Extensions to DomainKeys Identified Mail (DKIM) for Failure Reporting

2012 ◽  
Author(s):  
M. Kucherawy
Keyword(s):  
Failure Reporting

scholarly journals Medical device error and failure reporting: Learning from the car industry

2021 ◽  
pp. 251604352110082
Author(s):  
Arkeliana Tase ◽  
Peter Buckle ◽  
Melody Z Ni ◽  
George B Hanna
Keyword(s):  
Reporting System ◽  
Current System ◽  
Learning System ◽  
Healthcare Sector ◽  
Patient Harm ◽  
Car Industry ◽  
Root Cause ◽  
Incident Investigation ◽  
Initiating Factors ◽  
Failure Reporting

Background Improving the design of technology relies in part, on the reporting of performance failures in existing devices. Healthcare has low levels of formal reporting of performance and failure of medical equipment. This paper examines methods of reporting in the car industry and healthcare and aims to understand differences and identify opportunities for improvement within healthcare. Methods A literature search was carried out in Pubmed, Medline, Embase, Engineering Village, Scopus. NHS England and MHRA publications and guidelines were also reviewed. Focus was placed on the current system of reporting in both industries, known degree of patient harm, initiating factors, barriers, quality and methods of incident investigation and their validity. The findings were used to compare error reporting system in the two industries. Results Derivation of healthcare incident data from different sources means the full extent of patient harm is not known. For example, in 2012 there were 13,549 and 38,395 incidents reported by MHRA and NRLS (National Reporting and Learning System) respectively leading to uncertainties on the extent of the problem. The car industry emphasises the role of reporting source in ensuring data quality. Utilising some aspects of this approach might benefit healthcare reporting. These include a specific reporting system that stresses the importance of organisational learning in improving safety and recognises the limitations of root cause analysis. Conclusions Learning from reporting systems within the car industry may help the healthcare sector improve its own reporting, aiding healthcare performance.

scholarly journals Process-Oriented Development of Failure Reporting, Analysis, and Corrective Action System

2010 ◽  
Vol 2010 ◽  
pp. 1-8
Author(s):  
Jae Hoon Lee ◽  
SungIl Chan ◽  
Joong Soon Jang
Keyword(s):  
Business Process ◽  
Process Model ◽  
Process Management ◽  
Corrective Action ◽  
Prototype System ◽  
Time Activity ◽  
Action System ◽  
Related Information ◽  
Process Oriented ◽  
Failure Reporting

Although failure reporting, analysis, and corrective action system (FRACAS) has two management perspectives, its tasks and related information, the previous researches and applications mainly have focused on the data management. This study is to develop a process-oriented FRACAS which supports the operation of the failure-related activities. The development procedures are (1) to define the reporting and analysis tasks, (2) to define the information to be used at each task, and (3) to design a computerized business process model and set the attributes such as durations, rules, and document types. This computerized FRACAS process can be activated in a business process management system (BPMS) which employs the enactment functions, deliver tasks to the proper workers, provide the necessary information, and alarm the abnormal status of the tasks (delay, incorrect delivery, cancellation). Through implementing the prototype system, improvements are found for automation of the tasks, prevention of disoperation, and real-time activity monitoring.

scholarly journals Risk Management in Clinical Laboratory: from Theory to Practice

2015 ◽  
Vol 61 (4) ◽  
pp. 372-377 ◽  
Author(s):  
David Remona Eliza ◽  
Dobreanu Minodora
Keyword(s):  
Risk Management ◽  
Clinical Laboratory ◽  
Decision Making Process ◽  
Test Results ◽  
Medical Decisions ◽  
European Committee ◽  
Theory To Practice ◽  
Clinical Level ◽  
Failure Reporting ◽  
Compliance Issue

AbstractClinical laboratory tests ensure approximately 70% of the medical decisions, so that the time until the release of the results and its accuracy are critical for the diagnosis and the efficiency of the treatment [1]. Risk management involves both the anticipation of what could happen erroneous and the assessment of errors’ frequency as well as the consequences or the severity of the effects caused by it, and finally to decide what can be done in order to reduce the risk to an acceptable clinical level. For this reason, organizations should not see the risk management as a compliance issue, but as an integral part of the decision-making process. EP23-A is a guideline of CLSI that introduces the risk management principles in the clinical laboratory and encourages the laboratories to develop plans of risk management which are addressed to the risks of each laboratory. EP18-A2 proposes 2 techniques for identifying and controlling the errors in the laboratory: FMEA (Failure Mode and Effects Analysis) and FRACAS (Failure Reporting, Analysis and Corrective Action System). The European Committee of Experts and Management of Safety and Quality in Health Care proposed to use the quality indicators to identify the critical stages of each process, thus being possible to assess continuously the medical processes with the aim of identifying the errors when they occur. This review summarizes the principles of the risk management in the clinical laboratory, thus it can achieve its aims to report valid, accurate and reliable test results

Cost Effective Maintenance of Gas Turbine Machinery in Swedish Navy Fast Surface Attack Ships

1998 ◽  
Author(s):  
Jan-Olof Löfdahl
Keyword(s):  
Gas Turbine ◽  
Gas Turbines ◽  
Cost Effective ◽  
Spare Parts ◽  
Maintenance Cost ◽  
Labor Costs ◽  
Improvement Programs ◽  
The Cost ◽  
Failure Reporting ◽  
Activity Report

This paper is a summary of 35 years experience from maintenance, overhaul and repair of the ROLLS-ROYCE Marine PROTEUS Gas Turbine in the Swedish Navy. The 54 installed PROTEUS Gas Turbines in 18 ships have accumulated nearly 300 000 running hours. The reliability has steadily improved thanks to careful monitoring and intensive improvement programs. The initial, less than 500 hours average between engine removals has been extended to nearly 3000 hours as of today. Also the number of catastrophic engine failures has decreased. Although the Spare Parts prices and the Labor Costs per hour have increased over the years the maintenance cost per fired Gas Turbine hour has decreased. The paper describes the technical and economical aspects together with the cost reducing efforts. The information derives from the Swedish Navy Maintenance and Failure Reporting System, named “MARIS”, and from the VOLVO overhaul workshop annual technical and economical activity report.

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