Ett stort antal människor dör på grund av skador som de fått inom vården och som hade kunnat förebyggas. Det finns siffror som pekar på att dessa vårdskador överskrider antalet döda i trafiken. Vid Östergötlands landsting finns sedan år 2005 en fast enhet som arbetar med patientsäkerhet. En av deras uppgifter är att, tillsammans med berörd verksamhet, utföra händelseanalyser inför anmälningar av Lex Maria-fall. Den analysmetod som används av patientsäkerhetsenheten är uppbyggd på en epidemiologisk olycksmodell.Syftet med denna studie har varit att använda analysmetoden FRAM (Functional Resonance Accident Model), som är en systemisk analysmetod utarbetad av Erik Hollnagel, i en vårdrelaterad kontext, någonting som inte har gjorts tidigare.

The fallout from the Chernobyl nuclear accident resulted in large deposits of caesium, iodineand strontium as well as noble gases in various parts of Sweden. 137Cs has a radioactive halflifeof about 30 years and is therefore one of few radio-fission products remaining inmeasurable quantities in the Swedish soil. Radiocaesium behaves similarly to potassium insoil-plant systems and is easily absorbed by plants. It is important to understand how 137Csbehaves in different ecosystems in order to minimize the risk toward humans.The aim of this study was to determine how potassium fertilization influences radiocaesiumcontent in different forest plants and fungi. Potassium fertilizer was spread once in 1992 withapproximately 200 kg KCl per ha.

Traffic accidents where wild animals are involved represents between 60 and 80 percent of all reported accidents, depending on location in Sweden. In a country like Sweden, with a lot of forest, there is always risk of a collision with a wild animal. Imagine if you, as a road user, had the possibility to receive warnings when the risk of an accident according to statistics is extra high.Wildlife Detection Network is a wildlife warning system with an information service, which makes the whole concept unique. When an animal is approaching the road, it is registered by sensors, and warning lights along the road are lit to inform drivers of the potential danger. In conclusion, this is a direct warning to all drivers on the road where the system is placed.When an animal is registered by the sensors, information containing time, date, weather circumstances and coordinates are sent to a database.

Water is the most essential resource for life. In cases where drinking water is processed from surface water it is important to ensure the raw water is of good quality, and is suitable for processing through the water treatment plant.The drinking water for Västerås is sourced from Västeråsfjärden, in the western side of Lake Mälaren. The city itself is home to marinas, ports, a wastewater treatment plant, the Svartån outlet, sewage pumping stations and stormwater outlets. Because of the negative effects these activities have on surface water quality, Mälarenergi AB is interested in relocating the raw water intake point to Granfjärden, 10 km east of Västeråsfjärden. At Granfjärden the intake point would be less exposed to the activities in Västerås, and could be placed at a greater depth, resulting in better water quality.In this Master?s thesis the water quality and the pollution risks at Västeråsfjärden and Granfjärden sites are compared.

The purpose with this study is to examine how the media coverage of the train accidentoutside Kimstad, on the night of September 12th 2010, was framed in one local (Norrköpingsnyheter) and one national newspaper (Expressen) and how the coverage of the accident wasdifferent in the local newspaper compared to the national newspaper.The material is 12 articles within a fixed time limit which is from September 13th toSeptember 15th. The material consists of six articles from each newspaper.The method we use a qualitative text analysis with its basis in medialogic, news value andframing theory.In the essay?s analysis we show a synthesis of both newspapers coverage of the train accidentoutside Kimstad and how they stand in relation to the theory of news value and we end with aterminative comment about the results.The conclusion shows that the coverage of the event was different in many ways. Expressenuses a more dramatic framing and a more sensational language which describes the eventmore badly than it was. NT uses a more informative and objective information which almosttrifles the event but which informs about relevant information for the locals.

Stockholm city has recently raised its ambitions for bicycle traffic, the goal is to achieve a larger andsafer bicycle traffic. But cyclists are more vulnerable on the roads than other vehicle users because of the lack of protection. This means that a large proportion of road safety for cyclists is based on the design of the traffic environment. Since most serious bicycle accidents are those that occur in conflict with motor vehicles, and the majority of these accidents occur at intersections, these areas are of great importance forcyclist?s safety.The  purpose  of  this  paper  is  to  highlight  bicycle  accidents  at  intersections  and  to  suggest improvements  in three accident-prone junctions  in Stockholm.  This is  achieved  by  the study of accident statistics, literature and finally three case studies.The literature study focused on cyclists, traffic safety and traffic safety measures.

Stockholm city has recently raised its ambitions for bicycle traffic, the goal is to achieve a larger andsafer bicycle traffic. But cyclists are more vulnerable on the roads than other vehicle users because of the lack of protection. This means that a large proportion of road safety for cyclists is based on the design of the traffic environment. Since most serious bicycle accidents are those that occur in conflict with motor vehicles, and the majority of these accidents occur at intersections, these areas are of great importance forcyclist?s safety.The  purpose  of  this  paper  is  to  highlight  bicycle  accidents  at  intersections  and  to  suggest improvements  in three accident-prone junctions  in Stockholm.  This is  achieved  by  the study of accident statistics, literature and finally three case studies.The literature study focused on cyclists, traffic safety and traffic safety measures.

