Saf Health Work.  2021 Mar;12(1):42-50. 10.1016/j.shaw.2020.09.004.

Theoretical Model for Accident Prevention Based on Root Cause Analysis With Graph Theory

Affiliations
  • 1Comtrade, Letali ska Cesta 29, Ljubljana, Slovenia
  • 2University Medical Centre Ljubljana, Institute of Occupational, Traffic and Sports Medicine, Poljanski Nasip 58, Ljubljana, Slovenia

Abstract

Introduction
Despite huge investments in new technology and transportation infrastructure, terrible accidents still remain a reality of traffic.
Methods
Severe traffic accidents were analyzed from four prevailing modes of today's transportations: sea, air, railway, and road. Main root causes of all four accidents were defined with implementation of the approach, based on Flanagan's critical incident technique. In accordance with Molan's Availability Humanization model (AH model), possible preventive or humanization interventions were defined with the focus on technology, environment, organization, and human factors.
Results
According to our analyses, there are significant similarities between accidents. Root causes of accidents, human behavioral patterns, and possible humanization measures were presented with rooted graphs. It is possible to create a generalized model graph, which is similar to rooted graphs, for identification of possible humanization measures, intended to prevent similar accidents in the future. Majority of proposed humanization interventions are focused on organization. Organizational interventions are effective in assurance of adequate and safe behavior.
Conclusions
Formalization of root cause analysis with rooted graphs in a model offers possibility for implementation of presented methods in analysis of particular events. Implementation of proposed humanization measures in a particular analyzed situation is the basis for creation of safety culture.

Keyword

Accident preventions; Behavior; Graph partition; Root cause analysis; Safety
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