• Title/Summary/Keyword: error types

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Types of Medication Error to Be Used in Korea (의약품 사용 오류)

  • Kim, Hyungtae;Choi, Hye Duck;Kim, Siin;Han, Sola;Lee, Iyn-Hyang;Suh, Hae Sun
    • The Journal of Health Technology Assessment
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    • v.5 no.1
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    • pp.31-41
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    • 2017
  • Objectives: To explore prevalently used types of medication error and the types of medication error which would be appropriate to be used in Korea. Methods: In depth literature review was performed to explore the mostly used types of medication error in the United States, Canada, Europe, Australia, and Japan. We intended to examine experts' view on the suitability of the types of medication error to be used in Korea. The types of medicati0on error were classified by activity criteria, severity criteria, process criteria, and responsible person criteria based on literature reviews. Results: According to the result of literature review, activity criteria was the most commonly used type of medication error. Ten experts in the area of patient-safety and medication error responded and the top two types of medication error which were appropriate and suitable to be used in Korea were severity criteria and activity criteria. Conclusion: Severity criteria and activity criteria could be recommended to be used as the standard types of medication error in Korea although there are other types of criteria such as process criteria and responsible person criteria.

Improvement of Investigation Items of Fatal Industrial Accidents Considering Human Error Characteristics (인적오류를 고려한 중대재해 조사항목의 개선)

  • 이동하;나윤균
    • Journal of the Korean Society of Safety
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    • v.13 no.4
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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.

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The Analysis of Relationship between Academic Achievement Level of Concept Learning and Error Type in Online Programming Course (온라인 프로그래밍 개념학습 성취수준과 오류유형과의 관계 분석)

  • Kim, Jiseon;Kim, Yungsik
    • The Journal of Korean Association of Computer Education
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    • v.17 no.5
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    • pp.43-51
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    • 2014
  • This study has purpose on analyzing the error types which are identified after middle and high school students perform the online programming assignments and also has the purpose on the analysis of correlation between the frequency of error occurrence according to academic achievement level in programming concept learning and types of errors analyzed previously. For this study, the syntax, logical, and coding errors are analyzed from the performed results of programming research assignment for 88 students. Analyzed results show that the logical error has the highest occurrence rate of 69.3% among three types of errors, and it has been shown meaningful difference in the frequency of error occurrence between three achievement level groups of high, middle, and low. In the correlation analysis of achievement level and error types, it shows negative relationship between logical error and coding error, and therefore it can be concluded that as achievement level is higher, both logical and coding errors tend to occur less. In the correlation analysis in error types, it shows positive relationship between syntax error and coding error.

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A classification of electrical component failures and their human error types in South Korean NPPs during last 10 years

  • Cho, Won Chul;Ahn, Tae Ho
    • Nuclear Engineering and Technology
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    • v.51 no.3
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    • pp.709-718
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    • 2019
  • The international nuclear industry has undergone a lot of changes since the Fukushima, Chernobyl and TMI nuclear power plant accidents. However, there are still large and small component deficiencies at nuclear power plants in the world. There are many causes of electrical equipment defects. There are also factors that cause component failures due to human errors. This paper analyzed the root causes of failure and types of human error in 300 cases of electrical component failures. We analyzed the operating experience of electrical components by methods of root causes in K-HPES (Korean-version of Human Performance Enhancement System) and by methods of human error types in HuRAM+ (Human error-Related event root cause Analysis Method Plus). As a result of analysis, the most electrical component failures appeared as circuit breakers and emergency generators. The major causes of failure showed deterioration and contact failure of electrical components by human error of operations management. The causes of direct failure were due to aged components. Types of human error affecting the causes of electrical equipment failure are as follows. The human error type group I showed that errors of commission (EOC) were 97%, the human error type group II showed that slip/lapse errors were 74%, and the human error type group III showed that latent errors were 95%. This paper is meaningful in that we have approached the causes of electrical equipment failures from a comprehensive human error perspective and found a countermeasure against the root cause. This study will help human performance enhancement in nuclear power plants. However, this paper has done a lot of research on improving human performance in the maintenance field rather than in the design and construction stages. In the future, continuous research on types of human error and prevention measures in the design and construction sector will be required.

Analysis of human errors involved in Korean nuclear power plant trips (국내 원자력발전소 인적오류사례의 추이 분석)

  • 이정운;이용희;박근옥
    • Journal of the Ergonomics Society of Korea
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    • v.15 no.1
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    • pp.27-38
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    • 1996
  • A total of 77 unanticipated trip cases induced by human errors in Korean nuclear power plants were collected from the nuclear power plant trip event reports and analyzed to investigate the areas of high priority for human error reduction. Prior to this analysis, a classification system was made on the four task-related categories including plant systems, work situations, task types, and error types. The erroneous actions affecting the unanticipated plant trips were indentified by reviewing carefully the description of trip events. Then, the events with erroneous action were analyzed by using the classification system. Based on the results for the individual cases, human error occurrences were counted for each of the four categories, also for the selected pairs of categories, to find out the relationships between the two categories in aspects of human errors. As a result, the plant systems, work situations, and task types, and error types which are dominant in human error occurrences were identified.

