منابع مشابه
Root Cause and Error Analysis
Error is an inevitable part of life and cannot be completely eliminated, but it can be minimized. A root cause analysis is a technique for understanding the systematic error causes that is involved beyond a person or people to implement an errors and including field and environmental causes of errors when occur in this situation too. An important factor of an error occurrence is a root cause (c...
متن کاملRoot Cause Analysis of NIOC\'s 20" Natural Gas Explosion
Transmission and distribution pipelines have a significant role in the oil and gas industries. Pipelines are facing different threat like corrosion, improper design and incorrect operation. Gas vapor released from a pipeline (owned by NIOC) failure spread out and reached to ignition source. Due to gas outdoor spreading, “flash fire” occurred and flame return caused “vapor cloud explosion” of ga...
متن کاملScalable Root-Cause Analysis
From May 2 to May 7, 2010, the Dagstuhl Seminar 10181 Program Development for Extreme-Scale Computing was held in Schloss Dagstuhl Leibniz Center for Informatics. During the seminar, several participants presented their current research, and ongoing work and open problems were discussed. Abstracts of the presentations given during the seminar as well as abstracts of seminar results and ideas ar...
متن کاملRoot cause analysis.
M unoz, Lowry, and Smith (2012) reported the use of root cause analysis (RCA) as part of a continuous quality improvement project to reduce hypoglycemic episodes in patients following gynecological surgery. Root cause analysis is an important component of quality improvement, and nurses at all levels should understand the process and the outcomes of a RCA. Root cause analysis was used originall...
متن کاملCiliate species Epistylis sp. cause to fish deaths
A group of unicellular ciliates such Epistylis are amplified at aquatic environment by governor of food contamination. In the case, fixed ciliates like Epistylis are colonized as Ectoparasites on fishes, Aquatic crustaceans, Turtle and Aquatic plants. They graze food residue or bacteria or decompose residue like Ectoparasites. In this case, Epistylis licking their stems to the surface body of f...
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ژورنال
عنوان ژورنال: Nature
سال: 1996
ISSN: 0028-0836,1476-4687
DOI: 10.1038/380203a0