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Comprehensive Reliability Allocation Method for CNC Lathes Based on Cubic Transformed Functions of Failure Mode and Effects Analysis 被引量:8
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作者 YANG Zhou ZHU Yunpeng +1 位作者 REN Hongrui ZHANG Yimin 《Chinese Journal of Mechanical Engineering》 SCIE EI CAS CSCD 2015年第2期315-324,共10页
Reliability allocation of computerized numerical controlled(CNC)lathes is very important in industry.Traditional allocation methods only focus on high-failure rate components rather than moderate failure rate compon... Reliability allocation of computerized numerical controlled(CNC)lathes is very important in industry.Traditional allocation methods only focus on high-failure rate components rather than moderate failure rate components,which is not applicable in some conditions.Aiming at solving the problem of CNC lathes reliability allocating,a comprehensive reliability allocation method based on cubic transformed functions of failure modes and effects analysis(FMEA)is presented.Firstly,conventional reliability allocation methods are introduced.Then the limitations of direct combination of comprehensive allocation method with the exponential transformed FMEA method are investigated.Subsequently,a cubic transformed function is established in order to overcome these limitations.Properties of the new transformed functions are discussed by considering the failure severity and the failure occurrence.Designers can choose appropriate transform amplitudes according to their requirements.Finally,a CNC lathe and a spindle system are used as an example to verify the new allocation method.Seven criteria are considered to compare the results of the new method with traditional methods.The allocation results indicate that the new method is more flexible than traditional methods.By employing the new cubic transformed function,the method covers a wider range of problems in CNC reliability allocation without losing the advantages of traditional methods. 展开更多
关键词 CNC lathes reliability failure modes and effects analysis(FMEA) cubic transformed function comprehensive allocation
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Application of Fuzzy Decision-Making Theory and Conflict-Resolution Method to Failure Mode and Effect Analysis of Industrial Valve
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作者 吴世青 沈斌 +3 位作者 王家海 郑大腾 KUNZE Markus FLEISCHER Juergen 《Journal of Donghua University(English Edition)》 EI CAS 2017年第2期184-188,共5页
It is not objective to rate the decision-making factors in the traditional failure mode and effect analysis,so fuzzy semantic theory is used in this paper.Six fuzzy semantic scales and their corresponding semantics ar... It is not objective to rate the decision-making factors in the traditional failure mode and effect analysis,so fuzzy semantic theory is used in this paper.Six fuzzy semantic scales and their corresponding semantics are summarized,and a defuzzification method is studied to obtain the fuzzy value table of the six fuzzy semantic scales.For the conflicts between experts in the traditional failure mode and effects analysis,a conflict-resolution algorithm is studied to obtain the failure risk order.Finally,a certain type of industrial valve is used as an example to prove the validity of the theory proposed in this paper. 展开更多
关键词 failure mode and effect analysis fuzzy semantic multiobject decision-making conflict-resolution
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Failure Mode Effects and Criticality Analysis Method of Armored Equipment Based on Testability Growth
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作者 曹艳华 郭金茂 吕会强 《Journal of Donghua University(English Edition)》 EI CAS 2018年第3期252-255,共4页
In view of the low level testability of armored equipment,the important significance of armored equipment testability growth is discussed in this paper.The failure mode effects and criticality analysis( FMECA) method ... In view of the low level testability of armored equipment,the important significance of armored equipment testability growth is discussed in this paper.The failure mode effects and criticality analysis( FMECA) method to realize testability growth is introduced.Centering on the testability growth demands of new armored equipment,the deficiencies of traditional FMECA are analyzed.And an enhanced FMECA( EFMECA) method is proposed.The method increases the analysis contents,combines the information before the failure occurrence and impending failure modes together organically.Then the failure symptoms is analyzed,the failure modes and effects is determined,and the state development trend is predicted.Finally,the application of EFMECA method is illustrated by the example of the failure mode of typical armored equipment engine. 展开更多
