Review of advances in human reliability analysis of errors of commission - Part 2: EOC quantification
نویسنده
چکیده
In close connection with examples relevant to contemporary probabilistic safety assessment (PSA), a review of advances in human reliability analysis (HRA) of post-initiator errors of commission (EOCs), i.e. inappropriate actions under abnormal operating conditions, has been carried out. The review comprises both EOC identification (part 1) and quantification (part 2); part 1 is presented in this article. Emerging HRA methods addressing the problem of EOC identification are: A Technique for Human Event Analysis (ATHEANA), the EOC HRA method developed by Gesellschaft für Anlagenund Reaktorsicherheit (GRS), the Misdiagnosis Tree Analysis (MDTA) method, and the Commission Errors Search and Assessment (CESA) method. Most of the EOCs referred to in predictive studies comprise the stop of running or the inhibition of anticipated functions; a few comprise the start of a function. The CESA search scheme—which proceeds from possible operator actions to the affected systems to scenarios and uses procedures and importance measures as key sources of input information—provides a formalized way for identifying relatively important scenarios with EOC opportunities. In the implementation however, attention should be paid regarding EOCs associated with familiar but non-procedural actions and EOCs leading to failures of manually initiated safety functions. r 2007 Elsevier Ltd. All rights reserved.
منابع مشابه
Assessment of the probability of human error occurring in the process of appendectomy operation using SPAR-H method
1.Ochr('39')Connor PO, Keogh IJ. Addressing human error within the Irish healthcare system. Irish Medical Journal. 2011;104(1):5-6. 2. Jahangiri M, Hoboubi N, Rostamabadi A, Keshavarzi S, Hosseini AA. Human error analysis in a permit to work system: a case study in a chemical plant. Safety and Health at Work. 2016;7(1):6-11. 3. Edmondson AC. Learning from mistakes is easier said than done: G...
متن کاملIdentification of Errors of Commission for a Swiss Nuclear Power Plant: application of the CESA method
This paper presents the first results of a study of Errors Of Commission (EOCs) for a Boiling Water Reactor (BWR), the Leibstadt nuclear power plant in Switzerland. EOCs refer to inappropriate, undesired actions potentially carried out by the plant operators in the course of an accident and that may aggravate the accident scenario. EOCs contrast with Errors Of Omission (EOOs), which relate to t...
متن کاملEvaluation of Human Reliability by Standardized Plant Analysis Risk HRA (SPAR-H) method in the Dialysis Process in Ebne Sina Hospital, Shiraz
Background and Objectives: Human errors in dialysis care can cause injury and death. One of the basic steps to increase reliability in this critical process is to analyze the error and identify the weaknesses of doing this process. Methods: The present study is a descriptive-analytic cross-sectional study. The SPAR-H method was used to identify and evaluate the probability of human error in th...
متن کاملIdentification of Human Errors in the Use of Neonatal Ventilator Device by Predictive Use Error Analysis method
Introduction: Nowadays, accidents are regarded as a main risk factor for both human and economic of countries. The triggerring cause of most accident is human error. In the healthcare setting, human errors can lead to injuries and even death of patients and damage the reputation of healthcare staff. Human errors in healthcares can occur during various activities including diagnosis of a disease...
متن کاملEvaluation of Human Errors among Nurses Using Predictive Analysis of Cognitive Errors and Human Event Analysis Techniques: Case study of the Specific Responsibilities of the Cardiac Intensive Care Unit
Introduction: Considering the accreditation of international standards of hospitals and the necessity to improve the safety and quality of patients’ care, this study aimed at evaluating reliability among nurses using predictive analysis of cognitive errors and human event analysis techniques. Material and Methods: The analysis of nurses̓ tasks was done by HTA method. Then, the types of errors a...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Rel. Eng. & Sys. Safety
دوره 93 شماره
صفحات -
تاریخ انتشار 2008