Several radioactive nuclides were deposited in Sweden after the Chernobyl accident in 1986. The greatest attention was given to 137Cs because of its relative long physical half life of about 30 years. 137Cs will be present in nature for more than 100 years before it has vanished completely. When radiocaesium decays to a stable end product ionizing radiation is emitted, which can cause cancer in humans that has been exposed to a high radiation dose. Radiocaesium behaves like potassium and is easily taken up into biological systems.

I have always lived around mines and around people work­ing with mines. They are a natural part of my life and, inev­itably, a great interest of mine. When time came to make a decision for a degree project, focusing on the mine context felt as natural as breathing.In LKABs underground mines, safety in fire accidents is a great priority. Of outmost importance for the escape is to have a personal gas filter for filtration of smoke and/or gas. My design project resulted in a concept which is aimed at shortening the user journey from the start of the accident until the user has applied the personal safety solution and is ready to escape.Throughout the project I?ve been working with a context which is heavily regulated, and all problems are serious, important ones.

The purpose of the project was to design an electric bicycle to offer thetarget group youth an attractive alternative to mopeds. The basis for theproject was user studies in which young people were interviewed andobserved in their daily environment.The project resulted in a product, designed with the focus of integratingthe battery to the shape, to create a wholeness that is simple andintuitive.!The product is easy to use and operate, with an automatic transmissionengine.! A smart modular system allows the user to choose design withmudguards, rear rack, or without. The battery design is based on "cradleto-cradle" to maximize the battery life and minimize environmentalimpacts.It was very fun and rewarding to have the opportunity to present theresults for the youth who showed great interest in the product.The project was conducted in collaboration with Designit and Cycleurope..

Abstract The accident in 1986 at the nuclear power station in Chernobyl, Ukraine, dispersed radioactive cesium over large areas of Europe. The half life of 137Cs is 30 years and this radionuclide also behaves like potassium, which means that it can easily be taken up by the vegetation or be adsorbed in to the structure of clays, principally illitic clays. When radiocesium decays ionizing radiation is emitted, which is harmful to humans that are exposed, either directly or indirectly through food intake. It is there-fore important to know what happens to the cesium that is dispersed into the environ-ment. In this project a simulation model was constructed to simulate the adsorption and transport of radiocesium in the soil and plant uptake.

Gender is a universal factor that is unavoidable in classroom interaction between pupils and teachers. The principle aim of this essay is to illustrate whether, during the interaction between pupil and teachers still occurs behavior that expresses a gender order. We also want to establish if the ones who attract attention from the teachers is the individual, or if teachers still on a subconscious or conscious level, think of the pupils gender and ascribes him or her some characteristics or qualities. Especially we want to bring out the pupils thoughts and sights of there is a difference on how teachers treat boys and girls. Another purpose we wanted to achieve was to illustrate how teachers work with the concept of equivalence between the sexes, according to Lpo94.Our essay is built on our studies around what teachers think on how they treat the pupils, on the basis of gender perspective.

At nuclear power plants, electrical valve actuators are important for ensuring that the reactor core is water covered and the pressure in the reactor tank and containment is limited. The electrical actuators are provided with overload protection in case of drawing higher current then the motors are rated for. When safety manoeuvres are needed, the overload protection must not trig and cause the valve to stop before completing the manoeuvre. Analyses have showed that the current settings of the overload protection may cause an illegitimate trig at the worst theoretically possible accident. A new method has been developed with conservative assumptions and applies overload protections for all electrical valve actuators at the three reactors in Forsmark..

This essay describes how Örebro läns landsting operate concerning the delegation of work environment tasks in their organization. In the essay we review present law, with the focus on the delegation of work environment tasks. The purpose is to see if Örebro läns landsting are following the law in a correct way.Through interviews with people responsible for the work environment, and representatives for the workers in these questions, we could see how Örebro läns landsting were fulfilling there obligations in the role of employer. The result described how they were motivated and how they systematically worked with work environment issues. However, we could also see that the structure of the division of work environment tasks were inadequate.

The thesis work has been carried out at Volvo Aero Corporation (VAC) in Trollhättan. VAC has entered a partnership as developing and producing partner with engine manufacturer Pratt & Whitney and is currently at the starting phase of producing the turbine rear frame (TEC) to the engine PW1000.The purpose of this study was to create a report on process level that describes the conditions and the potential with PW1000 TEC to reach the product cost calculation taking into account lead times and describe alternative method solutions.The report describes a comparison between the present flow (2012), a flow based on product cost calculation (2016) and a potential flow (2016). The work has mainly been based on acquiring the knowledge and information available to inspect the present flow; this has been done by workshop observations, meetings and gathering of the information that is available on the work site for the PW1000 TEC.The information obtained has been merged into an Excel document, called Roadmap. It serves as a roadmap with current situation as the start and the potential flow for 2016 as the goal. With the roadmap as a tool, assumptions have been taken considering the flow and how it will change, where processes have been eliminated, reduced or marked as a problem..