14 resultados para INSPECTION ERRORS

em Doria (National Library of Finland DSpace Services) - National Library of Finland, Finland


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The purpose of this bachelor's thesis was to chart scientific research articles to present contributing factors to medication errors done by nurses in a hospital setting, and introduce methods to prevent medication errors. Additionally, international and Finnish research was combined and findings were reflected in relation to the Finnish health care system. Literature review was conducted out of 23 scientific articles. Data was searched systematically from CINAHL, MEDIC and MEDLINE databases, and also manually. Literature was analysed and the findings combined using inductive content analysis. Findings revealed that both organisational and individual factors contributed to medication errors. High workload, communication breakdowns, unsuitable working environment, distractions and interruptions, and similar medication products were identified as organisational factors. Individual factors included nurses' inability to follow protocol, inadequate knowledge of medications and personal qualities of the nurse. Developing and improving the physical environment, error reporting, and medication management protocols were emphasised as methods to prevent medication errors. Investing to the staff's competence and well-being was also identified as a prevention method. The number of Finnish articles was small, and therefore the applicability of the findings to Finland is difficult to assess. However, the findings seem to fit to the Finnish health care system relatively well. Further research is needed to identify those factors that contribute to medication errors in Finland. This is a necessity for the development of methods to prevent medication errors that fit in to the Finnish health care system.

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This thesis considers nondestructive optical methods for metal surface and subsurface inspection. The main purpose of this thesis was to study some optical methods in order to find out their applicability to industrial measurements. In laboratory testing the simplest light scattering approach, measurement of specular reflectance, was used for surface roughness evaluation. Surface roughness, curvature and finishing process of metal sheets were determined by specular reflectance measurements. Using a fixed angleof incidence, the specular reflectance method might be automated for industrialinspection. For defect detection holographic interferometry and thermography were compared. Using either holographic interferometry or thermography, relativelysmall-size defects in metal plates could be revealed. Holographic techniques have some limitations for industrial measurements. On the contrary, thermography has excellent prospects for on-line inspection, especially with scanning techniques.

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The market place of the twenty-first century will demand that manufacturing assumes a crucial role in a new competitive field. Two potential resources in the area of manufacturing are advanced manufacturing technology (AMT) and empowered employees. Surveys in Finland have shown the need to invest in the new AMT in the Finnish sheet metal industry in the 1990's. In this run the focus has been on hard technology and less attention is paid to the utilization of human resources. In manymanufacturing companies an appreciable portion of the profit within reach is wasted due to poor quality of planning and workmanship. The production flow production error distribution of the sheet metal part based constructions is inspectedin this thesis. The objective of the thesis is to analyze the origins of production errors in the production flow of sheet metal based constructions. Also the employee empowerment is investigated in theory and the meaning of the employee empowerment in reducing the overall production error amount is discussed in this thesis. This study is most relevant to the sheet metal part fabricating industrywhich produces sheet metal part based constructions for electronics and telecommunication industry. This study concentrates on the manufacturing function of a company and is based on a field study carried out in five Finnish case factories. In each studied case factory the most delicate work phases for production errors were detected. It can be assumed that most of the production errors are caused in manually operated work phases and in mass production work phases. However, no common theme in collected production error data for production error distribution in the production flow can be found. Most important finding was still that most of the production errors in each case factory studied belong to the 'human activity based errors-category'. This result indicates that most of the problemsin the production flow are related to employees or work organization. Development activities must therefore be focused to the development of employee skills orto the development of work organization. Employee empowerment gives the right tools and methods to achieve this.

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Lämpökameroiden kehitys on mahdollistanut lämpökameroiden käytön myös erittäin pienien kohteiden tarkastelussa. Luotettava absoluuttisten lämpötilojen selvittäminen lämpökameralla vaatii, että tarkasteltavan kohteen emissiivisyys on kauttaaltaan vakio ja tunnettu. Käytännössä erilaisten materiaalipintojen emissiivisyyksissä on merkittäviä eroja, mikä aiheuttaa virheitä mittaustuloksiin. Tutkimuksen tavoitteena oli löytää halpa ja käytännöllinen keino piirilevyn emissiivisyyden vakiointiin. Työssä kartoitettiin erilaisia pinnoitteita, joille tehtiin resistanssi-, impedanssi- sekä lämpökameramittaukset. Mittauksilla selvitettiin pinnoitteen soveltuvuus emissiivisyyden vakiointiin. Lisäksi tutustuttiin pintapuolisesti pinnoiteaineiden kemialliseen rakenteeseen, jotta saatiin peruskäsitys siitä, onko aineiden kemiallisella rakenteella merkitystä pinnoiteaineen emissiivisyyden vakiointikykyyn. Tutkimustulosten perusteella tutkituista pinnoitteista parhaaksi todettiin talkkijauhe. Talkkipinnoitteella saatiin luotettavia mittaustuloksia. Tällä hetkellä pinnoitemenetelmää voidaan käyttää yksittäisten piirilevyjen testauksessa laboratorio-olosuhteissa. Tulevaisuudessa menetelmää voitaisiin soveltaa myös piirilevyjen tuotantolinjalle.