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TASK TYPES AND ERROR TYPES INVOLVED IN THE HUMAN-RELATED UNPLANNED REACTOR TRIP EVENTS

  • Kim, Jaew-Han;Park, Jin-Kyun
    • Nuclear Engineering and Technology
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    • v.40 no.7
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    • pp.615-624
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    • 2008
  • In this paper, the contribution of task types and error types involved in the human-related unplanned reactor trip events that have occurred between 1986 and 2006 in Korean nuclear power plants are analysed in order to establish a strategy for reducing the human-related unplanned reactor trips. Classification systems for the task types, error modes, and cognitive functions are developed or adopted from the currently available taxonomies, and the relevant information is extracted from the event reports or judged on the basis of an event description. According to the analyses from this study, the contributions of the task types are as follows: corrective maintenance (25.7%), planned maintenance (22.8%), planned operation (19.8%), periodic preventive maintenance (14.9%), response to a transient (9.9%), and design/manufacturing/installation (6.9%). According to the analysis of the error modes, error modes such as control failure (22.2%), wrong object (18.5%), omission (14.8%), wrong action (11.1 %), and inadequate (8.3%) take up about 75% of the total unplanned trip events. The analysis of the cognitive functions involved in the events indicated that the planning function had the highest contribution (46.7%) to the human actions leading to unplanned reactor trips. This analysis concludes that in order to significantly reduce human-induced or human-related unplanned reactor trips, an aide system (in support of maintenance personnel) for evaluating possible (negative) impacts of planned actions or erroneous actions as well as an appropriate human error prediction technique, should be developed.

The Relations between Children's Fraction Operation Skills and Error Types on Constructed-response items (서술형 평가 문항에서 나타나는 초등학생의 분수 연산 능력과 오류 유형과의 관계)

  • Kim, Min Kyeong;Kim, Seo-Young
    • Journal of the Korean School Mathematics Society
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    • v.17 no.3
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    • pp.409-435
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    • 2014
  • This study examines relations between the 5th graders' fraction operation skills and error types on constructed-response items. As results, first, the participants have lower fraction operation skills on 'multiplication of fraction' than 'addition and subtraction of fraction'. Second, the participants have different error types depend on their constructed-response items. Most of error types which group with high ability made was 'leap of solving process', both groups error type with medium ability as well as low ability is 'misunderstanding of questions'. Third, the operation skills on 'addition and subtraction of fraction' have an influence on their operation skills on 'multiplication of fraction', and error types of 'understanding of questions' and 'understanding of solving process' have the most effects on the influence.

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An Analysis of Human Error Mode and Type in the Railway Accidents and Incidents (철도 사고 및 장애의 인적오류 유형 분석)

  • Ko, Jong-Hyun;Jung, Won-Dea;Kim, Jae-Whan
    • Journal of the Korean Society of Safety
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    • v.22 no.4
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    • pp.66-71
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    • 2007
  • Human error is one of the major contributors to the railway accidents or incidents. In order to develop an effective countermeasure to remove or reduce human errors, a systematic analysis should be preferentially performed to identify their causes, characteristics, and types of human error induced in accidents or incidents. This paper introduces a case study for human error analysis of the railway accidents and incidents. For the case study, more than 1,000 domestic railway accidents or incidents that happened during the year of 2004 have been investigated and a detailed error analysis was performed on the selected 90 cases, which were obviously caused by human error. This paper presents a classification structure for human error analysis, and summarizes the analysis results such as causes of the events, error modes and types, related worker, and task type.

The Effects of Chatbot's Error Types and Structures of Error Message on User Experience (챗봇의 오류 유형과 오류 메시지 구조화 여부가 사용자 경험에 미치는 영향)

  • Lee, Mi-Jin;Han, Kwang-Hee
    • The Journal of the Korea Contents Association
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    • v.21 no.6
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    • pp.19-34
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    • 2021
  • The aim of this study is verifying the effects of chatbot's error types and structures of error message on attitude, behavior intention towards the chatbot and perceived usability of the chatbot. The error types of chatbot are divided into 'experience' error and 'agency' error, which set different expectancy level, according to mind perception theory. The structures of error message were either unstructured condition composed of error specification only or structured condition composed of apology, explanation and willingness of improvement. It was found that score of perceived usability was higher in experience error condition than agency error condition. Also, all three scores of dependent variables were higher in structured error message condition than unstructured error message condition. Furthermore, expectation gap of experience didn't predict the dependent variables but expectation gap of agency predicted all three dependent variables. Finally, the tendency of interaction effect between the error type and the structure of the error message on expectation gap of agency was observed. This study confirmed the mitigating effect of structured error messages and the possibility that these effects may vary by the type of error. The result is expected to be applicable to design of error coping strategies that enhance user experience.

Analysis of Human Errors in Trip Cases of Korean NPPs

  • Lee, Jung-Woon;Park, Geun-Ok;Park, Jae-Chang;Sim, Bong-Shick
    • Nuclear Engineering and Technology
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    • v.28 no.6
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    • pp.563-575
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    • 1996
  • A total of 77 cases was identified to have human errors from a total of 255 trips occurred from 1978 to 1992 in Korean NPPs. The cases were analyzed to investigate how many human errors occurred on which work conditions to find out the areas of high priority for human error reduction. For the analysis of the 77 trip cases due to human errors, classifications were made for the following four categories ; plant systems, work situation, job types, and error types. Erroneous tasks critically influencing the plant trips were carefully identified and analyzed according to the classifications. Based on the results for the individual cases, the cases were counted for the classification items in each of the four categories, then also for the group of categories to investigate the relationships among the categories in aspects of human error occurrences. As results, the plant systems, work situations, and job types, and error types that are dominant in human errors related to the trips ore identified.

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