To introduce the basic concepts of technical specification of nuclear power plant,a risk assessment and management technique based on the probabilistic safety analysis( PSA) method was proposed. The risk-informed meth...To introduce the basic concepts of technical specification of nuclear power plant,a risk assessment and management technique based on the probabilistic safety analysis( PSA) method was proposed. The risk-informed method was used,and an example was given to show how to use some specific risk metrics like CDF / LERF /ICDP / ILERP to analyze and manage the risk associated with activities in nuclear power plant operation. The advantage of this technique can be concluded from this paper,and this technique should be used more widely and deeply in nuclear industry.展开更多
Due to long and irrational land-utilization, Ukraine deals with one of the most strained ecological situations in Europe. This work is devoted to the study of land resources transformation that was caused by human act...Due to long and irrational land-utilization, Ukraine deals with one of the most strained ecological situations in Europe. This work is devoted to the study of land resources transformation that was caused by human activity. The subject of study is to assess and forecast physical land and soil degradation, associated with the technical intensification of hazardous exogenous processes. The research is based on the use of methods of ecologic-geomorphological analysis, mathematical-statistical modeling and forecasting. This project gives characteristics to the main anthropogenic factors of threats and risks to land and soil, which take place in the territory of Ukraine. The estimation was conducted relatively dangerous hydrological and geological processes that are key factors of physical degradation of resources. These processes include erosion, flooding, secondary waterlogging, landslides and other collapsed phenomena. Graphic models reflect specific factors and environmental consequences of the most dangerous exogenous processes. Predicted is the development of dangerous hydrological and geological processes, influenced by technogenic factors. Different scenarios of physical land degradation are developed by the example of a specific technonatural geosystem. A measurement system of the sustainable usage and management of soil condition in Ukraine is improved.展开更多
Construction companies face threats from competition and must be able to adjust to modem technology and changes in customer expectations. These issues require efficient risk management techniques. The success of const...Construction companies face threats from competition and must be able to adjust to modem technology and changes in customer expectations. These issues require efficient risk management techniques. The success of construction companies running projects in international markets depends on how the risks arise from the host country conditions as well as the project specific risk factors. Successful management of risks requires identification of risks, construction of a risk model which can be used to assess the magnitude of risks, and implementation of response strategies so that an acceptable risk-return balance can be achieved. The project success usually depends on the combination of all risks, response strategies used to mitigate risks, and a company's ability to manage them. There exists a need to develop risk models containing the risks of doing business in international markets and factors that affect manageability of these risks. One of the market's critical challenges is scheduled management and the understanding and application of program management. This paper uses systematic risk identification, classification and analysis, and measurement and response methodologies to help international contractors quantify the risks of project development and accomplishment.展开更多
The risk assessment of contract conclusion is the primary and key part of equipment purchase contract risk management. In this paper, based on the fuzzy characteristics of contract risks, and overcoming the traditiona...The risk assessment of contract conclusion is the primary and key part of equipment purchase contract risk management. In this paper, based on the fuzzy characteristics of contract risks, and overcoming the traditional disadvantages of analytic hierarchy process (AHP), the fuzzy analytic hierarchy process (FAHP) of contract conclusion is proposed for meeting the actual need of equipment procurement contract risk assessment, and implementing the risk factors qualitative and quantitative assessments of different working nodes in contract conclusion. Thus, a scientific and reliable important basis is provided for the risk management of equipment procurement contract.展开更多
In this paper, we conduct research on the essential network equipment risk assessment method based on vulnerability scanning technology. A growing number of hackers wanton invasion of the computer, through the network...In this paper, we conduct research on the essential network equipment risk assessment method based on vulnerability scanning technology. A growing number of hackers wanton invasion of the computer, through the network to steal important information, or destroy the network, the paralyzed which caused huge losses to the state and society. Find a known vulnerability rather than to find the unknown vulnerabilities much easier, which means that most of the attacker' s use is common vulnerabilities. Therefore, we adopt the advantages of the technique to finalize the methodology for the essential network equipment risk assessment which will be meaningful.展开更多
In this paper, online security warning and risk assessment of power grid are proposed, based on data from EMS (Energy Management System), combined with information of real-time operation state, component status and ...In this paper, online security warning and risk assessment of power grid are proposed, based on data from EMS (Energy Management System), combined with information of real-time operation state, component status and external operating environment. It combines the two factors, contingency likelihood and severity, that determine system reliability, into risk indices on different loads and operation modes, which provide precise evaluation of the power grid's security performance. According to these indices, it can know the vulnerable area of the system and whether the normal operating mode or repair mode is over-limited or not, and provide decision-making support for dispatchers. Common cause outages and equipment-aging are considered in terms of the establishment of outage model. Multiple risk indices are defined in order to reflect the risk level of the power grid more comprehensively.展开更多
