scholarly journals A Risk Assessment Framework Proposal Based on Bow-Tie Analysis for Medical Image Diagnosis Sharing within Telemedicine

Sensors ◽  
2021 ◽  
Vol 21 (7) ◽  
pp. 2426
Author(s):  
Thiago Poleto ◽  
Maisa Mendonça Silva ◽  
Thárcylla Rebecca Negreiros Clemente ◽  
Ana Paula Henriques de Gusmão ◽  
Ana Paula de Barros Araújo ◽  
...  

The purpose of this paper is to propose a framework for cybersecurity risk management in telemedicine. The framework, which uses a bow-tie approach for medical image diagnosis sharing, allows the identification, analysis, and assessment of risks, considering the ISO/TS 13131:2014 recommendations. The bow-tie method combines fault tree analysis (FTA) and event tree analysis (ETA). The literature review supported the identification of the main causes and forms of control associated with cybersecurity risks in telemedicine. The main finding of this paper is that it is possible, through a structured model, to manage risks and avoid losses for everyone involved in the process of exchanging medical image information through telemedicine services. Through the framework, those responsible for the telemedicine services can identify potential risks in cybersecurity and act preventively, recognizing the causes even as, in a mitigating way, identifying viable controls and prioritizing investments. Despite the existence of many studies on cybersecurity, the paper provides theoretical contributions to studies on cybersecurity risks and features a new methodological approach, which incorporates both causes and consequences of the incident scenario.

2015 ◽  
Author(s):  
Νικόλαος Φραγκιαδάκης

Στόχος αυτής της διατριβής είναι η δημιουργία μοντέλου που θα οδηγεί σε μια Ποσοτική Εκτίμηση Επαγγελματικής Διακινδύνευσης (Quantitative Risk Assessment, QRA) εργαζομένων στην ναυπηγική και ναυπηγοεπισκευαστική βιομηχανία με γνώμονα το εργατικό ατύχημα, επιχειρώντας να συμβάλλει στην αντιμετώπιση ενός προβλήματος που έχει σημαντικές κοινωνικές αλλά και οικονομικές διαστάσεις. Ακολουθήθηκαν δύο ανεξάρτητοι οδοί που συμπληρώνουν η μία την άλλη.Η πρώτη οδός οδήγησε στην ανάπτυξη ενός Αναλυτικού Μοντέλου, ικανό να περιγράφει τους μηχανισμούς σύνδεσης μεταξύ αιτίου- αιτιατού - συνεπειών εργατικών ατυχημάτων σε ναυπηγικές εργασίες και να οδηγεί υπό προϋποθέσεις σε μια ολοκληρωμένη QRA. Το μοντέλο στηρίχθηκε στον εντοπισμό και στην αξιολόγηση των πηγών κινδύνου, καθώς και άλλων επιβαρυντικών παραγόντων μέσα στο εργασιακό περιβάλλον ενός ναυπηγείου. Τεχνικές χρήσης επαγωγικών μοντέλων όπως τα δέντρα γεγονότων (Event Tree Analysis, ETA) και τα δέντρα σφαλμάτων (Fault Tree Analysis, FTA) χρησιμοποιήθηκαν. Τα επαγωγικά μοντέλα συνδέθηκαν τελικά σε μια ολοκληρωμένη δομή “BOW TIE”, στην οποία απεικονίζεται σαφώς η σχέση των γενεσιουργών αιτιών και των επιβαρυντικών παραγόντων που δύναται να οδηγήσουν στη δημιουργία ενός συμβάντος, καθώς και η πορεία από το συμβάν στις πιθανές συνέπειες μέσω των αμβλυντικών παραγόντων που συνθέτουν τα ανεξάρτητα επίπεδα προστασίας (Independent Layers of Protection, ILPs). Έτσι παρίστανται οι παράγοντες που συγκροτούν τη διακινδύνευση, δηλαδή η πιθανότητα ενός συμβάντος αφενός και οι πιθανές συνέπειες αφετέρου. Για την καλύτερη κατανόηση και τεκμηρίωση του μοντέλου διενεργήθηκαν τεχνικές ανάλυσης και αναγνώρισης κινδύνου για συγκεκριμένες χαρακτηριστικές περιπτώσεις (HAZID), κατασκευάστηκαν διαγράμματα ροής για αυτές τις περιπτώσεις και αριθμητικό παράδειγμα υπολογισμού της διακινδύνευσης για μια εκ των περιπτώσεων.Η δεύτερη οδός οδήγησε στην δόμηση ενός έμπειρου συστήματος, στηριζόμενου σε κανόνες ασαφούς λογικής και ασαφούς συμπερασμού, που χρησιμοποιεί την παρεχόμενη πληροφορία από δεδομένα εργατικών ατυχημάτων στη ναυπηγική βιομηχανία, τα οποία έχουν συγκεντρωθεί από ναυπηγοεπισκευαστικές μονάδες, μέσω της χρήσης στατιστικής ανάλυσης και με τη χρήση υπολογιστικών τεχνικών soft computing. Επιλέχθηκε η δημιουργία ενός «Ασαφούς Συστήματος Συμπερασμού» (Fuzzy Inference System, FIS) που στηρίζεται στα προσαρμοζόμενα νευρωνικά δίκτυα (Adaptive Neural Networks, AN). Τα καταγεγραμμένα δεδομένα στοιχεία υπέστησαν στατιστική επεξεργασία και καθορίστηκαν οι παράμετροι και τα δεδομένα για την τροφοδότηση, την εκπαίδευση και τον έλεγχο των αποτελεσμάτων του Προσαρμοζόμενου Νευρωνικού Ασαφούς Συστήματος Συμπερασμού (Adaptive Neuro-Fuzzy Inference System ANFIS).Το μοντέλο “BOW TIE” αποδείχθηκε ικανό να οδηγήσει σε ποιοτικά συμπεράσματα όπως ο εντοπισμός των πηγών κινδύνου, των επιβαρυντικών αλλά και των αμβλυντικών παραγόντων αλλά και να τεκμηριώσει ποσοτικά κάθε μέτρο βελτίωσης της ασφάλειας με στόχο τη μείωση της διακινδύνευσης.Το μοντέλο ANFIS αποδεδείχθηκε μια εφικτή μέθοδος προσομοίωσης της πολύπλοκης σχέσης μεταξύ των παραμέτρων που εμπλέκονται σε ένα εργατικό ατύχημα στη ναυπηγική βιομηχανία, εκμεταλλευόμενο ήδη υπάρχοντα και κατάλληλα στατιστικά επεξεργασμένα ιστορικά στοιχεία εργατικών ατυχημάτων, αποτελώντας ένα εργαλείο ικανό να κάνει προβλέψεις και να οδηγεί σε ασφαλή συμπεράσματα, σε μικρό υπολογιστικό χρόνο.


