| Project/Area Number |
12680435
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
社会システム工学
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| Research Institution | University of Electro-Communications |
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Principal Investigator |
TANAKA Kenji Graduate School of Information Systems, Associate Professor, University of Electro-Communications, 大学院・情報システム学研究科, 助教授 (60197415)
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| Co-Investigator(Kenkyū-buntansha) |
ITOH Makoto Graduate School of Information Systems, Research Associate, University of Electro-Communications, 大学院・情報システム学研究科, 助手 (00282343)
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| Project Period (FY) |
2000 – 2002
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| Project Status |
Completed (Fiscal Year 2002)
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| Budget Amount *help |
¥3,300,000 (Direct Cost: ¥3,300,000)
Fiscal Year 2002: ¥1,100,000 (Direct Cost: ¥1,100,000)
Fiscal Year 2001: ¥1,000,000 (Direct Cost: ¥1,000,000)
Fiscal Year 2000: ¥1,200,000 (Direct Cost: ¥1,200,000)
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| Keywords | Organizational accident / Human error / Communications / Incident reporting system / Investigating of accidents / Analyzing of accidents / Preventing of accidents / Medical accidents / インシデントレポーテイングシステム / ソフトシステム方法論 / 医療問題 |
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| Research Abstract |
This research project introduced an organizational approach to methods of preventing human errors and to propose a methodology for analyzing of accidents. The results are classified into five categories as below.
1. Analysis of organizational accidents in Japan and a methodology : We analyzed three accidents that occurred in Japan, from the point of organizational accident view. Especially, our research paid attention to communication process and indicated that widely known results were mistaken. On the basis of the results, we tried to build a methodology for analyzing of accidents.
2. Basic common model for analyzing organizational accidents : We analyzed more organizational accidents such as subway derailment accident, criticality accident at Tokai-mura, food poisoning by milk, and proposed a basic common model for explaining mechanism of organizational accidents in many fields.
3. Current investigation reports and a new social system for utilizing the reports : We abstracted some problems about the formal way to investigate organizational accidents and organizations for investigating in Japan. On the basis of the results, we proposed a new social system or organization for utilizing all reports of accidents and showed a concrete role of the organization.
4. Prevention of accidents and human factors : We researched how incident reporting systems were utilized in some hospitals and airplane companies, and indicated some reasons of impeding the effective utilization.
5. Trust and risk communications : Our experimental research pursued a mechanism of overconfidence and distrust that often caused to human errors and were related with safety culture.
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