Port systems are more prone to being risk oriented. Many specific methods have been found to assess risk in a port area or operation. A review is presented in different approaches on human and environmental risks in p...Port systems are more prone to being risk oriented. Many specific methods have been found to assess risk in a port area or operation. A review is presented in different approaches on human and environmental risks in port area. On the other hand, there is no specific risk management method or fi'amework to cope with threats and hazards regarding on port machines or material accidents and port assets damages or losses. This paper presents a risk management methodology, seeking to investigate a process of assessing the assets hazards and damages into the domain of port container terminal, by taking into account its different factors and their mutual influences. This methodology constitutes a decision support framework that will be used to conduct port to port risk evaluations or to assess a whole port's and terminal's risk level in the critical field of assets damages and losses, in order to facilitate improvement strategies. An empirical study is contacted for the years of 2003-2012, in order to provide evidence for risk assessment and management in an economic effective way, regarding port assets damages and losses, at the Port Container Terminal of Piraeus in Greece.展开更多
BACKGROUND Critical patients often had various types of tubes,unplanned extubation of any kind of tube may cause serious injury to the patient,but previous reports mainly focused on endotracheal intubation.The limitat...BACKGROUND Critical patients often had various types of tubes,unplanned extubation of any kind of tube may cause serious injury to the patient,but previous reports mainly focused on endotracheal intubation.The limitations or incorrect use of the unplanned extubation risk assessment tool may lead to improper identification of patients at a high risk of unplanned extubation and cause delay or nonimplementation of unplanned extubation prevention interventions.To effectively identify and manage the risk of unplanned extubation,a comprehensive and universal unplanned extubation risk assessment tool is needed.AIM To assess the predictive value of the Huaxi Unplanned Extubation Risk Assessment Scale in inpatients.METHODS This was a retrospective validation study.In this study,medical records were extracted between October 2020 and September 2021 from a tertiary comprehensive hospital in southwest China.For patients with tubes during hospitalization,the following information was extracted from the hospital information system:age,sex,admission mode,education,marital status,number of tubes,discharge mode,unplanned extubation occurrence,and the Huaxi Unplanned Extubation Risk Assessment Scale(HUERAS)score.Only inpatients were included,and those with indwelling needles were excluded.The best cut-off value and the area under the curve(AUC)of the Huaxi Unplanned Extubation Risk Assessment Scale were been identified.RESULTS A total of 76033 inpatients with indwelling tubes were included in this study,and 26 unplanned extubations occurred.The patients’HUERAS scores were between 11 and 30,with an average score of 17.25±3.73.The scores of patients with or without unplanned extubation were 22.85±3.28 and 17.25±3.73,respectively(P<0.001).The results of the correlation analysis showed that the correlation coefficients between each characteristic and the total score ranged from 0.183 to 0.843.The best cut-off value was 21,and there were 14135 patients with a high risk of unplanned extubation,accounting for 18.59%.The Cronbach’sα,sensitivity,specificity,positive predictive value,and negative predictive value of the Huaxi Unplanned Extubation Risk Assessment Scale were 0.815,84.62%,81.43%,0.16%,and 99.99%,respectively.The AUC of HUERAS was 0.851(95%CI:0.783-0.919,P<0.001).CONCLUSION The HUERAS has good reliability and predictive validity.It can effectively identify inpatients at a high risk of unplanned extubation and help clinical nurses carry out risk screening and management.展开更多
Cardiovascular disease (CVD) risk assessment is an important instrument to enhance the clinical decision in the daily practice as well as to improve the preventive health care promoting the transfer from the hospital ...Cardiovascular disease (CVD) risk assessment is an important instrument to enhance the clinical decision in the daily practice as well as to improve the preventive health care promoting the transfer from the hospital to patient’s home. Due to its importance, clinical guidelines recommend the use of risk scores to predict the risk of a cardiovascular disease event. Therefore, there are several well known risk assessment tools, unfortunately they present some limitations.This work addresses this problem with two different methodologies:1) combination of risk assessment tools based on fusion of Bayesian classifiers complemented with genetic algorithm optimization;2) personalization of risk assessment through the creation of groups of patients that maximize the performance of each risk assessment tool. This last approach is implemented based on subtractive clustering applied to a reduced-dimension space.Both methodologies were developed to short-term CVD risk prediction for patients with Acute Coronary Syndromes without ST segment eleva-tion (ACS-NSTEMI). Two different real patients’ datasets were considered to validate the developed strategies:1) Santa Cruz Hospital, Portugal, N=460 patients;2)LeiriaPombal Hospital Centre, Portugal, N=99 patients.This work improved the performance in relation to current risk assessment tools reaching maximum values of sensitivity, specificity and geometric mean of, respectively, 80.0%, 82.9%, 81.5%. Besides this enhancement, the proposed methodologies allow the incorporation of new risk factors, deal with missing risk factors and avoid the selection of a single tool to be applied in the daily clinical practice. In spite of these achievements, the CVD risk assessment (patient stratification) should be improved. The incorporation of new risk factors recognized as clinically significant, namely parameters derived from heart rate variability (HRV), is introduced in this work. HRV is a strong and independent predictor of mortality in patients following acute myocardial infarction. The impact of HRV parameters in the characterization of coronary artery disease (CAD) patients will be conducted during hospitalization of these patients in the Leiria-Pombal Hospital Centre (LPHC).展开更多
Hazard and risk assessment procedures of different types of rockfall were analyzed to compare their outcomes when they are applied to the same case study.Although numerous methodologies are available in literature,roc...Hazard and risk assessment procedures of different types of rockfall were analyzed to compare their outcomes when they are applied to the same case study.Although numerous methodologies are available in literature,rockfall hazard and risk analyses are often limited to standard estimations,affected by a margin of uncertainty,especially when relevant engineering projects are about to be realized.Based on the design purpose,different types of approaches can be chosen among the qualitative and quantitative ones available in literature,which allow different levels of analysis.One of the main criticisms related to rockfall events is the risk affecting linear structures,such as road or railways,due both to their strategic relevance for trade and communications and to the great entity of the exposed value(traffic units)traveling along them.In this perspective,a comparison between the qualitative method known as Evolving Rockfall Hazard Assessment(EHRA),the semi-quantitative modified Rockfall Hazard Rating System(RHRS)and the quantitative Rockfall Risk Management(RoMa)approach is herein commented according to a practical application to a case study.It is the case of the rockfall threat along slopes crossed by a strategic road connecting two of the most known spots of eastern Sicily(Italy),at the Taormina tourist complex.Data were retrieved from both recent literature and technical surveys on field.Achieved results highlight how the approaches are affected by a different level of detail and uncertainty,arising also by some necessary assumption that must be taken into account,especially when mitigation measures or territory planning have to be designed.Achieved results can be also taken into account for similar studies worldwide,in order to choose the most suitable procedure based on the design purpose.This is indeed crucial in the perspective of the optimization of time and economic resources in the territorial planning practice.展开更多
