The Wrong Patient Thoughts? e Nurse committed suicide after overdosing a baby: -http://www.msnbc.msn.com/id/43529641/ns/ health-health_care/t/nurses-suicide-highlights- twin-tragedies-medical-errors/#.T03twnKkDC8 CLGO System Engineering by J.J.Gao 6
+ - System Engineering by J. J. Gao 6 The Wrong Patient
Radiation Therapy Accident INCOSE Systems Engineering Handbook,page 45. ●The video CLGO System Engineering by J.J.Gao 7
+ - System Engineering by J. J. Gao 7 Radiation Therapy Accident INCOSE Systems Engineering Handbook, page 45. The video
Warranty Problem Investigation Powertrain Control Module HEGO Control Software Engine Calibration CLGO System Engineering by J.J.Gao 8
+ - System Engineering by J. J. Gao 8
40-1000 1000 times 30-70 times 100 1540 times 10 times 3-6 10 times 1time 1 Req. Design Code Dev.Test System Field Test peration CLGO System Engineering by J.J.Gao 9
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Today's Agenda Examples of safety and quality problem a Models of accident causality Accident causal analysis based on system theory Case:U.S.Coast Accident CLGO System Engineering by J.J.Gao 10
+ - 10 Today’s Agenda Examples of safety and quality problem Models of accident causality Accident causal analysis based on system theory Case: U.S. Coast Accident System Engineering by J. J. Gao