CAJ | 학술논문

从预防与保护两方面阐述了复杂系统中屏障的概念;从性质的角度将屏障分为实体屏障、功能性屏障、象征性屏障及非物质屏障。同时也说明了屏障的起源、位置、目的等不能作为分类基础的原因。在此基础上,创造性地将屏障的概念延伸到人与社会系统之中,即把人与社会也分别看成一类综合性的特殊屏障,并将其剖析成上述四类性质的屏障;然后,集中讨论如何使用屏障分类进行事故分析,以找出能预防或减少失误的各类屏障;最后,剖析了屏障与失误模式之间的关系,以阐明屏障分析的方法。
종예방여보호량방면천술료복잡계통중병장적개념;종성질적각도장병장분위실체병장、공능성병장、상정성병장급비물질병장。동시야설명료병장적기원、위치、목적등불능작위분류기출적원인。재차기출상,창조성지장병장적개념연신도인여사회계통지중,즉파인여사회야분별간성일류종합성적특수병장,병장기부석성상술사류성질적병장;연후,집중토론여하사용병장분류진행사고분석,이조출능예방혹감소실오적각류병장;최후,부석료병장여실오모식지간적관계,이천명병장분석적방법。
The barrier concept is illustrated in complicated system from both preventive and protective aspects, and the barriers are divided into four main categories from the nature ,which are material barriers, functional barriers, symbolic barriers, immaterial barriers. Simultaneously, the author also explains the reason why the classification is not based on the barrier origin, its position, its goal and so on. Barrier concept is creatively extended to the systems of human and society, that is they are looked as a special barrier respectively, and are analyzed into the above four categories. Then it is discussed how to use barrier classification to analyze accident to find all kinds of barriers for preventing and reducing human error. Because the accident tree may represent the event development with the time line, and it is proposed that a special form of event representation,which is called an accident tree ,is used to find barriers which lead to accident. Finally, to illustrate how to analyze the barriers, the relation is further analyzed between barriers and error modes.