关键词 testability growth armored equipment the failure mode effects and criticality analysis(FMECA) design of testability
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Impact of failure mode and effects analysis-based emergency management on the effectiveness of craniocerebral injury treatment 被引量:3
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作者 Xiao-Lan Shao Ya-Zhou Wang +1 位作者 Xiong-Hui Chen Wen-Juan Ding 《World Journal of Clinical Cases》 SCIE 2022年第2期554-562,共9页
BACKGROUND Craniocerebral injuries encompass brain injuries,skull fractures,cranial soft tissue injuries,and similar injuries.Recently,the incidence of craniocerebral injuries has increased dramatically due to the inc... BACKGROUND Craniocerebral injuries encompass brain injuries,skull fractures,cranial soft tissue injuries,and similar injuries.Recently,the incidence of craniocerebral injuries has increased dramatically due to the increased numbers of traffic accidents and aerial work injuries,threatening the physical and mental health of patients.AIM To investigate the impact of failure modes and effects analysis(FMEA)-based emergency management on craniocerebral injury treatment effectiveness.METHODS Eighty-four patients with craniocerebral injuries,treated at our hospital from November 2019 to March 2021,were selected and assigned,using the random number table method,to study(n=42)and control(n=42)groups.Patients in the control group received conventional management while those in the study group received FMEA theory-based emergency management,based on the control group.Pre-and post-interventions,details regarding the emergency situation;levels of inflammatory stress indicators[Interleukin-6(IL-6),C-reactive protein(CRP),and procalcitonin(PCT)];incidence of complications;prognoses;and satisfaction regarding patient care were evaluated for both groups.RESULTS For the study group,the assessed parameters[pre-hospital emergency response time(9.13±2.37 min),time to receive a consultation(2.39±0.44 min),time needed to report imaging findings(1.15±4.44 min),and test reporting time(32.19±6.23 min)]were shorter than those for the control group(12.78±4.06 min,3.58±0.71 min,33.49±5.51 min,50.41±11.45 min,respectively;P<0.05).Pre-intervention serum levels of IL-6(78.71±27.59 pg/mL),CRP(19.80±6.77 mg/L),and PCT(3.66±1.82 ng/mL)in the study group patients were not significantly different from those in the control group patients(81.31±32.11 pg/mL,21.29±8.02 mg/L,and 3.95±2.11 ng/mL respectively;P>0.05);post-intervention serum indicator levels were lower in both groups than pre-intervention levels.Further,serum levels of IL-6(17.35±5.33 pg/mL),CRP(2.27±0.56 mg/L),and PCT(0.22±0.07 ng/mL)were lower in the study group than in the control group(30.15±12.38 pg/mL,3.13±0.77 mg/L,0.38±0.12 ng/mL,respectively;P<0.05).The complication rate observed in the study group(9.52%)was lower than that in the control group(26.19%,P<0.05).The prognoses for the study group patients were better than those for the control patients(P<0.05).Patient care satisfaction was higher in the study group(95.24%)than in the control group(78.57%,P<0.05).CONCLUSION FMEA-based craniocerebral injury management effectively shortens the time spent on emergency care,reduces inflammatory stress and complication risk levels,and helps improve patient prognoses,while achieving high patient care satisfaction levels. 展开更多
关键词 Craniocerebral injury failure modes and effects analysis theory Emergency management Treatment effect
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Risk Evaluation in Blood Donation Using Failure Mode and Effective Analysis
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作者 Razaz M. Salih Eltahir M. Husein Elias Hassan 《Journal of Biomedical Science and Engineering》 2021年第4期177-184,共8页