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Producing high quality products and services is one of the key concerns in order to keep up with the competition in the global markets. Companies are putting a great effort on preventing customers having faulty products and services by any means. However, the total elimination of mistakes in manufacturing processes has always been a great challenge for quality management. In this thesis the applicability of poka-yoke methodology in reducing the number of quality failures in the case company has been studied. Poka-yoke stands for the mistake-proofing and is mainly developed for the purpose of eliminating human errors in manufacturing processes. Inspection techniques; judgment, informative and source inspection are in the core of this methodology. Mass customization and large configurability of products leads to situation where the root causes of quality problems may vary a lot. To study the effects of these factors extensive analysis of quality failures was conducted. Recommendations and proposals for further actions regarding problem solving processes and utilization of mistake-proofing methods were provided on the basis of the analysis.

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Katselmoinnit ja tarkastusmenettelyt ovat osa ohjelmistotuotantoprosessin laadunvarmistusta. Staattisella tarkastamisella tarkoitetaan ohjelmistotuotteen visuaalista tarkastamista ohjelmistovirheiden havaitsemiseksi ja korjaamiseksi. Ohjelmiston lähdekoodin tarkastaminen voidaan suorittaa automaattisesti tarkoitukseen sopivalla ohjelmistolla l. analyysityökalulla. Tässä työssä toteutettiin analyysityökalu C#-kielisten lähdekoodien tarkastamiseen. Työkalulla suoritetussa kenttätestauksessa havaittiin tarkastettavissa ohjelmistoissa ohjelmiston ylläpitoon vaikuttavia puutteita. Lisäksi työssä tarkasteltiin katselmointeja osana ohjelmistotuotantoprosessin laadunvarmistusta sekä erilaisia ohjelmistovirheitä ja niiden lähteitä.

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Extensive literature shows that analysts’ forecasts and recommendations are often biased. Thus, it is important for the financial market to be able to recognize this bias to be able to correctly valuate public companies. This thesis uses characteristic approach, which was introduced by So (2013, pp. 615-640), to forecast analysts’ forecast errors and tests if predictable forecast error is fully incorporated into share prices. Data is collected of listed Finnish companies. Thesis’ timeframe spans over ten years from 2004 to 2013 consisting of 788 firm-years. Although there is earlier evidence that the characteristic approach is able to predict analysts’ forecast errors, no support for this is found in the Finnish market. This thesis contributes to the current knowledge by showing that the characteristic approach does not work universally as such but requires development to work especially in the smaller markets.

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Meesauuni on osa sulfaattisellutehdasta ja sen kemikaalikiertoa. Se on pyörivä kaltevaan tasoon asetettu rumpu-uuni, joka voi olla jopa 160 metriä pitkä ja halkaisijaltaan 5,5 metriä. Kalkki on kiertävä apukemikaali, jota käytetään soodakattilalta tulevan viherlipeän muuttamiseen valkolipeäksi. Meesauunin tehtävänä on kierrättää kalkki (CaO) uudelleen käytettäväksi kaustisoinnissa syntyneestä meesasta (CaCO3). Meesauunin vaipan konepajavalmistus on prosessina hyvin yksinkertainen, mutta toleranssivaatimukset ovat hyvin tiukat suhteutettuna meesauunin kokoon. Vaippalohkojen valmistus on siirtynyt halpatyövoiman maihin lähelle loppukäyttäjiä, joten vaatimukset piirustusten laadulle, valmistukselle, ohjeille ja tarkastamiselle ovat lisääntyneet. Uunin vaippa toimitetaan asennuspaikalle useassa lohkossa ja jokainen vaippalohko on tarkastettava ennen toimitusta. Virheellisten vaippalohkojen siirtyminen asennuspaikalle on estettävä. Työn tavoitteena oli parantaa meesauunin vaippalohkojen konepajavalmistuksen laaduntarkastusta. Tässä työssä tutkitaan mittausmenetelmiä vaippalohkojen geometrian mittaamiseen. Tärkeimmät uunin toiminnallisiin ominaisuuksiin vaikuttavat muototoleranssit vaippalohkoille ovat ympyrämäisyys ja keskiviivan suoruus. Virheet näissä toleransseissa aiheuttavat vaurioita uunin muurauksille ja liian suuria kuormituksia tuennoille. Vaippalohkot on mitattava pyöritysrullaston päällä ja konepajan olosuhteissa, mikä aiheuttaa omat haasteensa. Vaippalohkojen suuret massat ja dimensiot aiheuttavat vaippalohkoihin muodonmuutoksia. Muodonmuutokset täytyy olla hallinnassa, mikäli halutaan käyttää CMS-laitteistoja (Coordinate Measuring System). Meesauunin vaippalohkot ovat mitattavissa radiaalimittauksina tai käyttäen CMS-laitteistoja.

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