• Title/Summary/Keyword: Risk simulation

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Effects of Clinical Practice and Simulation-Based Practice for Obstetrical Nursing (분만 간호에 대한 시뮬레이션 실습교육과 병원 분만실 실습교육의 효과)

  • Kim, Sun-Ae;Lee, Sun-Kyung;Chae, Hyun-Ju
    • Women's Health Nursing
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    • v.18 no.3
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    • pp.180-189
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    • 2012
  • Purpose: The purpose of this study was to evaluate the effects of clinical practice and simulation-based practice for obstetrical nursing in terms of self-efficacy, practice satisfaction, and practice stress. Methods: A non-equivalent control group post test design was used. The participants were 171 junior nursing students, 103 in the experimental group, and 68 in the control group. Simulation-based practice consisted of nursing assessment during labor, nursing assessment and intervention for normal and high risk mother, nursing education for mother and family during labor, and open lab. The experimental group participated in simulation-based practice for two days and the control group participated in clinical practice at delivery room for two weeks. Results: The experimental group showed higher level of self-efficacy (p= .043), practice satisfaction (p<.001) and practice stress (p=.003) compared to the control group. Conclusion: Simulation-based practice is an effective learning method for obstetrical nursing and can be used as the alternative for clinical practice. However, stress management strategies are needed for simulation-based practice.

The effects of simulation-based education on the communication and clinical judgment of nursing students and nurses: A systematic review and meta-analysis (시뮬레이션 교육이 간호대학생과 간호사의 의사소통 및 임상판단능력에 미치는 효과: 체계적 문헌고찰 및 메타분석)

  • Park, Jung Min;Jun, Sangeun
    • The Journal of Korean Academic Society of Nursing Education
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    • v.29 no.3
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    • pp.203-224
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    • 2023
  • Purpose: This study aimed to evaluate the effectiveness of simulation-based education on communication and clinical judgment in nursing students and nurses. Methods: A systematic review and meta-analysis were conducted in accordance with the PRISMA guidelines. Seven databases were searched to obtain articles published in Korean or English. Of 12,864 articles reviewed, 36 were included in a systematic review and 23 in a meta-analysis. To estimate the size of the effects of simulation-based education, a meta-analysis was performed using the R package meta program. The risk of bias was assessed using RoB 2.0 and ROBINS-I. Results: The effect sizes (ES) of simulation-based education on communication and clinical judgment were ES=0.77, 95% confidence interval (95% CI)=0.43 to 1.12 on communication-related variables and ES=1.84, 95% CI=1.03 to 2.65 on clinical judgment. Conclusion: Simulation-based education for nursing students and nurses is useful for improving their communication and clinical judgment. Thus, it is necessary to develop and apply simulation-based education programs for nursing students and nurses to improve their abilities in communications and clinical judgment.

Numerical Simulation of Bullet Impact for Fuel Cell of Rotorcraft using Smoothed Particle Hydrodynamics (입자법을 이용한 회전익항공기 연료셀 피탄 수치모사)

  • Kim, Hyun-Gi;Kim, Sung Chan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.5
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    • pp.2553-2558
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    • 2014
  • Military rotorcraft should be designed taking into account the condition of the fuel cell bullet impact. The internal fluid pressure, stress of metal fitting and fuel cell, bullet kinetic energy can be included as the design factor for the fuel cell. The best way to obtain the important design data is to conduct the verification test with actual product. But, the verification test requires huge cost and long-term effort. Moreover, there is high risk to fail because of the sever test condition. Thus, the numerical simulation is required to reduce the risk of trial-and-error together with prediction of the design data. In the present study, the bullet impact simulation based on SPH(smoothed particle hydrodynamics) is conducted with the commercial package, LS-DYNA. As the result of the numerical simulation, the internal pressure of fuel cell is calculated as 350~360MPa and the equivalent stress caused by hydro-ram effect is predicted as 260~350MPa on metal fittings.

Simulation Analysis for Job Sequences in a Packaging Film Manufacturing Plant (포장용 필름 제조공장의 작업 우선순위 결정을 위한 시뮬레이션 분석)

  • LIU, JIONGKAI;Seo, Dong-Won
    • Journal of the Korea Society for Simulation
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    • v.31 no.2
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    • pp.1-10
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    • 2022
  • The packaging plastic manufacturing(blown film) industry has long developed in China, but most of them are small/medium-sized enterprises, and it is very rare to have appropriate operation plans suitable for their own business. The packaging plastic manufacturing industry(blown film) follows a typical Make-To-Order method, and the sequence of processing orders is very important. Waste of materials incurred by frequent conversions of production cannot be avoided, and generally, related costs incurred during conversion production are also different. Therefore, this study developed a job sequence determination model for improving operating profits using @RISK simulation software, compared and analyzed 3 actionable clustering treatment methods proposed by technical managers and field experts under the actual situation of the factory.