The recognition and management of risk in donation process and blood product is critical to ensure donor and patient safety. To achieve this goal, the failure mode and effects analysis (FMEA) is a convenient method;mo... The recognition and management of risk in donation process and blood product is critical to ensure donor and patient safety. To achieve this goal, the failure mode and effects analysis (FMEA) is a convenient method;moreover it was used to prevent the occurrence of adverse events and look at what could go strong at each step. This study aimed to utilize FMEA in central blood bank in Khartoum to evaluate the potential risk and adverse event that may occur during the donation process. According to the severity, occurrence and the detection of each failure mode, the risk priority number (RPN) was calculated to determine which of the failures should take priority to find a solution and applying corrective action to reduce the failure risk. The statistical package for social sciences (SPSS) version 11 was used as descriptive and analytical statistics tool. The FMEA technique provides a systematic method for finding vulnerabilities in a process before they result in an error, and in this study a satisfactory outcome was reached. 展开更多
关键词 DONATION Blood Product DONOR failure mode and effective analysis Adverse Event Risk Priority Number
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Effect of Healthcare Failure Mode and Effect Analysis on Reducing Error Risk of Neonatal Parenteral Nutrition Solution Dispensing
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作者 Xinhong ZHAO Zhenhua LIU +3 位作者 Chao SUN Xu XIAO Lixue ZHAO Chunhua CAI 《Medicinal Plant》 CAS 2022年第2期63-69,共7页
[Objectives]To investigate the effect of healthcare failure mode and effect analysis(HFMEA)on reducing error risk of neonatal parenteral nutrition solution dispensing.[Methods]A research team was established to identi... [Objectives]To investigate the effect of healthcare failure mode and effect analysis(HFMEA)on reducing error risk of neonatal parenteral nutrition solution dispensing.[Methods]A research team was established to identify the failure mode(FM)in each link of the formulation process of neonatal parenteral nutrition solution by HFMEA,quantify the severity(S),occurrence(O)and detection(D)of FM,and evaluate FM by risk priority number(RPN).For FM with the values of RPN>16,failure cause analysis was conducted,and corresponding improvement measures were formulated.The weight coefficient and random consistency ratio(CR)of deployment process were calculated in Matlab R2018a by compiling the Analytic Hierarchy Process(AHP)program.Six months after the implementation of improvement measures,the implementation effect was evaluated by comparing the changes of the values of RPN which was evaluated comprehensively and the rate of dispensing errors before and after the implementation of HFMEA.[Results]In the preparation process of neonatal parenteral nutrition solution,a total of 13 FMs with medium and above risk were found,the weight coefficient of medical order review,dosing and mixing was 0.2703,the weight coefficient of drug dispensing check and review was 0.1432,the weight coefficient of print label was 0.1015,the weight coefficient of distribution was 0.0716,and CR=0.0491<0.1.After six months of intervention,the total RPN value decreased by 64.81%from 127.8 to 45.0.The deployment error rates were significantly lower after the implementation,and the difference was statistically significant(P<0.05).[Conclusions]HFMEA can effectively reduce the error risk in preparation of neonatal parenteral nutrition solution,improve the quality of dispensing and promote the safety of neonatal medication. 展开更多
关键词 Healthcare failure mode and effect analysis(HFMEA) Neonatal parenteral nutrition solution Dispensing errors Risk management Analytic hierarchy process(AHP)
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Failure Mode and Effects Analysis (FMEA) by Fuzzy Data Envelop Analysis (Fuzzy-DEA)
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作者 Hamed Rahmani Milad Jasemi 《Journal of Mathematics and System Science》 2014年第3期173-179,共7页
关键词 数据包络分析 FMEA 故障模式 DEA 模糊 超氧化物歧化酶 失效模式 严重程度
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Nonlinear dynamic modeling of planar moving Timoshenko beam considering non-rigid non-elastic axial effects
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作者 M.ABBASI GAVARI M.R.HOMAEINEZHAD 《Applied Mathematics and Mechanics(English Edition)》 SCIE EI CSCD 2024年第3期479-496,共18页
