다. 곧, 서술형 평가를 통해 학생들이 알고 있는 수학적 지식을 수학적 용어로 자유롭게 표현하는 과정에서 그 과정이 옳은지, 개념 이해가 정확한지를 검토하고, 만약 잘못 이해하고 있다면 무엇 때문에 이러한 오류를 범하고 있는지를 분석함으로써, 수학문제해결과정에서 비롯되는 오류에 대한 피드백을 제공할 수 있기 때문이다. 본 연구는 초등학교 4학년 학생을 연구대상으로 하며, 수와 연산 영역에서 서술형 평가 문항을 개발하여 진행된 것이다. 연구 과정은 먼저 서술형 평가에서 나타나는 오류를 문항 이해의 오류, 개념 원리의 오류, 자료 사용의 오류, 풀이 과정의 오류, 기록 단계의 오류, 풀이 과정의 생략 등 6가지 유형으로 구분하여 문항별 답안에서 나타나는 유형별 오류를 분석하였다. 이와 함께 학업성취도에 따라 오류 유형이 다르게 나타날 수 있다는 점에 착안하여, 상 중 하 성취도에 따른 오류 유형을 분석하였다. 서술형 평가를 통해 학생들의 문제해결과정을 검토하고 이 과정에서 나타나는 오류를 분석함으로써, 평가를 통한 피드백이 효과적인 수학학습지도로 연결될 수 있기를 기대한다.

• 한국안전학회지
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• 제33권1호
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• pp.66-72
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• 2018

This study analyses the types, related operations, facilities, and causes of chemical accidents in Korea based on the RISCAD classification taxonomy. In addition, human error analysis was carried out employing different human error classification criteria. Explosion and fire were major accident types, and nearly half of the accidents occurred during maintenance operation. In terms of related facility, storage devices and separators were the two most frequently involved ones. Results of the human error-based analysis showed that latent human errors in management level are involved in many accidents as well as active errors in the field level. Action errors related to unsafe behavior leads to accidents more often compared with the checking behavior. In particular, actions missed and inappropriate actions were major problems among the unsafe behaviors, which implicates that the compliance with the work procedure should be emphasized through education/training for the workers and the establishment of safety culture. According to the analysis of the causes of the human error, the frequency of skill-based mistakes leading to accidents were significantly lower than that of rule-based and knowledge based mistakes. However, there was limitation in the analysis of the root causes due to limited information in the accident investigation report. To solve this, it is suggested to adopt advanced accident investigation system including the establishment of independent organization and improvement in regulation.

• 한국의사학회지
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• 제31권2호
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• pp.9-16
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• 2018

Eoyakwonbang is a collection of prescriptions of Yuyaoyuan, an imperial medical bureau of China. While the first edition of this book does not exist at present, two versions printed in Korea, and one printed in Japan, which is the well-known Gyesasingan Eoyakwonbang have been passed down. Eoyakwonbang is a meaningful text for the history of medical communication between China, Japan and Korea, but research on the different versions and contents of Eoyakwonbang have been insufficient. Out of the 2 versions published in Korea, Eulheja Eoyakwonbang is different from Gapjinja Eoyakwonbang [another version in Korea] and Gwanjeong Eoyakwonbang of Japan, in that the prescriptions are organized, the ingredients are organized according to the amount of each ingredient for each formula, and the amounts are recorded in an accurate manner. On the other hand, the Gapjinja version has many mistakes in the characters and content. The Gwanjeong version has lesser mistakes in characters, but repeats the content error of the Gapjinja version. Eulheja was printed after correction based on the original version or unknown version from China. Gapjinja was re-printed based on the Gyesasingan version, while Gwanjeong seems to have used the Gapjinja version as its original script, as the mistakes made in the Gapjinja version are repeated in the Gwanjeong version as well.

• Korean Journal of Radiology
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• 제22권10호
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• pp.1587-1593
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• 2021

• 대한안전경영과학회지
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• 제13권4호
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• pp.53-60
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• 2011

Job stress weakens physical ability causing the diseases related to working condition, decreases a production level, and increases mistakes and accidents. This study examined the relationship between job stress and human error, and focused on the moderating effect of age and maintenance type on the relationship between job stress and human error. The study used a quantitative design based on the 450 questionnaires of maintenance personnel in the Air force. The results of multiple regression analysis showed that physiological and psychological stress responses have positively related with human error. In moderating effect test, age appeared to impact on the relationship between physiological/behavioral stress and human error.

