Engineering Commons^™

Patient Transport In The Time Of Covid-19: Using Health Care Failure Mode And Effect Analysis With Simulation To Test And Modify A Protocol, John Kwock, Jeffrey Holmes, Shelly Chipman, Erin Siebers, Angela Berry, Sonja Orff, Victoria Boutin, Leah Mallory

Journal of Maine Medical Center

Introduction: In March 2020, in response to the COVID-19 pandemic, an interprofessional, interdisciplinary team at Maine Medical Center used Healthcare Failure Mode and Effect Analysis (HFMEA) and in situ simulation to rapidly identify and mitigate latent safety threats (LST) in patient transport protocols.

Methods: Following HFMEA steps, stakeholders representing a variety of disciplines assembled to address transport of patients with COVID-19. A process map was created to describe the process. With hazard analysis using table-top simulation followed by in situ simulation, we identified, categorized, and scored LSTs. Mitigation strategies were identified during structured debriefing.

Results: Fourteen LSTs were identified in …

Uncertainties In Internal Pressure Of Oil Pipelines And Implications For The Reliability Analysis, Yue Liu

Electronic Thesis and Dissertation Repository

The internal pressure is the most important operational load for oil and gas pipelines. The maximum operating pressure (MOP) is the maximum pressure the pipeline is qualified to be operated according to a given standard. In deterministic fitness-for-service (FFS) assessment of in-service pipelines containing flaws such as corrosion defects and cracks, the remaining pressure containment capacity of the pipeline is evaluated and compared with MOP multiplied by a factor of safety to determine if immediate rehabilitation actions for the pipeline are necessary. However, the actual internal pressure of an in-service pipeline is however uncertain and fluctuates with time. Due to …