The Effects of Employee-Led Process Design on Welder Set-Up Intervals

This study focused on improving manufacturing efficiency and production by designing new steps to the work process with an employee focus group. The set-up behaviors of two regular stock welders at a medium-size metal furniture manufacturer were observed via video recordings. The videos of the welders completing their tasks were reviewed in an employee focus group, during which it was determined that designing the welding process to include the use of walkie-talkies would successfully alter the contingencies surrounding set-up behaviors, thereby leading to a decrease in average set-up time. Results for the two welders combined showed a decrease in average set-up time of 2.27 min, with Welder A exhibiting a larger decrease overall and Welder B’s set-up time showing a greater reduction in variability.     

Physiological Daily Inhalation Rates for Health Risk Assessment in Overweight/Obese Children,Adults, and Elderly

Physiological daily inhalation rates reported in our previous study for normal‐weight subjects 2.6–96 years old were compared to inhalation data determined in free‐living overweight/obese individuals (n = 661) aged 5–96 years. Inhalation rates were also calculated in normal‐weight (n = 408), overweight (n = 225), and obese classes 1, 2, and 3 adults (n = 134) aged 20–96 years. These inhalation values were based on published indirect calorimetry measurements (n = 1,069) and disappearance rates of oral doses of water isotopes (i.e., ²H₂O and H₂¹⁸O) monitored by gas isotope ratio mass spectrometry usually in urine samples for an aggregate period of over 16,000 days. Ventilatory equivalents for overweight/obese subjects at rest and during their aggregate daytime activities (28.99 ± 6.03 L to 34.82 ± 8.22 L of air inhaled/L of oxygen consumed; mean ±  SD) were determined and used for calculations of inhalation rates. The interindividual variability factor calculated as the ratio of the highest 99th percentile to the lowest 1st percentile of daily inhalation rates is higher for absolute data expressed in m³/day (26.7) compared to those of data in m³/kg‐day (12.2) and m³/m²‐day (5.9). Higher absolute rates generally found in overweight/obese individuals compared to their normal‐weight counterparts suggest higher intakes of air pollutants (in μg/day) for the former compared to the latter during identical exposure concentrations and conditions. Highest absolute mean (24.57 m³/day) and 99th percentile (55.55 m³/day) values were found in obese class 2 adults. They inhale on average 8.21 m³ more air per day than normal‐weight adults.     

医院等级评审中主要问题分析及对策研究

本文介绍了迎接医院等级评审的准备工作，针对目前我院全面内审自查中存在的主要问题进行分析并提出建议，以期达到“以评促建、以评促改”的目的，进而提高管理效能和内涵质量，提升医院全面建设水平。     

Modeling the Cost Effectiveness of Fire Protection Resource Allocation in the United States: Models and a 1980–2014 Case Study

The estimated cost of fire in the United States is about $329 billion a year, yet there are gaps in the literature to measure the effectiveness of investment and to allocate resources optimally in fire protection. This article fills these gaps by creating data‐driven empirical and theoretical models to study the effectiveness of nationwide fire protection investment in reducing economic and human losses. The regression between investment and loss vulnerability shows high R² values (≈0.93). This article also contributes to the literature by modeling strategic (national‐level or state‐level) resource allocation (RA) for fire protection with equity‐efficiency trade‐off considerations, while existing literature focuses on operational‐level RA. This model and its numerical analyses provide techniques and insights to aid the strategic decision‐making process. The results from this model are used to calculate fire risk scores for various geographic regions, which can be used as an indicator of fire risk. A case study of federal fire grant allocation is used to validate and show the utility of the optimal RA model. The results also identify potential underinvestment and overinvestment in fire protection in certain regions. This article presents scenarios in which the model presented outperforms the existing RA scheme, when compared in terms of the correlation of resources allocated with actual number of fire incidents. This article provides some novel insights to policymakers and analysts in fire protection and safety that would help in mitigating economic costs and saving lives.     