The study was carried out exclusively in Ghana to explore the approaches employed by consultants in risk assessment at the design phase of projects in Ghana. One hundred and fourteen (114) consultants were selected ou...The study was carried out exclusively in Ghana to explore the approaches employed by consultants in risk assessment at the design phase of projects in Ghana. One hundred and fourteen (114) consultants were selected out of a population of one hundred and eighty six (186) from three main professional associations in Ghana made up of the Ghana Institute of Architects, Ghana Institution of Engineers and the Ghana Institution of Surveyors (Quantity Surveying Division) practicing in Ghana for the study. Both primary and secondary data were collected. A descriptive survey was also used to observe and describe the presence, frequency or absence of characteristics of a phenomenon as it naturally occurred, in order to gain additional information. A questionnaire was also designed to collect data from the architects, engineers and quantity surveyors. The data was analyzed using Statistical Package for the Social Scientists (SPSS) 17.0. Descriptive and inferential statistics, such as frequency tables, percentages and cross tabulations were used in the data analysis and summaries. Simple tests of associations were undertaken by using Chi square and Cramer’s V statistics to compare relationships between variables. Again, relative importance index was also used to analyze some of the data by computing to deduce their rankings. The relative importance index was used to analyze some of the data by computing to deduce their rankings. The research revealed that majority of consultants had an average knowledge of risk management. Based on the findings it was recommended that consultants undergo advanced training in risk assessment. It was therefore suggested that consultancy firms should develop a set of laid down procedures for consultants to use in risk assessment in order that the use of intuition employed by majority is lessened. The challenges observed in risk assessment and the remedial steps suggested curtailing the detrimental effects of risks would be of wide importance to many developing economies.展开更多
Power industry deregulation has changed the determination of electricity prices from administration approval to market clearing.Affected by multiple random factors,the market prices may fluctuate sharply or significan...Power industry deregulation has changed the determination of electricity prices from administration approval to market clearing.Affected by multiple random factors,the market prices may fluctuate sharply or significantly increase under extreme conditions,jeopardizing the normal operation of markets.In order to effectively deal with market risks,it is essential to develop the corresponding risk-control mechanisms,especially for spot market pilots.Therefore,this paper presents an overview on the risk assessment and management schemes which are widely used in the electricity markets.First,the key issues for evaluating market risks through inherent uncertainties and market power are summarized,including analysis models and quantitative metrics.Moreover,a comprehensive review of risk management and market supervision in typical electricity markets is presented.Specifically,a multi-time risk-control framework utilized by regulators is introduced to demonstrate the available schemes to reduce market risks.In addition,the various derivative contracts and portfolio optimizations are reviewed to help market participants hedge against market risks.Finally,suggestions for the development of risk management measures in spot market pilots are proposed.The summarized experience in this paper can provide useful references and guidelines for developing risk-control mechanisms in electricity markets.展开更多
Osteoporosis is a systemic skeletal disease characterized by low bone mineral density (BMD) and deterioration of bone architecture, resulting in reduced bone strength and, consequently, increased susceptibility to fra...Osteoporosis is a systemic skeletal disease characterized by low bone mineral density (BMD) and deterioration of bone architecture, resulting in reduced bone strength and, consequently, increased susceptibility to fractures which poses a significant public health concern worldwide, particularly in aging populations [1]. The health-economic impact of vertebral and hip fractures has been extensively explored and it is well known that these fractures are associated with morbidity/disability and increased mortality;they also account for a substantial portion of the direct fracture costs. This review aims to provide a comprehensive overview of osteoporosis, including its pathophysiology, risk factors, diagnostic approaches, and management strategies. By elucidating the multifaceted nature of this condition, healthcare providers can better identify individuals at risk, implement preventive measures, and optimize treatment to reduce the burden of osteoporotic fractures.展开更多
Enterprise risk management has become increasingly crucial in today’s complex and volatile business environment. This study explores the application of Multi-Criteria Decision Analysis (MCDA) in enterprise risk manag...Enterprise risk management has become increasingly crucial in today’s complex and volatile business environment. This study explores the application of Multi-Criteria Decision Analysis (MCDA) in enterprise risk management. MCDA provides a systematic approach to handling multidimensional risk assessment issues. The research begins by analyzing various types of risks faced by enterprises, including financial, operational, and strategic risks. It then examines the specific applications of major MCDA methods, such as the Analytic Hierarchy Process (AHP) and TOPSIS, in risk identification, assessment, and response. The study finds that MCDA can effectively integrate qualitative and quantitative risk information, enhancing the scientific nature of risk decision-making. However, MCDA also faces challenges in practice, such as the subjectivity in determining indicator weights. To address this issue, the research proposes improved methods combining fuzzy theory and group decision-making. Finally, case analyses illustrate the effectiveness of MCDA applications in risk management across different industries. This study provides theoretical guidance for enterprises to build more comprehensive and dynamic risk management systems.展开更多