2020 ◽  
Vol 2020 ◽  
pp. 1-12 ◽  
Author(s):  
Jishuoli Li ◽  
Kaili Xu ◽  
Bingjie Fan ◽  
Liyan Geng

Oxygen lances (OLs) are important devices used in converter steel making. However, the occurrence of OL burning loss (OLBL) failure may lead to explosion accidents. To better prevent OLBL failure, it is necessary to perform a probabilistic assessment. Bow-tie analysis based on fuzzy theory was proposed to assess OLBL, which represents a hazardous event. In this paper, fuzzy theory based on triangular fuzzy numbers (TFNs) was applied to calculate the failure data. Fuzzy fault tree analysis (FFTA) in combination with the improved similarity aggregation method (ISAM) was employed to reduce the error generated due to the subjective judgement of experts. Furthermore, a comprehensive importance analysis method was developed to rank the importance of basic events (BEs), facilitating the adoption of the corresponding safety decisions. When performing fuzzy event tree analysis (FETA), the occurrence probability of outcome events (OEs) was determined by conducting a layer of protection analysis (LOPA). Finally, safety measures were proposed based on the assessment results to achieve safe production. The results indicated that the use of bow-tie analysis is appropriate to perform qualitative and quantitative assessment. Through bow-tie analysis based on fuzzy theory, the occurrence probability of OLBL was determined to be in the interval (5.34E − 02, 2.69E − 01). By adding independent protective layers (IPLs), the occurrence probability of OEs caused by OLBL can be effectively reduced.


