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Effective Measure for Accident Prevention Onboard Sea Vessels—Improvements on 4M4E Analysis
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作者 Yoshiaki Kunieda Anju Ino +1 位作者 Hideyuki Kashima Koji Murai 《Journal of Traffic and Transportation Engineering》 2020年第2期47-54,共8页
The 4M4E analysis is a type of root-cause analysis that can multilaterally pinpoint the trigger factors of an accident or disaster using its analytic capabilities and can clarify various countermeasures against each t... The 4M4E analysis is a type of root-cause analysis that can multilaterally pinpoint the trigger factors of an accident or disaster using its analytic capabilities and can clarify various countermeasures against each trigger factor.This study aims to reduce the number of vessel accidents and disasters involving seafarers by improving the practical use of 4M4E analysis.Vessel accidents or disasters involving seafarers,related to a mooring line,sometimes result in a fatality;therefore,this research area has attracted international attention.In consideration of this,we devised an analysis method for accidents involving a mooring line by adding prediction to the 4Ms of 4M4E,having first extracted the potential causes of an accident through brainstorming.The 4M4E+P analysis could obtain additional trigger factors that were not revealed in the 4M4E analysis.Thus,a measure of adopting these newly acquired trigger factors was evaluated.In addition,it is thought that 4M4E+P analysis can reduce the risk of vessel accidents and disasters involving seafarers. 展开更多
关键词 Root-cause analysis 4m4e analysis 4m4e+P analysis mooring line accident trigger factor
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医院医疗事件报告系统解决方案 被引量:1
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作者 余志庆 王伟 +4 位作者 张敏 徐亦明 张穗蓉 王玉法 殷红彦 《中国数字医学》 2010年第4期44-47,共4页
《医院管理评价指南(试行)》和医院管理年活动都将提高医疗质量、保证医疗服务的安全性和有效性作为重要目标和要求。鉴于以信息技术手段作为实现这一目标的重要方法,在医院内部局域网内建立了以意外和不良事件为主体的医院医疗事件报... 《医院管理评价指南(试行)》和医院管理年活动都将提高医疗质量、保证医疗服务的安全性和有效性作为重要目标和要求。鉴于以信息技术手段作为实现这一目标的重要方法,在医院内部局域网内建立了以意外和不良事件为主体的医院医疗事件报告系统。医护人员以无责、匿名和自愿的方式,登录该系统,并及时将各类不良事件、意外事故等情况在系统中报告、记录,管理部门依据报告,可及时反馈并予以解决;通过对各报告事件的统计、分析,对相关工作进行总结、教育、培训,促进日常医疗管理水平的提高。通过在将系统建立过程中积累的经验和实际功能效果予以展示,对国内医院医疗事件报告系统的建立、推广和完善将有所裨益。 展开更多
关键词 医疗事件 报告系统 4m4e
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