Background:Health workers(HWs)are at increased risk for severe acute respiratory syndrome-coronavirus-2(SARS-CoV-2)infection and a possible source of nosocomial transmission clusters.Despite the increased risk,the bes...Background:Health workers(HWs)are at increased risk for severe acute respiratory syndrome-coronavirus-2(SARS-CoV-2)infection and a possible source of nosocomial transmission clusters.Despite the increased risk,the best surveillance strategy and management of exposed HWs are not yet well known.The aim of this review was to summarize and critically analyze the existing evidence related to this topic in order to support public health strategies aimed at protecting HWs in the hospital setting.Main text:A comprehensive computerized literature research from 1 January 2020 up to 22 May 2020 was made to identify studies analyzing the burden of infection,risk assessment,surveillance and management of HWs exposed to SARS-CoV-2.Among 1623 citation identified using MEDLINE,Embase,Google Scholar and manual search,we included 43 studies,14 webpages and 5 ongoing trials.Health workers have a high risk of acquiring infection while caring for coronavirus disease 2019(COVID-19)patients.In particular,some types exposures and their duration,as well as the inadequate or non-use of personal protective equipment(PPE)are associated with increased infection risk.Strict infection prevention and control procedures(IPC),adequate training programs on the appropriate use of PPE and close monitoring of HWs with symptom surveillance and testing are essential to significantly reduce the risk.At the moment there is not enough evidence to provide precise indications regarding pre-exposure prophylaxis(PREP)and post-exposure prophylaxis(PEP).Conclusions:During the spread of COVID-19 outbreak,numerous published papers investigated the epidemiology,risk assessment and prevention and control of SARS-CoV-2.However,more high-quality studies are needed to provide valid recommendations for better management and for the clinical and microbiological surveillance of healthcare personnel.展开更多
Technology is increasingly being used by organisations to mediate social/business relationships and social/business transactions. While traditional models of impact assessment have focused on the loss of confidentiali...Technology is increasingly being used by organisations to mediate social/business relationships and social/business transactions. While traditional models of impact assessment have focused on the loss of confidentiality, integrity and availability, we propose a new model based upon socio-technical systems thinking that places the people and the technology within an organisation’s business/functional context. Thus in performing risk management in a cyber security and safety context, a detailed picture of the impact that a security/safety incident can have on an organisation is developed. This in turn stimulates a more holistic view of the effectiveness, and appropriateness, of a counter measure.展开更多
Risk assessments quantify the probability of undesirable events along with their consequences.They are used to prioritize management interventions and assess tradeoffs,serving as an essential component of ecosystem-ba...Risk assessments quantify the probability of undesirable events along with their consequences.They are used to prioritize management interventions and assess tradeoffs,serving as an essential component of ecosystem-based management(EBM).A central objective of most risk assessments for conservation and management is to characterize uncertainty and impacts associated with one or more pressures of interest.Risk assessments have been used in marine resource management to help evaluate the risk of environmental,ecological,and anthropogenic pressures on species or habitats including for data-poor fisheries management(e.g.,toxicity,probability of extinction,habitat alteration impacts).Traditionally,marine risk assessments focused on singular pressure-response relationships,but recent advancements have included use of risk assessments in an EBM context,providing a method for evaluating the cumulative impacts of multiple pressures on multiple ecosystem components.Here,we describe a conceptual framework for ecosystem risk assessment(ERA),highlighting its role in operationalizing EBM,with specific attention to ocean management considerations.This framework builds on the ecotoxicological and conservation literature on risk assessment and includes recent advances that focus on risks posed by fishing to marine ecosystems.We review how examples of ERAs from the United States fit into this framework,explore the variety of analytical approaches that have been used to conduct ERAs,and assess the challenges and data gaps that remain.This review discusses future prospects for ERAs as EBM decision-support tools,their expanded role in integrated ecosystem assessments,and the development of next-generation risk assessments for coupled natural-human systems.展开更多
The importance of risk thinking is emphasized in the ISO quality management system.In order to do a good job in quality management,we should use risk thinking to do a good job in risk management,improve the level of q...The importance of risk thinking is emphasized in the ISO quality management system.In order to do a good job in quality management,we should use risk thinking to do a good job in risk management,improve the level of quality management,and enhance customer satisfaction,so that enterprises can meet the international quality certification standards in the process of development,and have greater development space in the market.Therefore,this paper studies the risk thinking in the ISO quality management system,summarizes the concept of risk thinking in the ISO quality management system,analyzes the problems existing in the application of risk thinking in the ISO quality management system of Chinese enterprises,and puts forward some suggestions for improvement one by one.It is hoped that the analysis can promote Chinese enterprises to fully integrate risk-based thinking into quality management,calmly cope with risks and opportunities,and make customers more satisfied with their services and products.展开更多
Green mining is concerned with mining in a sustainable manner, such that the needs of the present are met without compromising future generations. The achievement of this objective depends on balancing social, environ...Green mining is concerned with mining in a sustainable manner, such that the needs of the present are met without compromising future generations. The achievement of this objective depends on balancing social, environmental and economic objectives and has to have regard to both active mining operations and legacy issues associated with mine closure. Ground engineering has a critical role in achieving green mining objectives but its contribution is characterised by pervasive uncertainty. Uncertainty equates to risk. This means that ground engineering should be practiced within a risk management framework that aims to both prevent unwanted outcomes and to mitigate their consequences to an acceptable level. This keynote address presents the fundamentals of risk management and demonstrates its effectiveness by reference to improvements in the safety performance of the NSW coal sector over the past three decades.Nevertheless, ground control remains a mix of art and science, relying heavily on judgements which should be premised on knowledge, skill and experience(that is, competence). Risk management has now been enshrined in mining legislation and operating practice in Australia for over two decades.Notwithstanding this, near-hit and accident and incident investigations, commissions of inquiry and legal proceedings almost invariably identify deficiencies and opportunities for improvements necessary to achieve the objectives of sustainable mining. Three of the more important opportunities which have global application in relation to ground engineering are discussed. These relate to the vexing issue of defining competency in ground engineering; the criteria for undertaking rigorous risk assessment; and the need for ground engineers to become involved in mine rehabilitation and closure planning over the full life cycle of a mine, commencing at the prefeasibility stage.展开更多
