48,694 research outputs found

    A safety analysis approach to clinical workflows : application and evaluation

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    Clinical workflows are safety critical workflows as they have the potential to cause harm or death to patients. Their safety needs to be considered as early as possible in the development process. Effective safety analysis methods are required to ensure the safety of these high-risk workflows, because errors that may happen through routine workflow could propagate within the workflow to result in harmful failures of the system’s output. This paper shows how to apply an approach for safety analysis of clinic al workflows to analyse the safety of the workflow within a radiology department and evaluates the approach in terms of usability and benefits. The outcomes of using this approach include identification of the root causes of hazardous workflow failures that may put patients’ lives at risk. We show that the approach is applicable to this area of healthcare and is able to present added value through the detailed information on possible failures, of both their causes and effects; therefore, it has the potential to improve the safety of radiology and other clinical workflows

    Quantitative evaluation of Pandora Temporal Fault Trees via Petri Nets

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    © 2015, IFAC (International Federation of Automatic Control) Hosting by Elsevier Ltd. All rights reserved. Using classical combinatorial fault trees, analysts are able to assess the effects of combinations of failures on system behaviour but are unable to capture sequence dependent dynamic behaviour. Pandora introduces temporal gates and temporal laws to fault trees to allow sequence-dependent dynamic analysis of events. Pandora can be easily integrated in model-based design and analysis techniques; however, the combinatorial quantification techniques used to solve classical fault trees cannot be applied to temporal fault trees. Temporal fault trees capture state and therefore require a state space solution for quantification of probability. In this paper, we identify Petri Nets as a possible framework for quantifying temporal trees. We describe how Pandora fault trees can be mapped to Petri Nets for dynamic dependability analysis and demonstrate the process on a fault tolerant fuel distribution system model

    Qualitative temporal analysis: Towards a full implementation of the Fault Tree Handbook

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    The Fault tree handbook has become the de facto standard for fault tree analysis (FTA), defining the notation and mathematical foundation of this widely used safety analysis technique. The Handbook recognises that classical combinatorial fault trees employing only Boolean gates cannot capture the potentially critical significance of the temporal ordering of failure events in a system. Although the Handbook proposes two dynamic gates that could remedy this, a Priority-AND and an Exclusive-OR gate, these gates were never accurately defined. This paper proposes extensions to the logical foundation of fault trees that enable use of these dynamic gates in an extended and more powerful FTA. The benefits of this approach are demonstrated on a generic triple-module standby redundant system exhibiting dynamic behaviour

    A diagnosis system using object-oriented fault tree models

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    Spaceborne computing systems must provide reliable, continuous operation for extended periods. Due to weight, power, and volume constraints, these systems must manage resources very effectively. A fault diagnosis algorithm is described which enables fast and flexible diagnoses in the dynamic distributed computing environments planned for future space missions. The algorithm uses a knowledge base that is easily changed and updated to reflect current system status. Augmented fault trees represented in an object-oriented form provide deep system knowledge that is easy to access and revise as a system changes. Given such a fault tree, a set of failure events that have occurred, and a set of failure events that have not occurred, this diagnosis system uses forward and backward chaining to propagate causal and temporal information about other failure events in the system being diagnosed. Once the system has established temporal and causal constraints, it reasons backward from heuristically selected failure events to find a set of basic failure events which are a likely cause of the occurrence of the top failure event in the fault tree. The diagnosis system has been implemented in common LISP using Flavors

    An Analytical Comparison of Some Rule-Learning Programs

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