2016 ◽  
Vol 836 ◽  
pp. 233-238
Author(s):  
Silvianita ◽  
Mohd. Faris Khamidi ◽  
Kriyo Sambodho ◽  
Nur Syahroni ◽  
Yeyes Mulyadi ◽  
...  

This paper briefly presents the investigation of risk based decision making for mobile mooring system. This paper used bow tie analysis to analyze the risk of mobile mooring failure. Bow tie analysis consists of FTA (Fault Tree Analysis) on left part and ETA (Event Tree Analysis) on the right part. FTA is useful to determine the potential causes from critical top event until the undesired events are obtained. ETA (Event Tree Analysis) is helpful to define the possible consequence by relating an initiating event to various consequence models. The investigation consists of determining the critical hazards of mooring system failure through investigating the root causes, the consequences, and the frequency index.


Author(s):  
Qingwei Xu ◽  
Kaili Xu

The metallurgical industry is a significant component of the national economy. The main purpose of this study was to establish a composite risk analysis method for fatal accidents in the metallurgical industry. We collected 152 fatal accidents in the Chinese metallurgical industry from 2001 to 2018, including 141 major accidents, 10 severe accidents, and 1 extraordinarily severe accident, together resulting in 731 deaths. Different from traffic or chemical industry accidents, most of the accidents in the metallurgical industry are poisoning and asphyxiation accidents, which account for 40% of the total number of fatal accidents. As the original statistical data of fatal accidents in the metallurgical industry have irregular fluctuations, the traditional prediction methods, such as linear or quadratic regression models, cannot be used to predict their future characteristics. To overcome this issue, the grey interval predicting method and the GM(1,1) model of grey system theory are introduced to predict the future characteristics of fatal accidents in the metallurgical industry. Different from a fault tree analysis or event tree analysis, the bow tie model integrates the basic causes, possible consequences, and corresponding safety measures of an accident in a transparent diagram. In this study, the bow tie model was used to identify the causes and consequences of fatal accidents in the metallurgical industry; then, corresponding safety measures were adopted to reduce the risk.


2021 ◽  
Author(s):  
Zlatko Zafirovski ◽  
Vasko Gacevski ◽  
Zoran Krakutovski ◽  
Slobodan Ognjenovic ◽  
Ivona Nedevska

The intense demand and construction of tunnels is accompanied by uncertainties. The reason for appearance of uncertainties are the complex solutions and conditions for these structures. Location and dimensions are becoming more challenging, and the construction is predicted in complexed geological conditions, leading to application of new approaches, methodologies and technologies by the engineers. Most of the uncertainties and unwanted events in tunnelling occur in the construction phase, which generally leads to economic consequences and time losses. For easier handling of the uncertainties, they should be anticipated and studied within a separate part of each project. One of the newer approaches to dealing with uncertainties is hazard and risk assessment and defining ways to deal with them i.e. management. Hazards and risks can be analysed qualitatively and quantitatively. The quantitative analysis, examines the causes and consequences in more detail way and gives explanation of the dependencies. With the quantitative approach, a more valuable information for decision-making can be provided. There are various models and methods used for the quantification of hazards and risks. This paper presents a methodology in which the fault tree analysis and event tree analysis are used in combination to obtain quantitative results. The fault tree analysis is used for assessment of various hazards and the different ways and reasons that cause them. The event tree analysis is a method for assessing the possible scenarios, which follow after a certain hazard i.e. the consequences that may occur in the project. These trees represent graphic models combined with a mathematical (probabilistic) model, which give the probability of occurrence of the risks.


2014 ◽  
Vol 536-537 ◽  
pp. 809-814
Author(s):  
Lin Lin Li ◽  
Xiao Yi Zhang ◽  
Xia Zhang ◽  
Qing Li

The collision that between a car and a train is the main type of accidents in the case railway level-crossing, which is proved by the arrangement diagram analysing. The fault tree analysis and the event tree analysis are used to assess the level of the risk of the level-crossing quantificationally. Some conclusions can be drawn: the collision of the railway level-crossing that between a car and a train will happen 2.552 in a year, which can bring 0.061 equivalent fatalities. This paper puts forward some precautionary measures that based on the minimal cut set of the collision of the accident and the most probable or the highest risk event.