Objective:To analyze the existing risks in breast milk management at the neonatal department and provide corresponding countermeasures.Methods:22 risk events were identified in 7 risk links in the process of bottle-fe...Objective:To analyze the existing risks in breast milk management at the neonatal department and provide corresponding countermeasures.Methods:22 risk events were identified in 7 risk links in the process of bottle-feeding of breast milk.Hazard Vulnerability Analysis based on the Kaiser model was applied to investigate and evaluate the risk events.Results:High-risk events include breast milk quality inspection,hand hygiene during collection,disinfection of collectors,cold chain management,hand hygiene during the reception,breast milk closed-loop management,and post-collection disposal.Root cause analysis of high-risk events was conducted and breast milk management strategies outside the hospital and within the neonatal department were proposed.Conclusion:Hazard Vulnerability Analysis based on the Kaiser model can identify and assess neonatal breast milk management risks effectively,which helps improve the management of neonatal breast milk.It is conducive to the safe development and promotion of bottle feeding of breast milk for neonates,ensuring the quality of medical services and the safety of children.展开更多
文摘To introduce the basic concepts of technical specification of nuclear power plant,a risk assessment and management technique based on the probabilistic safety analysis( PSA) method was proposed. The risk-informed method was used,and an example was given to show how to use some specific risk metrics like CDF / LERF /ICDP / ILERP to analyze and manage the risk associated with activities in nuclear power plant operation. The advantage of this technique can be concluded from this paper,and this technique should be used more widely and deeply in nuclear industry.
文摘Due to long and irrational land-utilization, Ukraine deals with one of the most strained ecological situations in Europe. This work is devoted to the study of land resources transformation that was caused by human activity. The subject of study is to assess and forecast physical land and soil degradation, associated with the technical intensification of hazardous exogenous processes. The research is based on the use of methods of ecologic-geomorphological analysis, mathematical-statistical modeling and forecasting. This project gives characteristics to the main anthropogenic factors of threats and risks to land and soil, which take place in the territory of Ukraine. The estimation was conducted relatively dangerous hydrological and geological processes that are key factors of physical degradation of resources. These processes include erosion, flooding, secondary waterlogging, landslides and other collapsed phenomena. Graphic models reflect specific factors and environmental consequences of the most dangerous exogenous processes. Predicted is the development of dangerous hydrological and geological processes, influenced by technogenic factors. Different scenarios of physical land degradation are developed by the example of a specific technonatural geosystem. A measurement system of the sustainable usage and management of soil condition in Ukraine is improved.
文摘Construction companies face threats from competition and must be able to adjust to modem technology and changes in customer expectations. These issues require efficient risk management techniques. The success of construction companies running projects in international markets depends on how the risks arise from the host country conditions as well as the project specific risk factors. Successful management of risks requires identification of risks, construction of a risk model which can be used to assess the magnitude of risks, and implementation of response strategies so that an acceptable risk-return balance can be achieved. The project success usually depends on the combination of all risks, response strategies used to mitigate risks, and a company's ability to manage them. There exists a need to develop risk models containing the risks of doing business in international markets and factors that affect manageability of these risks. One of the market's critical challenges is scheduled management and the understanding and application of program management. This paper uses systematic risk identification, classification and analysis, and measurement and response methodologies to help international contractors quantify the risks of project development and accomplishment.
文摘The risk assessment of contract conclusion is the primary and key part of equipment purchase contract risk management. In this paper, based on the fuzzy characteristics of contract risks, and overcoming the traditional disadvantages of analytic hierarchy process (AHP), the fuzzy analytic hierarchy process (FAHP) of contract conclusion is proposed for meeting the actual need of equipment procurement contract risk assessment, and implementing the risk factors qualitative and quantitative assessments of different working nodes in contract conclusion. Thus, a scientific and reliable important basis is provided for the risk management of equipment procurement contract.
文摘In this paper, we conduct research on the essential network equipment risk assessment method based on vulnerability scanning technology. A growing number of hackers wanton invasion of the computer, through the network to steal important information, or destroy the network, the paralyzed which caused huge losses to the state and society. Find a known vulnerability rather than to find the unknown vulnerabilities much easier, which means that most of the attacker' s use is common vulnerabilities. Therefore, we adopt the advantages of the technique to finalize the methodology for the essential network equipment risk assessment which will be meaningful.
文摘In this paper, online security warning and risk assessment of power grid are proposed, based on data from EMS (Energy Management System), combined with information of real-time operation state, component status and external operating environment. It combines the two factors, contingency likelihood and severity, that determine system reliability, into risk indices on different loads and operation modes, which provide precise evaluation of the power grid's security performance. According to these indices, it can know the vulnerable area of the system and whether the normal operating mode or repair mode is over-limited or not, and provide decision-making support for dispatchers. Common cause outages and equipment-aging are considered in terms of the establishment of outage model. Multiple risk indices are defined in order to reflect the risk level of the power grid more comprehensively.
