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1.
J Radiol Prot ; 34(4): 891-914, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25379678

RESUMO

Failure mode, effects and criticality analysis (FMECA) is a safety technique extensively used in many different industrial fields to identify and prevent potential failures. In the application of traditional FMECA, the risk priority number (RPN) is determined to rank the failure modes; however, the method has been criticised for having several weaknesses. Moreover, it is unable to adequately deal with human errors or negligence. In this paper, a new versatile fuzzy rule-based assessment model is proposed to evaluate the RPN index to rank both component failure and human error. The proposed methodology is applied to potential radiological over-exposure of patients during high-dose-rate brachytherapy treatments. The critical analysis of the results can provide recommendations and suggestions regarding safety provisions for the equipment and procedures required to reduce the occurrence of accidental events.


Assuntos
Braquiterapia/instrumentação , Braquiterapia/mortalidade , Falha de Equipamento/estatística & dados numéricos , Erros Médicos/estatística & dados numéricos , Lesões por Radiação/mortalidade , Lesões por Radiação/prevenção & controle , Liberação Nociva de Radioativos/mortalidade , Braquiterapia/efeitos adversos , Simulação por Computador , Análise de Falha de Equipamento/métodos , Lógica Fuzzy , Humanos , Incidência , Erros Médicos/prevenção & controle , Modelos Estatísticos , Segurança do Paciente , Lesões por Radiação/etiologia , Proteção Radiológica , Liberação Nociva de Radioativos/prevenção & controle , Medição de Risco/métodos , Gestão da Segurança/métodos , Taxa de Sobrevida
2.
Health Phys ; 100(6): 622-31, 2011 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22004931

RESUMO

Fuzzy fault tree analyses were used to investigate accident scenarios that involve radiological exposure to operators working in industrial γ-ray irradiation facilities. The HEART method, a first generation human reliability analysis method, was used to evaluate the probability of adverse human error in these analyses. This technique was modified on the basis of fuzzy set theory to more directly take into account the uncertainties in the error-promoting factors on which the methodology is based. Moreover, with regard to some identified accident scenarios, fuzzy radiological exposure risk, expressed in terms of potential annual death, was evaluated. The calculated fuzzy risks for the examined plant were determined to be well below the reference risk suggested by International Commission on Radiological Protection.


Assuntos
Lógica Fuzzy , Raios gama/efeitos adversos , Exposição Ocupacional/efeitos adversos , Medição de Risco , Humanos , Indústrias , Probabilidade , Doses de Radiação
3.
J Radiol Prot ; 30(1): 49-62, 2010 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-20220212

RESUMO

Using fuzzy set theory, this paper presents results from risk analyses that explore potential exposure of medical operators working in a high dose rate brachytherapy irradiation plant. In these analyses, the HEART methodology, a first generation method for human reliability analysis, has been employed to evaluate the probability of human error. This technique has been modified on the basis of fuzzy set concepts to take into account, more directly, the uncertainties of the so-called error-promoting factors on which the method is based. Moreover, with regard to some identified accident scenarios, fuzzy potential dose was also evaluated to estimate the relevant risk. The results also provide some recommendations for procedures and safety equipment to reduce the occurrence of radiological exposure accidents.


Assuntos
Braquiterapia/efeitos adversos , Erros Médicos/prevenção & controle , Exposição Ocupacional/efeitos adversos , Proteção Radiológica/métodos , Liberação Nociva de Radioativos , Radiometria/métodos , Medição de Risco/métodos , Braquiterapia/instrumentação , Análise de Falha de Equipamento , Lógica Fuzzy , Humanos , Doses de Radiação , Lesões por Radiação/etiologia , Lesões por Radiação/prevenção & controle , Monitoramento de Radiação/métodos , Gestão da Segurança/métodos
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