Providing an approach to analyze the risk of central oxygen tanks in hospitals during the COVID-19 pandemic

The central oxygen unit of hospitals is considered a high-risk unit, requiring high safety standards to maintain the integrity of the system during the COVID-19 pandemic. The linear reasoning assumption of conventional risk analysis methods cannot adequately describe these modern systems, which are...

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Main Authors: Fereydoon Laal, Saber Moradi Hanifi, Rohollah Fallah Madvari, Amir Hossein Khoshakhlagh, Maryam Feiz Arefi
Format: Article
Language:English
Published: Elsevier 2023-08-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844023059443
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author Fereydoon Laal
Saber Moradi Hanifi
Rohollah Fallah Madvari
Amir Hossein Khoshakhlagh
Maryam Feiz Arefi
author_facet Fereydoon Laal
Saber Moradi Hanifi
Rohollah Fallah Madvari
Amir Hossein Khoshakhlagh
Maryam Feiz Arefi
author_sort Fereydoon Laal
collection DOAJ
description The central oxygen unit of hospitals is considered a high-risk unit, requiring high safety standards to maintain the integrity of the system during the COVID-19 pandemic. The linear reasoning assumption of conventional risk analysis methods cannot adequately describe these modern systems, which are characterized by tight connections and complex interactions between technical, human, and organizational aspects. Therefore, this study presents a new and comprehensive approach to oxygen tanks in hospitals during the COVID-19 pandemic. In this study, trapezoidal fuzzy numbers were used to calculate failure rates. After determining the probability of basic events (BEs), intermediate events (IE), and top event (TE) with fuzzy logic and transferring it into Bayesian Network (BN), deductive and inductive reasoning, and sensitivity analysis were performed using RoV in GeNIe software. The results of the case study showed that the IE of “Human Error” had the highest probability of fuzzy fault tree (FFT) and the probability of oxygen leakage was lower using FBN than FFT. According to the results, BE16 (failure to use standard and updated instructions) and BE12 (defects in the inspection and testing program of tank devices) had the highest posterior probability, while based on the FFT results, BE4 (defects in the external coating system of the tank) and, BE3 (Corrosive environment (acidity state)) had the least probability. According to the sensitivity analysis, basic events 10, 11, and 16 were the most important in the oxygen leakage event with a very small difference, which was almost in line with the results of posterior FBN (FBNPO). Updating the existing guidelines, fixing defects in the inspection of all types of tank gauges, and testing related equipment can greatly help the reliability of these tanks. Root cause analysis of these events provides opportunities for prevention and emergency response in critical situations, such as the COVID-19 pandemic.
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spelling doaj.art-b3c8ae99acaf45c9b4f2197a5c7b434a2023-08-30T05:52:24ZengElsevierHeliyon2405-84402023-08-0198e18736Providing an approach to analyze the risk of central oxygen tanks in hospitals during the COVID-19 pandemicFereydoon Laal0Saber Moradi Hanifi1Rohollah Fallah Madvari2Amir Hossein Khoshakhlagh3Maryam Feiz Arefi4Determinants of Health Research Center, Department of Occupational Health Engineering, Birjand University of Medical Sciences, Birjand, IranDepartment of Occupational Health Engineering, School of Public Health, Iran University of Medical Sciences, Tehran, IranDepartment of Occupational Health, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, IranDepartment of Occupational Health Engineering, School of Health, Kashan University of Medical Sciences, Kashan, Iran; Corresponding author.Department of Occupational Health, School of Public Health, Gonabad University of Medical Sciences, Gonabad, IranThe central oxygen unit of hospitals is considered a high-risk unit, requiring high safety standards to maintain the integrity of the system during the COVID-19 pandemic. The linear reasoning assumption of conventional risk analysis methods cannot adequately describe these modern systems, which are characterized by tight connections and complex interactions between technical, human, and organizational aspects. Therefore, this study presents a new and comprehensive approach to oxygen tanks in hospitals during the COVID-19 pandemic. In this study, trapezoidal fuzzy numbers were used to calculate failure rates. After determining the probability of basic events (BEs), intermediate events (IE), and top event (TE) with fuzzy logic and transferring it into Bayesian Network (BN), deductive and inductive reasoning, and sensitivity analysis were performed using RoV in GeNIe software. The results of the case study showed that the IE of “Human Error” had the highest probability of fuzzy fault tree (FFT) and the probability of oxygen leakage was lower using FBN than FFT. According to the results, BE16 (failure to use standard and updated instructions) and BE12 (defects in the inspection and testing program of tank devices) had the highest posterior probability, while based on the FFT results, BE4 (defects in the external coating system of the tank) and, BE3 (Corrosive environment (acidity state)) had the least probability. According to the sensitivity analysis, basic events 10, 11, and 16 were the most important in the oxygen leakage event with a very small difference, which was almost in line with the results of posterior FBN (FBNPO). Updating the existing guidelines, fixing defects in the inspection of all types of tank gauges, and testing related equipment can greatly help the reliability of these tanks. Root cause analysis of these events provides opportunities for prevention and emergency response in critical situations, such as the COVID-19 pandemic.http://www.sciencedirect.com/science/article/pii/S2405844023059443Central oxygen tanksHospitalsCOVID-19 pandemicRisk assessment
spellingShingle Fereydoon Laal
Saber Moradi Hanifi
Rohollah Fallah Madvari
Amir Hossein Khoshakhlagh
Maryam Feiz Arefi
Providing an approach to analyze the risk of central oxygen tanks in hospitals during the COVID-19 pandemic
Heliyon
Central oxygen tanks
Hospitals
COVID-19 pandemic
Risk assessment
title Providing an approach to analyze the risk of central oxygen tanks in hospitals during the COVID-19 pandemic
title_full Providing an approach to analyze the risk of central oxygen tanks in hospitals during the COVID-19 pandemic
title_fullStr Providing an approach to analyze the risk of central oxygen tanks in hospitals during the COVID-19 pandemic
title_full_unstemmed Providing an approach to analyze the risk of central oxygen tanks in hospitals during the COVID-19 pandemic
title_short Providing an approach to analyze the risk of central oxygen tanks in hospitals during the COVID-19 pandemic
title_sort providing an approach to analyze the risk of central oxygen tanks in hospitals during the covid 19 pandemic
topic Central oxygen tanks
Hospitals
COVID-19 pandemic
Risk assessment
url http://www.sciencedirect.com/science/article/pii/S2405844023059443
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