文摘Port systems are more prone to being risk oriented. Many specific methods have been found to assess risk in a port area or operation. A review is presented in different approaches on human and environmental risks in port area. On the other hand, there is no specific risk management method or fi'amework to cope with threats and hazards regarding on port machines or material accidents and port assets damages or losses. This paper presents a risk management methodology, seeking to investigate a process of assessing the assets hazards and damages into the domain of port container terminal, by taking into account its different factors and their mutual influences. This methodology constitutes a decision support framework that will be used to conduct port to port risk evaluations or to assess a whole port's and terminal's risk level in the critical field of assets damages and losses, in order to facilitate improvement strategies. An empirical study is contacted for the years of 2003-2012, in order to provide evidence for risk assessment and management in an economic effective way, regarding port assets damages and losses, at the Port Container Terminal of Piraeus in Greece.
基金Supported by West China Nursing Discipline Development Special Fund Project,Sichuan University,No.HXHL19059。
文摘BACKGROUND Critical patients often had various types of tubes,unplanned extubation of any kind of tube may cause serious injury to the patient,but previous reports mainly focused on endotracheal intubation.The limitations or incorrect use of the unplanned extubation risk assessment tool may lead to improper identification of patients at a high risk of unplanned extubation and cause delay or nonimplementation of unplanned extubation prevention interventions.To effectively identify and manage the risk of unplanned extubation,a comprehensive and universal unplanned extubation risk assessment tool is needed.AIM To assess the predictive value of the Huaxi Unplanned Extubation Risk Assessment Scale in inpatients.METHODS This was a retrospective validation study.In this study,medical records were extracted between October 2020 and September 2021 from a tertiary comprehensive hospital in southwest China.For patients with tubes during hospitalization,the following information was extracted from the hospital information system:age,sex,admission mode,education,marital status,number of tubes,discharge mode,unplanned extubation occurrence,and the Huaxi Unplanned Extubation Risk Assessment Scale(HUERAS)score.Only inpatients were included,and those with indwelling needles were excluded.The best cut-off value and the area under the curve(AUC)of the Huaxi Unplanned Extubation Risk Assessment Scale were been identified.RESULTS A total of 76033 inpatients with indwelling tubes were included in this study,and 26 unplanned extubations occurred.The patients’HUERAS scores were between 11 and 30,with an average score of 17.25±3.73.The scores of patients with or without unplanned extubation were 22.85±3.28 and 17.25±3.73,respectively(P<0.001).The results of the correlation analysis showed that the correlation coefficients between each characteristic and the total score ranged from 0.183 to 0.843.The best cut-off value was 21,and there were 14135 patients with a high risk of unplanned extubation,accounting for 18.59%.The Cronbach’sα,sensitivity,specificity,positive predictive value,and negative predictive value of the Huaxi Unplanned Extubation Risk Assessment Scale were 0.815,84.62%,81.43%,0.16%,and 99.99%,respectively.The AUC of HUERAS was 0.851(95%CI:0.783-0.919,P<0.001).CONCLUSION The HUERAS has good reliability and predictive validity.It can effectively identify inpatients at a high risk of unplanned extubation and help clinical nurses carry out risk screening and management.
文摘Cardiovascular disease (CVD) risk assessment is an important instrument to enhance the clinical decision in the daily practice as well as to improve the preventive health care promoting the transfer from the hospital to patient’s home. Due to its importance, clinical guidelines recommend the use of risk scores to predict the risk of a cardiovascular disease event. Therefore, there are several well known risk assessment tools, unfortunately they present some limitations.This work addresses this problem with two different methodologies:1) combination of risk assessment tools based on fusion of Bayesian classifiers complemented with genetic algorithm optimization;2) personalization of risk assessment through the creation of groups of patients that maximize the performance of each risk assessment tool. This last approach is implemented based on subtractive clustering applied to a reduced-dimension space.Both methodologies were developed to short-term CVD risk prediction for patients with Acute Coronary Syndromes without ST segment eleva-tion (ACS-NSTEMI). Two different real patients’ datasets were considered to validate the developed strategies:1) Santa Cruz Hospital, Portugal, N=460 patients;2)LeiriaPombal Hospital Centre, Portugal, N=99 patients.This work improved the performance in relation to current risk assessment tools reaching maximum values of sensitivity, specificity and geometric mean of, respectively, 80.0%, 82.9%, 81.5%. Besides this enhancement, the proposed methodologies allow the incorporation of new risk factors, deal with missing risk factors and avoid the selection of a single tool to be applied in the daily clinical practice. In spite of these achievements, the CVD risk assessment (patient stratification) should be improved. The incorporation of new risk factors recognized as clinically significant, namely parameters derived from heart rate variability (HRV), is introduced in this work. HRV is a strong and independent predictor of mortality in patients following acute myocardial infarction. The impact of HRV parameters in the characterization of coronary artery disease (CAD) patients will be conducted during hospitalization of these patients in the Leiria-Pombal Hospital Centre (LPHC).
文摘Hazard and risk assessment procedures of different types of rockfall were analyzed to compare their outcomes when they are applied to the same case study.Although numerous methodologies are available in literature,rockfall hazard and risk analyses are often limited to standard estimations,affected by a margin of uncertainty,especially when relevant engineering projects are about to be realized.Based on the design purpose,different types of approaches can be chosen among the qualitative and quantitative ones available in literature,which allow different levels of analysis.One of the main criticisms related to rockfall events is the risk affecting linear structures,such as road or railways,due both to their strategic relevance for trade and communications and to the great entity of the exposed value(traffic units)traveling along them.In this perspective,a comparison between the qualitative method known as Evolving Rockfall Hazard Assessment(EHRA),the semi-quantitative modified Rockfall Hazard Rating System(RHRS)and the quantitative Rockfall Risk Management(RoMa)approach is herein commented according to a practical application to a case study.It is the case of the rockfall threat along slopes crossed by a strategic road connecting two of the most known spots of eastern Sicily(Italy),at the Taormina tourist complex.Data were retrieved from both recent literature and technical surveys on field.Achieved results highlight how the approaches are affected by a different level of detail and uncertainty,arising also by some necessary assumption that must be taken into account,especially when mitigation measures or territory planning have to be designed.Achieved results can be also taken into account for similar studies worldwide,in order to choose the most suitable procedure based on the design purpose.This is indeed crucial in the perspective of the optimization of time and economic resources in the territorial planning practice.