Due to the importance of vibration effects on the functional accuracy of mechanical systems,this research aims to develop a precise model of a nonlinearly vibrating single-link mobile flexible manipulator.The manipula... Due to the importance of vibration effects on the functional accuracy of mechanical systems,this research aims to develop a precise model of a nonlinearly vibrating single-link mobile flexible manipulator.The manipulator consists of an elastic arm,a rotary motor,and a rigid carrier,and undergoes general in-plane rigid body motion along with elastic transverse deformation.To accurately model the elastic behavior,Timoshenko’s beam theory is used to describe the flexible arm,which accounts for rotary inertia and shear deformation effects.By applying Newton’s second law,the nonlinear governing equations of motion for the manipulator are derived as a coupled system of ordinary differential equations(ODEs)and partial differential equations(PDEs).Then,the assumed mode method(AMM)is used to solve this nonlinear system of governing equations with appropriate shape functions.The assumed modes can be obtained after solving the characteristic equation of a Timoshenko beam with clamped boundary conditions at one end and an attached mass/inertia at the other.In addition,the effect of the transverse vibration of the inextensible arm on its axial behavior is investigated.Despite the axial rigidity,the effect makes the rigid body dynamics invalid for the axial behavior of the arm.Finally,numerical simulations are conducted to evaluate the performance of the developed model,and the results are compared with those obtained by the finite element approach.The comparison confirms the validity of the proposed dynamic model for the system.According to the mentioned features,this model can be reliable for investigating the system’s vibrational behavior and implementing vibration control algorithms. 展开更多
关键词 planar moving Timoshenko beam non-rigid non-elastic axial effect as-sumed mode method(AMM) nonlinear motion analysis
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Upper-Bound Limit Analysis of the Multi-Layer Slope Stability and Failure Mode Based on Generalized Horizontal Slice Method
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作者 Huawei Zhang Changdong Li +5 位作者 Wenqiang Chen Ni Xie Guihua Wang Wenmin Yao Xihui Jiang Jingjing Long 《Journal of Earth Science》 SCIE CAS CSCD 2024年第3期929-940,共12页
Multi-layer slopes are widely found in clay residue receiving fields.A generalized horizontal slice method(GHSM)for assessing the stability of multi-layer slopes that considers the energy dissipation between adjacent ... Multi-layer slopes are widely found in clay residue receiving fields.A generalized horizontal slice method(GHSM)for assessing the stability of multi-layer slopes that considers the energy dissipation between adjacent horizontal slices is presented.In view of the upper-bound limit analysis theory,the energy equation is derived and the ultimate failure mode is generated by comparing the sliding surface passing through the slope toe(mode A)with that below(mode B).In addition,the influence of the number of slices on the stability coefficients in the GHSM is studied and the stable value is obtained.Compared to the original method(Chen’s method),the GHSM can acquire more precise results,which takes into account the energy dissipation in the inner sliding soil mass.Moreover,the GHSM,limit equilibrium method(LEM)and numerical simulation method(NSM)are applied to analyze the stability of a multi-layer slope with different slope angles and the results of the safety factor and failure mode are very close in each case.The ultimate failure modes are shown to be mode B when the slope angle is not more than 28°.It illustrates that the determination of the ultimate sliding surface requires comparison of multiple failure modes,not only mode A. 展开更多
关键词 stability and failure mode slope stability generalized horizontal slice method upperbound limit analysis energy dissipation geotechnical engineering.
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Reliability analysis of retaining walls with multiple failure modes 被引量:2
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作者 张道兵 孙志彬 朱川曲 《Journal of Central South University》 SCIE EI CAS 2013年第10期2879-2886,共8页