Uncertainty Analysis and Application to Risk Assessment (위해성평가의 불확실도 분석과 활용방안 고찰)

  • Jo, Areum;Kim, Taksoo;Seo, JungKwan;Yoon, Hyojung;Kim, Pilje;Choi, Kyunghee
    • Journal of Environmental Health Sciences
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    • v.41 no.6
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    • pp.425-437
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    • 2015
  • Objectives: Risk assessment is a tool for predicting and reducing uncertainty related to the effects of future activities. Probability approaches are the main elements in risk assessment, but confusion about the interpretation and use of assessment factors often undermines the message of the analyses. The aim of this study is to provide a guideline for systematic reduction plans regarding uncertainty in risk assessment. Methods: Articles and reports were collected online using the key words "uncertainty analysis" on risk assessment. Uncertainty analysis was conducted based on reports focusing on procedures for analysis methods by the World Health Organization (WHO) and U.S. Environmental Protection Agency (USEPA). In addition, case studies were performed in order to verify suggested methods qualitatively and quantitatively with exposure data, including measured data on toluene and styrene in residential spaces and multi-use facilities. Results: Based on an analysis of the data on uncertainty, three major factors including scenario, model, and parameters were identified as the main sources of uncertainty, and tiered approaches were determined. In the case study, the risk of toluene and styrene was evaluated and the most influential factors were also determined. Five reduction plans were presented: providing standard guidelines, using reliable exposure factors, possessing quality controls for analysis and scientific expertise, and introducing a peer review system. Conclusion: In this study, we established a method for reducing uncertainty by taking into account the major factors. Also, we showed a method for uncertainty analysis with tiered approaches. However, uncertainties are difficult to define because they are generated by many factors. Therefore, further studies are needed for the development of technical guidelines based on the representative scenario, model, and parameters developed in this study.

Cash flow Forecasting in International Construction Projects through Categorized Risk Analysis (특성별 리스크 분석을 통한 해외건설공사 현금흐름 예측에 관한 연구)

  • Yeom, Sang-Min;Han, Seung-Heon;Kim, Du-Yeon;Nam, Ha-Na;Park, Hee-Dae
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • 2006.11a
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    • pp.295-300
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    • 2006
  • In this research, risk factors which can raise project cost are identified in the initial stage and picked out through the decision maker's baseline. And also this probable risks are implemented to the project cash flow to estimate the contingency and to build a risk management system in the level of project. The risks that affect the projects profits were classified in two categories in the risk checklist. Firstly, financial risks derived from the external economic conditions for example exchange rate, escalation, interest rates etc. are analyzed through the stochastic methods, Monte-Carlo Simulation. Secondly, the project individual risks which are come from the project characteristics, for example country risk, clime, owner etc., are evaluated using the utility curve of the decision maker. Finally these risk analysis methods are used to forecast the actual project cash flow and final profit.

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A quantitative modeling approach to estimate the risks posed by the smuggled animal products contaminated with Foot-and-Mouth Disease (FMD) virus

  • Hong, Ki-Ok;Lee, Gil-Hong;Pak, Son-Il
    • Korean Journal of Veterinary Research
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    • v.45 no.2
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    • pp.223-231
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    • 2005
  • A quantitative risk assessment tool was used to provide estimates of the probability that foot-and-mouth (FMD) virus-contaminated, smuggled animal products are fed to susceptible swine in Korea. Sensitivity analyses were conducted to attempt to distinguish between parameter uncertainty and variability, using different assumptions on the effect of cooking at home, the effect of the fresh meat, and the effect of heat treatment at garbage processing facility. The median risk estimate was about 20.1% with a mean value of 27.4%. In a scenario regarding all beef and pork were considered as fresh meat the estimated median risk was 3.4%. The risk was greatly dependent on the survival parameters of the FMD virus during the cooking or heat treatment at garbage processing facility. Uncertainty about the proportion of garbage that is likely contaminated with FMD had a major positive influence on the risk, whereas conversion rate representing the size of a load had a major negative effect. This model was very useful in assessing the risk explored. However, the model also requires enhancements, such as the availability of more accurate data to verify the various assumptions considered such as FMD prevalence in a specific country, proportion of garbage which is recycled as feed, proportion of food discarded as garbage. Other factors including the effect of selection of animals for slaughter, ante- and post-mortem inspection, the domestic distribution of the smuggled products, and susceptible animals other than pigs, are need to be taken into account in the future model development.