Terrorism Risk Assessment,Recollection Bias,and Public Support for Counterterrorism Policy and Spending

Recollection bias (RB) refers to the phenomenon whereby after an adverse event people report that their risk assessment about a similar future event is presently no higher than their recollection of their pre‐event risk assessment. While previous research has outlined this theoretical construct and generated important empirical findings, there were some limitations. We design and employ a new national representative survey to address these limitations in this study. We examine the existence and persistence of RB among the general public in the context of a number of domestic and international terrorist attacks. We further examine the socioeconomic and political base of RB and the influences of RB on a wide range of citizens’ counterterrorism policy preferences. Our data analyses reveal strong evidence showing the occurrence of RB and its persistence across various forms of terrorism risk. With regard to the socioeconomic and political base, we find that females, older people, political conservatives, and Republicans are less likely to be subject to RB. For the effects of RB on public counterterrorism policy preferences, our analyses demonstrate that this bias significantly dampens public support for a wide range of preventive policy measures and government anti‐terrorism spending. Overall, our study, based on a national representative sample and an extended survey design, provides robust evidence of RB in terrorism risk assessment, and adds further evidence to support the idea that RB is likely a generalizable phenomenon. Implications and suggestions for future research are discussed in the conclusion.     

A Review of Risk Matrices Used in Acute Hospitals in England

In healthcare, patient safety has received substantial attention and, in turn, a number of approaches to managing safety have been adopted from other high‐risk industries. One of these has been risk assessment, predominantly through the use of risk matrices. However, while other industries have criticized the design and use of these risk matrices, the applicability of such criticism has not been investigated formally in healthcare. This study examines risk matrices as used in acute hospitals in England and the guidance provided for their use. It investigates the applicability of criticisms of risk matrices from outside healthcare through a document analysis of the risk assessment policies, procedures, and strategies used in English hospitals. The findings reveal that there is a large variety of risk matrices used, where the design of some might increase the chance of risk misprioritization. Additionally, findings show that hospitals may provide insufficient guidance on how to use risk matrices as well as what to do in response to the existing criticisms of risk matrices. Consequently, this is likely to lead to variation in the quality of risk assessment and in the subsequent deployment of resources to manage the assessed risk. Finally, the article outlines ways in which hospitals could use risk matrices more effectively.     

Quantitative Uncertainty Analysis for a Weed Risk Assessment System

Weed risk assessments (WRA) are used to identify plant invaders before introduction. Unfortunately, very few incorporate uncertainty ratings or evaluate the effects of uncertainty, a fundamental risk component. We developed a probabilistic model to quantitatively evaluate the effects of uncertainty on the outcomes of a question‐based WRA tool for the United States. In our tool, the uncertainty of each response is rated as Negligible, Low, Moderate, or High. We developed the model by specifying the likelihood of a response changing for each uncertainty rating. The simulations determine if responses change, select new responses, and sum the scores to determine the risk rating. The simulated scores reveal potential variation in WRA risk ratings. In testing with 204 species assessments, the ranges of simulated risk scores increased with greater uncertainty, and analyses for most species produced simulated risk ratings that differed from the baseline WRA rating. Still, the most frequent simulated rating matched the baseline rating for every High Risk species, and for 87% of all tested species. The remaining 13% primarily involved ambiguous Low Risk results. Changing final ratings based on the uncertainty analysis results was not justified here because accuracy (match between WRA tool and known risk rating) did not improve. Detailed analyses of three species assessments indicate that assessment uncertainty may be best reduced by obtaining evidence for unanswered questions, rather than obtaining additional evidence for questions with responses. This analysis represents an advance in interpreting WRA results, and has enhanced our regulation and management of potential weed species.     

储层含油气性定量评价中指标权重的确定方法

在综合评价事物特性过程中，权重的确定-直是-个重要难题，长期没有得到良好地解决。本文以川南碳酸盐岩储气层的选井选层研究为例．使用灰色关联分析法，在模糊综合评判中成功地确定了权重。这-成果使油气综合评价更加符合客观实际，也为模糊综合评判法广泛应用提供了良好途径。     

Sensitivity Analysis and Estimation of Extreme Tail Behavior in Two‐Dimensional Monte Carlo Simulation

Two‐dimensional Monte Carlo simulation is frequently used to implement probabilistic risk models, as it allows for uncertainty and variability to be quantified separately. In many cases, we are interested in the proportion of individuals from a variable population exceeding a critical threshold, together with uncertainty about this proportion. In this article we introduce a new method that can accurately estimate these quantities much more efficiently than conventional algorithms. We also show how those model parameters having the greatest impact on the probabilities of rare events can be quickly identified via this method. The algorithm combines elements from well‐established statistical techniques in extreme value theory and Bayesian analysis of computer models. We demonstrate the practical application of these methods with a simple example, in which the true distributions are known exactly, and also with a more realistic model of microbial contamination of milk with seven parameters. For the latter, sensitivity analysis (SA) is shown to identify the two inputs explaining the majority of variation in distribution tail behavior. In the subsequent prediction of probabilities of large contamination events, similar results are obtained using the new approach taking 43 seconds or the conventional simulation that requires more than 3 days.