In order to reduce the errors of the reliability of the retaining wall structure in the establishment of function, in the estimation of parameter and algorithm, firstly, two new reliability and stability models of ant... In order to reduce the errors of the reliability of the retaining wall structure in the establishment of function, in the estimation of parameter and algorithm, firstly, two new reliability and stability models of anti-slipping and anti-overturning based on the upper-bound theory of limit analysis were established, and two kinds of failure modes were regarded as a series of systems with multiple correlated failure modes. Then, statistical characteristics of parameters of the retaining wall structure were inferred by maximal entropy principle. At last, the structural reliabilities of single failure mode and multiple failure modes were calculated by Monte Carlo method in MATLAB and the results were compared and analyzed on the sensitivity. It indicates that this method, with a high precision, is not only easy to program and quick in calculation, but also without the limit of nonlinear functions and non-normal random variables. And the results calculated by this method which applies both the limit analysis theory, maximal entropy principle and Monte Carlo method into analyzing the reliability of the retaining wall structures is more scientific, accurate and reliable, in comparison with those calculated by traditional method. 展开更多
关键词 retaining wall MAXIMAL entropy PRINCIPLE LIMIT analysis MONTE Carlo method multiple failure modeS reliability
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System failure analysis based on DEMATEL–ISM and FMECA 被引量:2
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作者 申桂香 孙曙光 +3 位作者 张英芝 王志琼 陈炳锟 马闯 《Journal of Central South University》 SCIE EI CAS 2014年第12期4518-4525,共8页
A new method of system failure analysis was proposed. First, considering the relationships between the failure subsystems,the decision making trial and evaluation laboratory(DEMATEL) method was used to calculate the d... A new method of system failure analysis was proposed. First, considering the relationships between the failure subsystems,the decision making trial and evaluation laboratory(DEMATEL) method was used to calculate the degree of correlation between the failure subsystems, analyze the combined effect of related failures, and obtain the degree of correlation by using the directed graph and matrix operations. Then, the interpretative structural modeling(ISM) method was combined to intuitively show the logical relationship of many failure subsystems and their influences on each other by using multilevel hierarchical structure model and obtaining the critical subsystems. Finally, failure mode effects and criticality analysis(FMECA) was used to perform a qualitative hazard analysis of critical subsystems, determine the critical failure mode, and clarify the direction of reliability improvement.Through an example, the result demonstrates that the proposed method can be efficiently applied to system failure analysis problems. 展开更多
关键词 故障分析 FMECA CISM 子系统 基础 解释结构模型 层次结构模型 危害性分析
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Reliability analysis for aeroengine turbine disc fatigue life with multiple random variables based on distributed collaborative response surface method 被引量:2
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作者 高海峰 白广忱 +1 位作者 高阳 鲍天未 《Journal of Central South University》 SCIE EI CAS CSCD 2015年第12期4693-4701,共9页
The fatigue life of aeroengine turbine disc presents great dispersion due to the randomness of the basic variables,such as applied load,working temperature,geometrical dimensions and material properties.In order to am... The fatigue life of aeroengine turbine disc presents great dispersion due to the randomness of the basic variables,such as applied load,working temperature,geometrical dimensions and material properties.In order to ameliorate reliability analysis efficiency without loss of reliability,the distributed collaborative response surface method(DCRSM) was proposed,and its basic theories were established in this work.Considering the failure dependency among the failure modes,the distributed response surface was constructed to establish the relationship between the failure mode and the relevant random variables.Then,the failure modes were considered as the random variables of system response to obtain the distributed collaborative response surface model based on structure failure criterion.Finally,the given turbine disc structure was employed to illustrate the feasibility and validity of the presented method.Through the comparison of DCRSM,Monte Carlo method(MCM) and the traditional response surface method(RSM),the results show that the computational precision for DCRSM is more consistent with MCM than RSM,while DCRSM needs far less computing time than MCM and RSM under the same simulation conditions.Thus,DCRSM is demonstrated to be a feasible and valid approach for improving the computational efficiency of reliability analysis for aeroengine turbine disc fatigue life with multiple random variables,and has great potential value for the complicated mechanical structure with multi-component and multi-failure mode. 展开更多
