An investigation on unintended reactor trip events in terms of human error hazards of Korean nuclear power plants

Kim, Sa Kil; Lee, Yong Hee; Jang, Tong Il; Oh, Yeon Ju; Shin, Kwang Hyeon

doi:10.1016/j.anucene.2013.11.009

Cited by 21 publications

(8 citation statements)

References 6 publications

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“…On the other hand, in some previous studies (Chauvin et al, ; El Bardissi et al, ; Kim et al, ; Li et al, ; Madigan et al, ; Theophilus et al, ), the HFACS with 19 error factors was used to analyze the accidents. Their results could help researchers to identify a series of problems that exist in the system.…”

Section: Discussionmentioning

confidence: 99%

“…However, Diller et al did not present the relationship between error factors or nanocodes in their study. The other studies (El Bardissi et al, ; Kim et al, ; Theophilus et al, ) only presented the relevance of error factors but did not point out the nanocodes of each error factor. Therefore, to reduce this disparity, recording the nanocodes and performing correlation analysis between nanocodes were integrated in this study.…”

Section: Introductionmentioning

confidence: 98%

“…Following the structure of the HFACS, the causal factors and root causes can be identified. Thus, the HFACS has been widely used in studies analyzing medical adverse events, aviation accidents, and other fields (Chauvin, Lardjane, Morel, Clostermann, & Langard, ; Chiu & Hsieh, ; Diller et al, ; El Bardissi, Wiegmann, Dearani, Daly, & Sundt, ; Kim, Lee, Jang, Oh, & Shin, ; Li, Harris, & Yu, ; Madigan, Golightly, & Madders, ; Theophilus et al, ).…”

Section: Introductionmentioning

confidence: 99%

“…Correlation provides additional information on the relationship between the error factors in healthcare system and other fields. Kim et al () applied the HFACS structure to analyze 38 nuclear power plant incidents and examined the correlation between various HFACS levels. Theophilus et al () analyzed the accidents in oil and gas industry with the HFACS and the correlations between error factors were assessed.…”

Section: Introductionmentioning

confidence: 99%

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The investigation of human error analysis in adverse drug events in Taiwan—From the perspective of causality assessment

Hsieh

Chiang

Wang

et al. 2019

Hum Ftrs & Erg Mfg Svc

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The goal of this study is to analyze the adverse drug events, using the human factors analysis and classification system (HFACS), and to identify the causality between the error factors. Twenty-five cases related to medication errors were identified. Seven experts were recruited to form an expert team for this study. The HFACS and root cause analysis were utilized in this study to identify the causal factors and the root causes of medication errors. The frequency of each error factor was recorded, and odds ratio was applied to measure the strength of the relevance of the error factors between adjacent levels of the HFACS. The results showed that 222 errors were identified and the main pathways and subpathways of medication errors from Level 4 to Level 1 of the HFACS were arranged in this study. According to the results, the deficiencies in organizations could be the main reasons causing adverse drug events in Taiwan. K E Y W O R D S adverse drug event, causality analysis, human error, human factors analysis and classification system (HFACS), patient safety

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The investigation of human error analysis in adverse drug events in Taiwan—From the perspective of causality assessment

Hsieh

Chiang

Wang

et al. 2019

Hum Ftrs & Erg Mfg Svc

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“…As a result, most accidents occurred due to four or more of defects. The initial stage risk that the errors at the time of nuclear power plant construction in the 1960s and 1970s with 81% of potential errors was latent, and it could be revealed as a risk by safety culture traits in the operations of the 1980s was raised (Kim et al, 2014).…”

Section: Journal Of the Ergonomics Society Of Koreamentioning

confidence: 99%

Safety Culture, A New Challenge to Human Factors Engineering for 21st Century

Lee¹

2016

Journal of the Ergonomics Society of Korea

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Objectiv e:This paper discusses the recent challenges to human factors engineering due to the safety culture.Background: As incidents occurring in specific fields such as logistics, plant, energy and medical sectors in Korea, as well as in the public sectors including railway, road, aviation and shipping, are recently raised as social issues from the disaster dimension, those incidents are dealt with as man-made disasters in many cases. The trend regarding all accidents as man-made disasters has been expanded in the active perspective that the controllability of all incidents should be ensured in technology development, due to change from a fatal point of view regarding disasters as random occurrence of uncertainties in the past.

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Investigation of Human Factors Using HFACS Framework—A Case Study for Unintended Reactor Trip Events in NPP

Karthick

Kumar

Robert

2019

Reliability, Safety and Hazard Assessment for Risk-Based Technologies

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An investigation on unintended reactor trip events in terms of human error hazards of Korean nuclear power plants

Cited by 21 publications

References 6 publications

The investigation of human error analysis in adverse drug events in Taiwan—From the perspective of causality assessment

The investigation of human error analysis in adverse drug events in Taiwan—From the perspective of causality assessment

Safety Culture, A New Challenge to Human Factors Engineering for 21st Century

Investigation of Human Factors Using HFACS Framework—A Case Study for Unintended Reactor Trip Events in NPP

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