Water Supply Risk Assessment of Agricultural Reservoirs using Irrigation Vulnerability Model and Cluster Analysis (관개취약성 평가모형 및 군집분석을 활용한 용수공급 위험도 평가)

  • Nam, Won-Ho;Kim, Taegon;Hong, Eun-Mi;Hayes, Michael J.;Svoboda, Mark D.
    • Journal of The Korean Society of Agricultural Engineers
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    • v.57 no.1
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    • pp.59-67
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    • 2015
  • Because reservoirs that supply irrigation water play an important role in water resource management, it is necessary to evaluate the vulnerability of this particular water supply resource. The purpose of this study is to provide water supply risk maps of agricultural reservoirs in South Korea using irrigation vulnerability model and cluster analysis. To quantify water supply risk, irrigation vulnerability indices are estimated to evaluate the performance of the water supply on the agricultural reservoir system using a probability theory and reliability analysis. First, the irrigation vulnerability probabilities of 1,346 reservoirs managed by Korea Rural Community Corporation (KRC) were analyzed using meteorological data on 54 meteorological stations over the past 30 years (1981-2010). Second, using the K-mean method of non-hierarchical cluster analysis and pre-simulation approach, cluster analysis was applied to classify into three groups for characterizing irrigation vulnerability in reservoirs. The morphology index, watershed area, irrigated area, and ratio between watershed and irrigated area are selected as the clustering analysis parameters. It is suggested that the water supply risk map be utilized as a basis for the establishment of risk management measures, and could provide effective information for a reasonable decision making on drought risk mitigation.

Collapse Probability of a Low-rise Piloti-type Building Considering Domestic Seismic Hazard (국내 지진재해도를 고려한 저층 필로티 건물의 붕괴 확률)

  • Kim, Dae-Hwan;Kim, Taewan;Chu, Yurim
    • Journal of the Earthquake Engineering Society of Korea
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    • v.20 no.7_spc
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    • pp.485-494
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    • 2016
  • The risk-based assessment, also called time-based assessment of structure is usually performed to provide seismic risk evaluation of a target structure for its entire life-cycle, e.g. 50 years. The prediction of collapse probability is the estimator in the risk-based assessment. While the risk-based assessment is the key in the performance-based earthquake engineering, its application is very limited because this evaluation method is very expensive in terms of simulation and computational efforts. So the evaluation database for many archetype structures usually serve as representative of the specific system. However, there is no such an assessment performed for building stocks in Korea. Consequently, the performance objective of current building code, KBC is not clear at least in a quantitative way. This shortcoming gives an unresolved issue to insurance industry, socio-economic impact, seismic safety policy in national and local governments. In this study, we evaluate the comprehensive seismic performance of an low-rise residential buildings with discontinuous structural walls, so called piloti-type structure which is commonly found in low-rise domestic building stocks. The collapse probability is obtained using the risk integral of a conditioned collapse capacity function and regression of current hazard curve. Based on this approach it is expected to provide a robust tool to seismic safety policy as well as seismic risk analysis such as Probable Maximum Loss (PML) commonly used in the insurance industry.

A Study on the Risk Assessment and Improvement Methods Based on Hydrogen Explosion Accidents of a Power Plant and Water Electrolysis System (발전소 및 수전해 시스템의 수소 폭발 사고 사례 기반 위험성 평가 및 개선 방안 연구)

  • MIN JAE JEON;DAE JIN JANG;MIN CHUL LEE
    • Transactions of the Korean hydrogen and new energy society
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    • v.35 no.1
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    • pp.66-74
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    • 2024
  • This study addresses the escalating issue of worldwide hydrogen gas accidents, which has seen a significant increase in occurrences. To comprehensively evaluate the risks associated with hydrogen, a two approach was employed in this study. Firstly, a qualitative risk assessment was conducted using the bow-tie method. Secondly, a quantitative consequence analysis was carried out utilizing the areal locations of hazardous atmospheres (ALOHA) model. The study applied this method to two incidents, the hydrogen explosion accident occurred at the Muskingum River power plant in Ohio, USA, 2007 and the hydrogen storage tank explosion accident occurred at the K Technopark water electrolysis system in Korea, 2019. The results of the risk assessments revealed critical issues such as deterioration of gas pipe, human errors in incident response and the omission of important gas cleaning facility. By analyzing the cause of accidents and assessing risks quantitatively, the effective accident response plans are proposed and the effectiveness is evaluated by comparing the effective distance obtained by ALOHA simulation. Notably, the implementation of these measures led to a significant 54.5% reduction in the risk degree of potential explosions compared to the existing risk levels.