关键词 complicated mechanical structure reliability analysis multiple random variables multi-component and multi-failure mode distributed collaborative response surface method
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Analysis of Potential Failure Modes in an Assembly Line by Fuzzy Expert Systems
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作者 Mehdi Piltan Reza Ghodsi +1 位作者 Foad Quarashi Mehrdad Azizian 《Journal of Mechanics Engineering and Automation》 2011年第6期445-449,共5页
关键词 失效模式分析 模糊专家系统 装配线 FMEA 产品生命周期 多输入单输出 装配生产线 评估系统
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Assessment Method for the Reliability of Power Transformer Based on Fault-tree Analysis 被引量:15
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作者 WANG You-yuan ZHOU Jing-jing CHEN Wei-gen DU Lin CHEN Ren-gang 《高电压技术》 EI CAS CSCD 北大核心 2009年第3期514-520,共7页
关键词 电力变压器 供电系统 故障树分析 失效模式
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Numerical analysis of pile–slope stability and the soil arching around two adjacent piles
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作者 Chien-Yuan CHEN Chun-Kai CHANG Yu-Shan LIN 《Journal of Mountain Science》 SCIE CSCD 2022年第11期3270-3285,共16页
Seismic pile–slope stability analysis and the formation mechanism of soil arching have not been well studied. This study used a threedimensional(3D) finite difference to determine soil and pile parameter changes in t... Seismic pile–slope stability analysis and the formation mechanism of soil arching have not been well studied. This study used a threedimensional(3D) finite difference to determine soil and pile parameter changes in the static and seismic stability of the pile–slope caused by the interaction between stabilizing piles. Pile–slope stability analysis was performed to determine the optimal design of piles along a slope and the corresponding failure mode involving the formation of soil arching around two adjacent piles. The Factor of Safety(FS) of the slope was evaluated using the shear strength reduction method for static and seismic analyses. The results of the analysis show that suitable pile spacing(S) and a suitable pile diameter(D) in the middle of a slope result in the maximum FS for the pile–slope system and the formation of soil arching around two adjacent piles. FS of the pile–slope increased negligibly in the seismic analysis of piles located at the slope crest and toe. An optimized pile diameter and installation location afforded the maximum FS for the slope that corresponded to a specified slope failure mode for different pile locations. A pile spacing S ≤ 2.5D for piles installed in the middle of the slope is suggested for increasing the static and seismic pile–slope stability. 展开更多
关键词 Numerical modeling Slope stability Stabilizing pile Arching effect Seismic analysis failure mode
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Analysis of Computer Network Reliability and Criticality: Technique and Features
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作者 Iraj Elyasi-Komari Anatoliy Gorbenko +1 位作者 Vyacheclav Kharchenko Athanasios Mamalis 《International Journal of Communications, Network and System Sciences》 2011年第11期720-726,共7页
The paper describes modern technologies of Computer Network Reliability. Software tool is developed to estimate of the CCN critical failure probability (construction of a criticality matrix) by results of the FME(C)A-... The paper describes modern technologies of Computer Network Reliability. Software tool is developed to estimate of the CCN critical failure probability (construction of a criticality matrix) by results of the FME(C)A-technique. The internal information factors, such as collisions and congestion of switchboards, routers and servers, influence on a network reliability and safety (besides of hardware and software reliability and external extreme factors). The means and features of Failures Modes and Effects (Critical) Analysis (FME(C)A) for reliability and criticality analysis of corporate computer networks (CCN) are considered. The examples of FME(C)A-Technique for structured cable system (SCS) is given. We also discuss measures that can be used for criticality analysis and possible means of criticality reduction. Finally, we describe a technique and basic principles of dependable development and deployment of computer networks that are based on results of FMECA analysis and procedures of optimization choice of means for fault-tolerance ensuring. 展开更多