文摘The study was carried out exclusively in Ghana to explore the approaches employed by consultants in risk assessment at the design phase of projects in Ghana. One hundred and fourteen (114) consultants were selected out of a population of one hundred and eighty six (186) from three main professional associations in Ghana made up of the Ghana Institute of Architects, Ghana Institution of Engineers and the Ghana Institution of Surveyors (Quantity Surveying Division) practicing in Ghana for the study. Both primary and secondary data were collected. A descriptive survey was also used to observe and describe the presence, frequency or absence of characteristics of a phenomenon as it naturally occurred, in order to gain additional information. A questionnaire was also designed to collect data from the architects, engineers and quantity surveyors. The data was analyzed using Statistical Package for the Social Scientists (SPSS) 17.0. Descriptive and inferential statistics, such as frequency tables, percentages and cross tabulations were used in the data analysis and summaries. Simple tests of associations were undertaken by using Chi square and Cramer’s V statistics to compare relationships between variables. Again, relative importance index was also used to analyze some of the data by computing to deduce their rankings. The relative importance index was used to analyze some of the data by computing to deduce their rankings. The research revealed that majority of consultants had an average knowledge of risk management. Based on the findings it was recommended that consultants undergo advanced training in risk assessment. It was therefore suggested that consultancy firms should develop a set of laid down procedures for consultants to use in risk assessment in order that the use of intuition employed by majority is lessened. The challenges observed in risk assessment and the remedial steps suggested curtailing the detrimental effects of risks would be of wide importance to many developing economies.
基金supported in part by the Science and Technology Project of SGCC under Grant SGZJ0000KXJS1900181.
文摘Power industry deregulation has changed the determination of electricity prices from administration approval to market clearing.Affected by multiple random factors,the market prices may fluctuate sharply or significantly increase under extreme conditions,jeopardizing the normal operation of markets.In order to effectively deal with market risks,it is essential to develop the corresponding risk-control mechanisms,especially for spot market pilots.Therefore,this paper presents an overview on the risk assessment and management schemes which are widely used in the electricity markets.First,the key issues for evaluating market risks through inherent uncertainties and market power are summarized,including analysis models and quantitative metrics.Moreover,a comprehensive review of risk management and market supervision in typical electricity markets is presented.Specifically,a multi-time risk-control framework utilized by regulators is introduced to demonstrate the available schemes to reduce market risks.In addition,the various derivative contracts and portfolio optimizations are reviewed to help market participants hedge against market risks.Finally,suggestions for the development of risk management measures in spot market pilots are proposed.The summarized experience in this paper can provide useful references and guidelines for developing risk-control mechanisms in electricity markets.
文摘Osteoporosis is a systemic skeletal disease characterized by low bone mineral density (BMD) and deterioration of bone architecture, resulting in reduced bone strength and, consequently, increased susceptibility to fractures which poses a significant public health concern worldwide, particularly in aging populations [1]. The health-economic impact of vertebral and hip fractures has been extensively explored and it is well known that these fractures are associated with morbidity/disability and increased mortality;they also account for a substantial portion of the direct fracture costs. This review aims to provide a comprehensive overview of osteoporosis, including its pathophysiology, risk factors, diagnostic approaches, and management strategies. By elucidating the multifaceted nature of this condition, healthcare providers can better identify individuals at risk, implement preventive measures, and optimize treatment to reduce the burden of osteoporotic fractures.
文摘Enterprise risk management has become increasingly crucial in today’s complex and volatile business environment. This study explores the application of Multi-Criteria Decision Analysis (MCDA) in enterprise risk management. MCDA provides a systematic approach to handling multidimensional risk assessment issues. The research begins by analyzing various types of risks faced by enterprises, including financial, operational, and strategic risks. It then examines the specific applications of major MCDA methods, such as the Analytic Hierarchy Process (AHP) and TOPSIS, in risk identification, assessment, and response. The study finds that MCDA can effectively integrate qualitative and quantitative risk information, enhancing the scientific nature of risk decision-making. However, MCDA also faces challenges in practice, such as the subjectivity in determining indicator weights. To address this issue, the research proposes improved methods combining fuzzy theory and group decision-making. Finally, case analyses illustrate the effectiveness of MCDA applications in risk management across different industries. This study provides theoretical guidance for enterprises to build more comprehensive and dynamic risk management systems.
