• Proceedings of the KSR Conference
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• 2007.11a
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• pp.859-864
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• 2007

The rolling stock which is used the most frequently by public transportation has to secure reliability and safety. In these, vibration is the important factor which causes of serious problem of rolling stock. By the way, rolling stocks vibration test specific activity that is using translating JIS standard is serious mistake, but it is actuality that is used until present more than ten years. Study wishes to analyze problem of standard of domestic rolling stocks and present countermeasure.

• Journal of Korean Society of Industrial and Systems Engineering
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• v.2 no.2
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• pp.105-110
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• 1979

The purpose of this study is to find the problems of I.E, and solve the problems. Compared with other parts, production-control's theory and practice do not always go hand in hand. But, we must rectify these mistake. In order to grasp the situation, this paper inquire the real condition centering around the Busan's 117 enterprises.

• Journal of the Korean Society of Safety
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• v.15 no.1
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• pp.53-58
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• 2000

In a car accident in Kyongju, each of the two occupants insisted that he was not driving the car. The accident was investigated to determine who the driver is through careful review of the collision report, the statements of accident and witness, photographs taken at the scene, and the expert report of the National Institute of Scientific Investigation. The accident was reconstructed based on the physical principles, injuries of occupants, damages of the involved vehicles and their final stops. A mistake was found in the expert report.

• Journal of the Korea Safety Management & Science
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• v.8 no.2
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• pp.39-49
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• 2006

Forklift achieves transportation of freight and continues loading and unloading work repeatedly long for hours in industry spot. Therefore, drivers feel tired make a mistake for wrong operation of vehicle caused by continuous work. These components are resulted in CTDs, some industrial accident. That is the forklift need to ergonomics access. So, in this paper, requirements of forklift user were abstracted using questionnaire, produced important design factor for pedal and lever using QFD(Quality Function Deployment), and then suggested ergonomic considerations for industrial accident prevention.

• Journal of the Society of Disaster Information
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• v.8 no.1
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• pp.93-99
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• 2012

This study is to present false alarm management of alarm monitoring service, by literature analysis and interview with the persons in charge of service of alarm monitoring service companies. To reduce false alarm by customer's mistake, development of educational tool that could provide practical effect is needed. Also institutional consent to charge a specific sum of money could be considered for unnecessary dispatch that occurred by customer's mistake. To improve the false alarm by defect of equipments and installation of electronic security system, standardization of technical regulation and system installation is necessary. And to improve the performance of passive infrared sensor that cause most false alarm, the development of new type of sensor is required. It could be considered that guideline on educational contents and term definition about false alarm could be come under the security regulation.

• Journal of the Korean Institute of Traditional Landscape Architecture
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• v.33 no.2
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• pp.58-66
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• 2015

This study is to review the historical documents about Cinnamomum camphora SIEB. in Goryeo and Joseon Dynasty. First of all, we defined it's feature and used case by the most appropriate word 'Jang(樟)' meaning Cinnamomum camphora SIEB. We also discovered some illusions and should suggest a new possibility. First, we analyzed the definition and examples of Cinnamomum camphora SIEB. and come to the conclusion that 'Jang(樟)' seems to be the most appropriate word. Second, we confirmed that Cinnamomum camphora SIEB. grew in extralimital area. It is believed that it's because of making a mistake. Third, we confirmed that it is confused Cinnamomum camphora SIEB. with Koelreuteria paniculata in Yi, Gyu-Gyeong's records. However, it's required to verify the other cases of the Cinnamomum camphora SIEB.'s records. We expect a follow-up study about it by classifying modern feature and comparing literature matching.

• Journal of the Institute of Electronics Engineers of Korea SC
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• v.37 no.4
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• pp.42-48
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• 2000

Generally an operator would take notice at putting a patient under anesthesia. If the operation is executed in mistake, the patient is exposed to danger. The object of this Paper is that a system is developed for an accuracy of system and a convenience of user interface to prevent an operation of several elements of risk by mistake. The part of electrical system particularly is made for convenience of a manipulation using electrical switch and encoder. A real-time monitoring system is developed for an airway pressure and a gas concentration of carbon dioxide of patient using graphic LCD(liquid crystal display). Moreover, this flow control system could be developed control with accuracy by feedback control method. This is implemented using flow control valve and flow sensor. The implemented system gives convenience and precision of a manipulation of variable value using developed technique. This system shows guaranteed stabilization and confidence of anesthesia ventilator by notifying us that patient's state and information in case of being out of alarm range of variable value.

• Journal of the Ergonomics Society of Korea
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• v.32 no.1
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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.

• Proceedings of the Korean Society of Medical Physics Conference
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• 2002.09a
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• pp.11-12
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• 2002

Accidental overexposures by radiotherapy have gathered attention recently in Japan. The widely publicized accidents have occurred at the government official benefit society hospital and at the hospital affiliated to a medical school. The accident at the government official benefit society hospital occurred when one of two existing accelerators was renewed. A radiotherapy planning system was also introduced at that time. Then treatment planning for the old and the new linear accelerator was performed using the system. There were variations in wedge factors for the 30 degrees wedge filter between the old and the new linear accelerator. That is, the difference in the structure of the wedge filter (30 degrees) resulted in variations of the wedge factors between both accelerators. In order to keep strength, a lead board was backed to the lead wedge filter for the new linear accelerator, whereas the wedge filter for the old one was made of the iron. The X-ray attenuation of the iron wedge filter is smaller than that of the lead wedge filter. The basic beam data of the old linear accelerator, however, wasn't delivered properly between the user and the maker. Then, the accident took place because the same wedge factor was used for the old and the new linear accelerator. On the other hand, the accident which occurred at the university hospital was brought about by the input mistake in initialization of the computer system when a linear accelerator was introduced. The input mistake was found when the software of the system was updated. If the dose had been measured and confirmed adequately, the accidents could have been prevented in both cases.

• The Korean Society of Law and Medicine
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• v.15 no.2
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• pp.435-459
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• 2014

Supreme Court of Korea has been mitigating the burden of proof on the malpractice and causal relation by a patient in accordance with the practical transfer of such burden of proof on causal relation as well as relieving a doctor's burden of proof on mistake in the civil damage claim suits on the malpractice. However, a prosecutor shall strictly prove the causal relation between malpractice and unfavorable results as well as a doctor's mistake in the criminal cases for making a doctor accept the professional negligence resulting in death or injury in accordance with In Dubio Pro Reo principles. Furthermore, it shall not be allowed to relieve the burden of proof on malpractice and causal relation which has been frequently applied in the civil proceedings. Nevertheless, it was widely known that the front-line courts accepted the malpractice and causal relation by quoting the legal principles on relieving the burden of proof on malpractice and causal relation applied in the civil cases even in criminal cases with no or insufficient proof on malpractice or causal relation. However, the latest precedents in Supreme Court explicitly declared the opinion that there was no reason to apply the legal principle to relieve the burden of proof on the malpractice and causal relation in the criminal cases requiring the proof 'which doesn't cause any reasonable doubt' on malpractice and causal relation in accordance with the legal principles 'favorable judgment for a defendant in case of any doubt' on the basis of the strict principle of 'nulla poena sine lege.' Accordingly, Supreme court definitely clarified that there would be no reason to relieve the burden of proof on malpractice and causal relation in criminal cases by reversing several original judgments accepting malpractice and causal relation even though there were no strict evidence.