关键词 FME(C)A (failure modes and effects (Criticality) analysis) COMPUTER Network Reliability CRITICALITY CORPORATE COMPUTER Networks
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Failure Modes of Machining Center in Test Run
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作者 郝思文 丛明 +2 位作者 韩玉婷 李泳耀 张建荣 《Journal of Donghua University(English Edition)》 EI CAS 2014年第6期835-838,共4页
To analysis the early failures of machining centers,the failure mode effect and criticality analysis( FMECA) method was used. Based on the failure data collected from production lines in test run,all the failure modes... To analysis the early failures of machining centers,the failure mode effect and criticality analysis( FMECA) method was used. Based on the failure data collected from production lines in test run,all the failure modes of machining centers were summarized and criticality of all subsystems is figured out. And the process of FMECA was improved. The most critical subsystem was manipulator subsystem. The most critical failure mode was impacted manipulator. Reasons and effect of some important failure modes were analyzed. And some suggestions to solve failures were given. 展开更多
关键词 failure mode effect and criticality analysis(FMECA) machining center failure mode
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基于FMEA法的住院药房智能药柜用药安全研究 被引量:1
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作者 倪倩 方丽涌 +7 位作者 吴娜 王涛 王一淳 周莫菲 陈露露 姚晨蕊 谭玲 金鹏飞 《中国药业》 CAS 2024年第4期1-5,共5页
目的提高住院药房智能药柜(ADC)的用药安全管理。方法采用失效模型和效应分析(FMEA)法,经医院护士、药师等讨论后,从信息系统、人员操作、药品信息、硬件设备、管理方法5个方面建立20个失效模型(包括32个风险点),汇总为调查问卷,并通过... 目的提高住院药房智能药柜(ADC)的用药安全管理。方法采用失效模型和效应分析(FMEA)法,经医院护士、药师等讨论后,从信息系统、人员操作、药品信息、硬件设备、管理方法5个方面建立20个失效模型(包括32个风险点),汇总为调查问卷,并通过专家咨询和药师讨论后建立问卷评分标准。于干预前发放问卷进行调查,根据发现的风险对其中30个可操作的风险点设定干预措施,持续干预5个月后(干预后)再次进行问卷调查,比较干预前后的风险优先级数(RPN)。结果干预后,30个风险点的RPN值均不同程度降低,其中22个显著降低(P<0.05)。管理方法方面的全部风险点RPN值均显著降低(P<0.05);硬件设备方面的全部风险点RPN值均无显著改变(P>0.05)。结论FMEA法用于住院药房ADC的用药安全研究,可减少其用药风险,促进药护共同管理安全使用ADC规则的形成,尤其适用于麻醉药品等特殊药品的用药管理。 展开更多
关键词 智能药柜 用药安全 失效模式与效应分析 住院药房 药品管理
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失效模式和效应分析在急诊抢救记录书写中的应用
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作者 王群 左霞 +2 位作者 王璐 陈月莉 吴玲莉 《循证护理》 2024年第7期1241-1244,共4页
目的:探索失效模式和效应分析(FMEA)在急诊抢救记录书写中的应用效果。方法:随机选取2022年1月—6月的300份急诊抢救记录作为对照组,2022年7月—12月的300份急诊抢救记录作为观察组。对照组采用常规质量控制管理,观察组采用FMEA管理,分... 目的:探索失效模式和效应分析(FMEA)在急诊抢救记录书写中的应用效果。方法:随机选取2022年1月—6月的300份急诊抢救记录作为对照组,2022年7月—12月的300份急诊抢救记录作为观察组。对照组采用常规质量控制管理,观察组采用FMEA管理,分析抢救记录书写过程中的失效模式及原因,计算优先风险数值,找出前5位的失效模式,分析原因,制订改进措施。比较两组急诊抢救记录书写缺陷情况;比较两组护士护理文书书写相关法律知识及理论知识的掌握情况。结果:观察组共发现缺陷71份,对照组共发现缺陷220份,观察组客观性缺陷、真实性缺陷、准确性缺陷、及时性缺陷、完整性缺陷、规范性缺陷的发生率分别为5.00%、2.67%、2.33%、3.67%、6.67%、3.33%,低于对照组的10.67%、8.33%、7.33%、15.67%、18.67%、12.67%,差异均有统计学意义(P<0.05)。观察组护士护理文书书写相关法律知识成绩(92.54±3.39)分、理论知识成绩(93.08±2.71)分,均高于对照组(75.78±7.14)分、(83.28±4.89)分,差异均有统计学意义(P<0.05)。结论:FMEA模式在急诊抢救记录书写中的应用效果良好,能提高护理文书书写质量及护士的书写能力。 展开更多
关键词 失效模式 效应分析 急诊 抢救记录 书写
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失效模式与效应分析提升手术室软式内镜清洗消毒质量的效果
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作者 卢瑛 陈沅 +1 位作者 王维 沈洁芳 《上海护理》 2024年第7期62-66,共5页
目的探讨失效模式与效应分析(FMEA)在提升手术室软式内镜清洗流程风险管理中的应用效果。方法选择上海交通大学医学院附属瑞金医院2021年1月1日至12月1日自动内镜清洗消毒机(AER)清洗消毒后的内镜共827镜次设为FMEA实施前组,2022年1月1... 目的探讨失效模式与效应分析(FMEA)在提升手术室软式内镜清洗流程风险管理中的应用效果。方法选择上海交通大学医学院附属瑞金医院2021年1月1日至12月1日自动内镜清洗消毒机(AER)清洗消毒后的内镜共827镜次设为FMEA实施前组,2022年1月1日至12月1日AER清洗消毒后的内镜共844镜次设为FMEA实施后组。运用FMEA对手术室软式内镜清洗操作程序中的各个环节进行分析,通过计算风险优先指数(RPN)查找每个环节中的高危因素,针对RPN>125的关键环节制订改进方案并予以实施。比较FMEA实施前后的失效模式RPN值、内镜消毒合格率、内镜故障维修率、手术患者等待时间、手术室护士AER操作熟练度以及医生满意度。结果FMEA实施后,经过筛选并整改的5个项目的RPN值均下降至<125分;总体的RPN值由1247.24分下降至475.05分,RPN值下降率为61.91%;FMEA实施前后内镜消毒合格率及内镜故障维修率差异均无统计学意义(P>0.05);FMEA实施后手术患者等待时间短于实施前[(10.35±1.57)min vs(12.38±1.91)min],手术室护士AER操作得分及医生满意度高于实施前[(92.50±3.92)分vs(80.49±5.64)分,(93.87±2.16)分vs(83.07±3.10)分],差异均有统计学意义(P<0.05)。结论通过应用FMEA针对性优化相关操作流程,使手术室护士对软式内镜的清洗操作更加熟练,有助于提高清洗效率与质量、减少手术患者的等待时间、提升医生满意度。 展开更多
关键词 手术室 软式内镜 清洗 消毒 失效模式与效应分析 风险管理 护理质量
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