文摘Background:Health workers(HWs)are at increased risk for severe acute respiratory syndrome-coronavirus-2(SARS-CoV-2)infection and a possible source of nosocomial transmission clusters.Despite the increased risk,the best surveillance strategy and management of exposed HWs are not yet well known.The aim of this review was to summarize and critically analyze the existing evidence related to this topic in order to support public health strategies aimed at protecting HWs in the hospital setting.Main text:A comprehensive computerized literature research from 1 January 2020 up to 22 May 2020 was made to identify studies analyzing the burden of infection,risk assessment,surveillance and management of HWs exposed to SARS-CoV-2.Among 1623 citation identified using MEDLINE,Embase,Google Scholar and manual search,we included 43 studies,14 webpages and 5 ongoing trials.Health workers have a high risk of acquiring infection while caring for coronavirus disease 2019(COVID-19)patients.In particular,some types exposures and their duration,as well as the inadequate or non-use of personal protective equipment(PPE)are associated with increased infection risk.Strict infection prevention and control procedures(IPC),adequate training programs on the appropriate use of PPE and close monitoring of HWs with symptom surveillance and testing are essential to significantly reduce the risk.At the moment there is not enough evidence to provide precise indications regarding pre-exposure prophylaxis(PREP)and post-exposure prophylaxis(PEP).Conclusions:During the spread of COVID-19 outbreak,numerous published papers investigated the epidemiology,risk assessment and prevention and control of SARS-CoV-2.However,more high-quality studies are needed to provide valid recommendations for better management and for the clinical and microbiological surveillance of healthcare personnel.
文摘Technology is increasingly being used by organisations to mediate social/business relationships and social/business transactions. While traditional models of impact assessment have focused on the loss of confidentiality, integrity and availability, we propose a new model based upon socio-technical systems thinking that places the people and the technology within an organisation’s business/functional context. Thus in performing risk management in a cyber security and safety context, a detailed picture of the impact that a security/safety incident can have on an organisation is developed. This in turn stimulates a more holistic view of the effectiveness, and appropriateness, of a counter measure.
文摘Risk assessments quantify the probability of undesirable events along with their consequences.They are used to prioritize management interventions and assess tradeoffs,serving as an essential component of ecosystem-based management(EBM).A central objective of most risk assessments for conservation and management is to characterize uncertainty and impacts associated with one or more pressures of interest.Risk assessments have been used in marine resource management to help evaluate the risk of environmental,ecological,and anthropogenic pressures on species or habitats including for data-poor fisheries management(e.g.,toxicity,probability of extinction,habitat alteration impacts).Traditionally,marine risk assessments focused on singular pressure-response relationships,but recent advancements have included use of risk assessments in an EBM context,providing a method for evaluating the cumulative impacts of multiple pressures on multiple ecosystem components.Here,we describe a conceptual framework for ecosystem risk assessment(ERA),highlighting its role in operationalizing EBM,with specific attention to ocean management considerations.This framework builds on the ecotoxicological and conservation literature on risk assessment and includes recent advances that focus on risks posed by fishing to marine ecosystems.We review how examples of ERAs from the United States fit into this framework,explore the variety of analytical approaches that have been used to conduct ERAs,and assess the challenges and data gaps that remain.This review discusses future prospects for ERAs as EBM decision-support tools,their expanded role in integrated ecosystem assessments,and the development of next-generation risk assessments for coupled natural-human systems.
文摘The importance of risk thinking is emphasized in the ISO quality management system.In order to do a good job in quality management,we should use risk thinking to do a good job in risk management,improve the level of quality management,and enhance customer satisfaction,so that enterprises can meet the international quality certification standards in the process of development,and have greater development space in the market.Therefore,this paper studies the risk thinking in the ISO quality management system,summarizes the concept of risk thinking in the ISO quality management system,analyzes the problems existing in the application of risk thinking in the ISO quality management system of Chinese enterprises,and puts forward some suggestions for improvement one by one.It is hoped that the analysis can promote Chinese enterprises to fully integrate risk-based thinking into quality management,calmly cope with risks and opportunities,and make customers more satisfied with their services and products.
文摘Green mining is concerned with mining in a sustainable manner, such that the needs of the present are met without compromising future generations. The achievement of this objective depends on balancing social, environmental and economic objectives and has to have regard to both active mining operations and legacy issues associated with mine closure. Ground engineering has a critical role in achieving green mining objectives but its contribution is characterised by pervasive uncertainty. Uncertainty equates to risk. This means that ground engineering should be practiced within a risk management framework that aims to both prevent unwanted outcomes and to mitigate their consequences to an acceptable level. This keynote address presents the fundamentals of risk management and demonstrates its effectiveness by reference to improvements in the safety performance of the NSW coal sector over the past three decades.Nevertheless, ground control remains a mix of art and science, relying heavily on judgements which should be premised on knowledge, skill and experience(that is, competence). Risk management has now been enshrined in mining legislation and operating practice in Australia for over two decades.Notwithstanding this, near-hit and accident and incident investigations, commissions of inquiry and legal proceedings almost invariably identify deficiencies and opportunities for improvements necessary to achieve the objectives of sustainable mining. Three of the more important opportunities which have global application in relation to ground engineering are discussed. These relate to the vexing issue of defining competency in ground engineering; the criteria for undertaking rigorous risk assessment; and the need for ground engineers to become involved in mine rehabilitation and closure planning over the full life cycle of a mine, commencing at the prefeasibility stage.
文摘Objective:To analyze the existing risks in breast milk management at the neonatal department and provide corresponding countermeasures.Methods:22 risk events were identified in 7 risk links in the process of bottle-feeding of breast milk.Hazard Vulnerability Analysis based on the Kaiser model was applied to investigate and evaluate the risk events.Results:High-risk events include breast milk quality inspection,hand hygiene during collection,disinfection of collectors,cold chain management,hand hygiene during the reception,breast milk closed-loop management,and post-collection disposal.Root cause analysis of high-risk events was conducted and breast milk management strategies outside the hospital and within the neonatal department were proposed.Conclusion:Hazard Vulnerability Analysis based on the Kaiser model can identify and assess neonatal breast milk management risks effectively,which helps improve the management of neonatal breast milk.It is conducive to the safe development and promotion of bottle feeding of breast milk for neonates,ensuring the quality of medical services and the safety of children.