A combined approach to incident cause analysis: Squeeze every drop of info from undesirable events

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216275%3A25310%2F23%3A39919096" target="_blank" >RIV/00216275:25310/23:39919096 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/68407700:21340/23:00366265

Výsledek na webu

<a href="https://www.sciencedirect.com/science/article/pii/S0925753522003368?via%3Dihub" target="_blank" >https://www.sciencedirect.com/science/article/pii/S0925753522003368?via%3Dihub</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.ssci.2022.105997" target="_blank" >10.1016/j.ssci.2022.105997</a>

Jazyk výsledku

angličtina

Název v původním jazyce

A combined approach to incident cause analysis: Squeeze every drop of info from undesirable events

Popis výsledku v původním jazyce

In socio-technical systems, undesirable events are a potential source of information about what needs to be improved. However, it is necessary to understand their causes. The presented IPICA 2.0 procedure for the analysis of underlying incident causes combines two published methods of cause analysis: Sequential method IPICA_Lite and systemic method CAST. The combined procedure of IPICA 2.0 is based on the knowledge that sequential and systemic approaches are not in conflict but complement each other. The article clarifies their equivalence and complementarity which increases the quality and effectiveness of cause analysis. The procedure improves the internal checking of the analysis completeness by using a third descriptive alternative – the bow tie diagram, in addition to the sequential and systemic incident models. The flowchart of IPICA 2.0 allows the practitioners to choose from a combination of approaches the one that will allow them to get to the hidden underlying incident causes most effectively. All steps of the IPICA 2.0 procedure are illustrated by an example.

Název v anglickém jazyce

A combined approach to incident cause analysis: Squeeze every drop of info from undesirable events

Popis výsledku anglicky

In socio-technical systems, undesirable events are a potential source of information about what needs to be improved. However, it is necessary to understand their causes. The presented IPICA 2.0 procedure for the analysis of underlying incident causes combines two published methods of cause analysis: Sequential method IPICA_Lite and systemic method CAST. The combined procedure of IPICA 2.0 is based on the knowledge that sequential and systemic approaches are not in conflict but complement each other. The article clarifies their equivalence and complementarity which increases the quality and effectiveness of cause analysis. The procedure improves the internal checking of the analysis completeness by using a third descriptive alternative – the bow tie diagram, in addition to the sequential and systemic incident models. The flowchart of IPICA 2.0 allows the practitioners to choose from a combination of approaches the one that will allow them to get to the hidden underlying incident causes most effectively. All steps of the IPICA 2.0 procedure are illustrated by an example.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

20402 - Chemical process engineering

Projekt

<a href="/cs/project/LM2023073" target="_blank" >LM2023073: Jaderné experimentální centrum VR-1</a><br>

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2023

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Safety Science

ISSN

0925-7535

e-ISSN

1879-1042

Svazek periodika

158

Číslo periodika v rámci svazku

February

Stát vydavatele periodika

NL - Nizozemsko

Počet stran výsledku

20

Strana od-do

105997

Kód UT WoS článku

000901995400001

EID výsledku v databázi Scopus

2-s2.0-85141227836