跌倒預防 肇因分析與技巧 - ccd.mohw.gov.t · pdf file跌倒預防...
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5W1H
,
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68
% 39
%
62
% 24
% 45
%
33
%
N=12,435 N=842
19440 (Rizzo, 1998)
6.4 23339.2(2002)
95 9.74%200665 2004
103-104
5W1H
What
When
/
N=828 14 N=223 2
()
N=12,435
?
Where
N=12,435N
Who ()
65
/
57.2%7,111
25.7%3,192
69.0%8,583
31.4%
Why ?
N=12,607N
N=10,701N
N=2,260N
N=1,989N
N=844N
N=715N
/
N=142N
/
N=108N
How
?
WHY
?
104
104 1.
A. B.
2. A. B. C.
3. A. B. C. D.
E F.
1.()()
2. ()
()
()
()
A.
B.
A.
B.
C.
D.
E
F.
Cullen et al.,1995; Dunn, 2003
5 W1H
/ /
What
When
Where
Why
Who//
How
()
SAC; severity assessment code 1-2
(FMEA Failure mode and effects analysis
(1)
(2)
(3)
(4)