• 대한인간공학회지
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• 제32권1호
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• pp.9-16
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• 2013

Objective: The aim of this study is to investigate a trend of human error types observed in a series of verification and validation experiments for an Advanced Control Room(ACR) equipped with Lager Display Panel(LDP), Work Station Flat Panel Display(WS FPD), list type Alarm System(AS), Soft Control(SC) and Computerized Procedure System(CPS). Background: Operator behaviors in a fully computerized control room are quite different from those in a traditional hard-wired control room. Operators in an ACR all together monitor plant status and variables through their own interface system such as LDP and WS FPD, are notified of abnormal plant status through their own list type AS, control the plant through their own SC, and follow the structured procedure through their own CPS whereas operators in a traditional control room only separately do their duty directed by their supervisor. Especially the secondary task such as manipulating the user interface of ACR can be an extra burden to all the operators including the supervisor. Method: The Reason's human error classification method was applied to operators' behavioral data collected from a series of verification and validation experiments where operators showed their plant operational behaviors under a couple of harsh scenarios using the ACR simulator. Results: As operators accustomed to the new ACR system, knowledge or rule based mistakes appearing frequently in the early series of experiments decreased drastically in the latest stage of the series. Slip and lapse types of errors were observed throughout the series of experiments. Conclusion: Education and training can be one of the most important factors for the operators accustomed to the traditional control room to be adapted to the new system and to run the ACR successfully. Application: The results of this study implied that knowledge or rule based mistakes can be reduced by training and education but that lapse type errors might be reduced only through innovative improvement in human-system interface design or teamwork culture design including a new leadership style suitable for ACR.

• 대한인간공학회지
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• 제23권4호
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• pp.9-21
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• 2004

As menu structure of household appliance is complicated, user's cognitive workload frequently occurs errors. In existing studies, errors didn't present that interpretation for cognitive factors and alternatives, but are only considered as statistical frequency. Therefore, error classification and analysis in tasks is inevitable in usability evaluation. This study classified human error throughout information process model and navigation behavior. Human error is defined as incorrect decision and behavior reducing performance. And navigation is defined as unrelated behavior with target item searching. We searched and analyzed human errors and its causes as a case study, using mobile phone which could control appliances in near future. In this study, semantic problems in menu structure were elicited by SAT. Scenarios were constructed by those. Error analysis tests were performed twice to search and analyze errors. In 1st prototype test, we searched errors occurred in process of each scenario. Menu structure was revised to be based on results of error analysis. Henceforth, 2nd Prototype test was performed to compare with 1st. Error analysis method could detect not only mistakes, problems occurred by semantic structure, but also slips by physical structure. These results can be applied to analyze cognitive causes of human errors and to solve their problems in menu structure of electronic products.

• 한국안전학회지
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• 제27권4호
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• pp.90-95
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• 2012

To prevent similar accidents with the basis of industrial accidents already occurred in industrial plants, it would be possible only after true causes are grasped. Unfortunately, however, most accident investigation carried out with the basis of legal regulation failed to grasp them so that similar accidents have been repeated without cease. This research aimed to find out differences between results from conventional accident investigation and those from human error analysis, and to draw out effective and practical counter-plans against industrial accidents occurred repeatedly in an autoglass manufacturing company. As for analysis, about 110 accident cases that occurred for last 7 years were collected, and by adopting the Comprehensive Human Error Analysis Technique developed by the previous researchers, not direct causes but basic fundamental causes that might induce workers to human errors were sought. In consequence, the result showed that facility factors or environmental factors such as improper layout, mistakes in engineering design, and malfunction of interlock system were authentic major accident causes as opposed to managerial factors such as personal carelessness or failure to wearing personal protective equipments, and/or improper work methods.

• 대한한의학원전학회지
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• 제25권1호
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• pp.51-68
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• 2012

Objective : This paper is aimed at suggesting further tasks by checking and rectifying the errors of the ancieut Chinese-vernacular Korean translations of Park Ji-won(朴趾源)'s "Kumryosocho". Method : In order to correct the wrongly transcribed "Kumryosocho" was contrasted with the original "Xiangzubiji(香祖筆記)", of which the part is "Kumryosocho". And then the errors and mistakes are discovered in published ancient Chinese-to-vernacular Korean translations. Result : In the course of checking the existing translations of "Kumryosocho", this paper identified the following types of errors. 1. Errors attributable to unfamiliar names of medicinal herbs 2. Errors due to the unfamiliarity with the names of diseases or symptoms in Traditional Koreau Medicine(TKM). 3. Errors committed in hand transcription. These types of errors were committed as well in translating jargons routinely used in TKM books. To the surprise, the errors above have been repeated even in the latest version of its translation. This means that the medicine-related materials by Silhak scholars, including "Kumryosocho", were placed at a dead zone of the research between Chinese classic scholars and TKM scholars. Conclusion : To minimize errors and mistakes, it is needed to activate the cooperative work of heterogeneous experts in two academic fields.