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首页> 外文会议>International Conference on Probabilistic Safety Assessment and Management(PSAM7-ESREL'04) v.5; 20040614-20040618; Berlin; DE >Human Reliability Analysis in Cobalt-Therapy Process using an Adapted ATHEANA Prospective Approach
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Human Reliability Analysis in Cobalt-Therapy Process using an Adapted ATHEANA Prospective Approach

机译：改进的雅典娜前瞻性方法在钴治疗过程中的人类可靠性分析

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In this work it is proposed to start from initial events centered on the patients. This means, considering the attention of different pathologies or the number of patients who are due to take care of. This approach is based on how the conformation of the personnel Knowledge Base is directly related to the treated pathologies. This implies similar treatments for similar pathologies. While the rest of the context elements do not change, the new pathologies face the personnel to non recognized situations or wrongly recognized situations. In this paper several cases are analyzed in detail, for each one of the cases the possible problems of evaluation of the pathology and planning of a course of action are analyzed. A set of recommendations arises from this analysis: development of written procedures for several activities, guidance on how to proceed, formalization of the training process, retraining of the personnel based on specific cases, etc. The work also includes the identification of administrative barriers that allow to detect the possible errors and to initiate the correction processes. Several verification actions are proposed in different process points. Finally the analyses performed are matched with different errors detected in a specific Cobalt-Therapy service, demonstrating the utility of the approach, the adaptation and the application.
机译：在这项工作中，建议从以患者为中心的初始事件开始。这意味着，要考虑不同病理学的关注或要照顾的患者数量。该方法基于人员知识库的构造与所治疗的病理如何直接相关。这意味着对相似的病理有相似的治疗方法。尽管其余上下文元素没有改变，但是新的病理将使人员面临未识别的情况或错误识别的情况。本文详细分析了几种情况，对于每种情况，都分析了病理学评估和行动计划的可能问题。这项分析提出了一系列建议：制定多项活动的书面程序，指导如何进行，培训过程正规化，根据具体情况对人员进行再培训等。该工作还包括查明存在哪些行政障碍允许检测可能的错误并启动更正过程。在不同的过程点中提出了几种验证措施。最终，所执行的分析与在特定的钴疗法服务中检测到的不同错误相匹配，证明了该方法的实用性，适应性和应用性。

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