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Y. Otsuka, J. Ayuzawa, M. Akiyoshi and H. Noguchi, “Improve-ment Framework for Safety Rule Using Incident Reporting and Worker’s Practical Heuristics (Empirical Consideration in Pa-tient Safety Management),” Transactions of the Japan Society of Mechanical Engineers Part C, Vol. 74, No. 740, 2008 , pp. 260-267.

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