Author(s):  
Petr Trávníček ◽  
Luboš Kotek ◽  
Tomáš Koutný ◽  
Tomáš Vítěz

Biogas plants are a specific facility from the QRA (Quantitative Risk Assessment) methodologies' point of view, especially in the case of the determination of the event frequency of accident scenarios for biogas leakage from a gas holder and subsequent initiation. QRA methodologies determine event frequencies for different types of accident events related to vessels made of steel. Gas holders installed at biogas plants are predominantly made of other materials and are often integrated with the fermenter. It is therefore a specific type of gas holder, differing from that which is commonly used in the chemical industry. In addition, long-term experience is not available for the operation of biogas plants, unlike in the chemical industry. The event frequencies listed in the QRA methodologies are not relevant for the risk assessment of biogas plants. This work is focused on setting the prerequisites for QRA of biogas storage, including for example: information on hazardous chemical substances occurring at biogas plants, their classification, and information on the construction of integrated gas holders. For the purpose of the work, a scenario was applied where the greatest damage (to life or property) is expected. This scenario is the leakage of the total volume of hazardous gas substance from the gas holder and subsequent initiation. Based on this information, a "tree" was processed for "Fault Tree Analysis" (FTA), and frequencies were estimated for each event. Thereafter, an "Event Tree Analysis" was carried out. This work follows up on a discussion by experts on the determination of scenario frequencies for biogas plants that was conducted in the past.


Author(s):  
Gholamreza Abdollahzadeh ◽  
Sima Rastgoo

In this paper, interruption risk in construction activities of bridge projects is assessed in order to identify the main causes of its occurrence and also to determine the potential outcomes resulted from the risk occurrence. To do this, fault tree and event tree analysis (ETA) methods are applied. As the application of the traditional approach of these two methods is difficult in many cases due to limited access to information, fuzzy arithmetic can be considered as a useful tool. In this research, first, fault tree structure is created according to consequences resulted from the Delphi method. Then, the probability of risk occurrence is calculated by applying fault tree analysis (FTA) based on fuzzy logic. By establishing the structure of fault tree related to the failure risk of mitigation strategies, the main causes relating to failure of strategies are identified. The structure of the event tree is created using the obtained results; moreover, the expected monetary value (EMV) of risk event is computed. Finally, to validate the results obtained, a model is created by Monte Carlo simulation and then the results obtained by applying the two methods are compared. The EMV of the risk event evaluated in this paper is determined to be 9.93% of the project baseline cost.


Author(s):  
Bryan M. O’Halloran ◽  
Robert B. Stone ◽  
Irem Y. Tumer

This research surveys early design risk and reliability methodologies and discusses the impediments of moving these research methods into practice. Reliability engineering techniques exist primarily to help engineers better meet the needs of customers by extending design life and reducing the number of failures observed throughout the intended life. These efforts look at system components and functions, critical events, failure modes, and system characteristics to assess risk and reliability during the early design phase before detailed design has begun. Surveying early design reliability to identify underdeveloped areas of research contributes to an ongoing effort to increase the presence of reliability engineering earlier in design. In addition, this improves a researchers’ understanding of key consideration that need to be addressed during the development of the research so that it is useful in practice. Throughout this paper, four fundamental methods are identified and described including Event Tree Analysis, Fault Tree Analysis, Reliability Block Diagrams, and Failure Modes and Effects Analysis. Related methods, or those developed to solve limitations of the fundamental methods, are presented and compared to the fundamental methods. Finally, the impediments of moving research methods into practice are surveyed, then discussion is provided for the factors that improve this transition of research.


1991 ◽  
Vol 56 (1) ◽  
pp. 19-35 ◽  
Author(s):  
Peter Bleed

Operations research is the systematic study of resource utilization through the manipulation of conceptual models. Used most often by engineers and managers, these models also have potential application in archaeology. Event tree analysis, which models multipart systems with a number of potential consequences resulting from a series of events, makes it possible to analyze artifact-production processes or the operation of complex economic activities such as hunting. Fault tree analysis models the interactions of factors that can cause a technological system to fail. It offers a framework for the interpretation of archaeological remains such as flintlock firearm parts at Indian and Euroamerican sites of the Great Plains.


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