Human health and performance risk management—an approach for exploration missions

Davis, Jeffrey R.; Fogarty, Jennifer; Richard, Elizabeth E.

doi:10.1016/j.actaastro.2008.02.004

Cited by 12 publications

(8 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…HRP have identified 32 physiological, medical, and behavioural risks associated with long-duration spaceflights [22]. Linked to that, Davis et al presented in [23] a risk management system based on the acceptable levels of risk for each mission type with the goal of guiding research efforts and mission planning through the probability of medical adverse events, uncertainty of outcomes, impacts, costs and benefits of mitigation actions along with related current and future work. More recently, Mindock et al in [24] defined a connected map of contributing factors and the medical risks, whereas Romero and Francisco in [6] identified 100 hundred probable health problems that may affect mission success and classified the medical risks in five hazards of spaceflight: altered gravity, radiation, distance, isolation and hostile environment.…”

Section: State Of the Artmentioning

confidence: 99%

Basic principles and concept design of a real-time clinical decision support system for managing medical emergencies on missions to Mars

García‐Gómez¹

2020

Preprint

View full text Add to dashboard Cite

Space agencies and private companies prepare the beginning of the human space exploration for the 2030s with missions to put the first human on the Mars surface. The absence of gravity and radiation, along with distance, isolation and hostile environment are expected to increase medical events with unidentified manifestations along the crewmembers. The current healthcare strategy based on telemedicine and the possibility to stabilise and transport the injured crewmember to a terrestrial definitive medical facility is not applicable in exploration class missions. Therefore, full autonomous capability to solve medical situations will guide design of future healthcare systems onboard.This study presents the basic principles and concept design of a software suite to bring on-board decision support to help dealing with medical conditions of the crewmembers, with special attention to emergency care situations and critical monitoring. MEDEA is an autonomous clinical decision support system that provides real-time advice to tertiary interventions on-board in space exploration missions. Its basic principles are 1) to give real-time support for medical decision making, 2) give patient-specific advice for executive problemsolving, 3) take into account available information from life support and monitoring of crewmembers, 4) be full autonomous from remote facilities, 5) continuously adapt predictions to physiological disturbance and changing conditions, 6) optimise medical decision making in terms of mission fundamental priorities, 7) take into account medical supplies and equipment on-board, 8) apply health standards for levels of care V, 9) apply ethical standards for spaceflights, and 10) apply ethical standards for artificial intelligence.To fulfil these principles, MEDEA is conceptually designed as a software suite consists of four interconnected modules. The main of them is responsible to give direct advice to the crew by means of a deep learning multitask neural network to predict the characters of the medical event (e.g. life-threatening, delayability, ethical dilemma, duration of therapy, and compatible diagnoses), a classifier of the tertiary medical intervention and an optimiser of medical action plans. This module is continuously evaluate and re-trained with changing physiological data from the crew by an adaptive deep learning module, ensuring fairness, interpretability and traceability of decision making during the full operational time of MEDEA. Finally, MEDEA would be semantically interoperable with health information systems on-board by a FHIR module.The deployment of MEDEA on-board of future missions to Mars will facilitate the deployment of a comprehensive preventive medical strategy. Moreover, the advance in technology may represent a stepstone of the future quantitative medicine on Earth and on the expansion of humans throughout the solar system.

show abstract

Section: State Of the Artmentioning

confidence: 99%

Basic principles and concept design of a real-time clinical decision support system for managing medical emergencies on missions to Mars

García‐Gómez¹

2020

Preprint

View full text Add to dashboard Cite

show abstract

“…The Bioastronautics Roadmap [7] NASA developed in recent years to aid in management of risks to crew health and performance was reviewed by the Institute of Medicine [8]. The results of this review reinforced the need to regularly examine human system risks [9], and accordingly, NASA has begin using a risk management approach called Continuous Risk Management (CRM) for managing human health and performance risks in the spaceflight context. CRM iterates through steps of risk identification, analysis, planning, tracking, and controlling, with continuous communication and documentation throughout.…”

Section: Motivation For the Researchmentioning

confidence: 99%

Development and Application of Spaceflight Performance Shaping Factors for Human Reliability Analysis

Mindock

Klaus

2011

41st International Conference on Environmental Systems

View full text Add to dashboard Cite

show abstract

“…• human factors Cacciabue (2005) and human health Davis et al (2008) • political acceptance criteria Ale 2005and local empowerment Nilsen 2008• supply chain disruptions Adhitya et al 2007 2008• Pedestrian surface evaluation Hunt-Sturman and Jackson (2009)andwater treatment Hess and Bernard (2008) In many cases such as with Kirchsteiger (2008) the use of a tool or methodology is referred to as 'Risk assessment'.…”

Section: Tools and Techniquesmentioning

confidence: 99%

A Formalised Approach to the Management of Risk

Brownsword¹,

Setchi

2011

International Journal of Knowledge and Systems Science

View full text Add to dashboard Cite

Observations made while working with industry and government organisations have shown a number of issues with the implementation of current risk management best practice. A major issue in many cases is the lack of pragmatism associated with the risk management process and the need for a more formalised approach to risk management. In this paper, the authors propose and validate a multi-view approach to defining the processes required to carry out risk management. The formalised approach proposed includes a definition of risk, an ontology, a set of processes, and a pragmatic methodology, which shows an application of these processes enabling pro-active management of change. The ability of the processes to be applied to different types of risk has been demonstrated through a case study highlighting health and safety issues. Within the current engineering and economic climate this logical approach provides a visualisation which is consistent, repeatable, view based, and pragmatic.

show abstract

Human health and performance risk management—an approach for exploration missions

Cited by 12 publications

References 0 publications

Basic principles and concept design of a real-time clinical decision support system for managing medical emergencies on missions to Mars

Basic principles and concept design of a real-time clinical decision support system for managing medical emergencies on missions to Mars

Development and Application of Spaceflight Performance Shaping Factors for Human Reliability Analysis

A Formalised Approach to the Management of Risk

Contact Info

Product

Resources

About