T Pawlicki1, M Coffey2, M Milosevic3. 1. Department of Radiation Medicine and Applied Sciences, University of California San Diego, La Jolla, California, USA. Electronic address: tpaw@ucsd.edu. 2. Discipline of Radiation Therapy, School of Medicine, Trinity College, Dublin, Ireland. 3. University Health Network and Princess Margaret Cancer Center, Toronto, Canada; University of Toronto, Toronto, Canada.
Abstract
AIMS: To discuss the background for incident reporting and learning systems, as well as the infrastructure and operational aspects to run them. MATERIALS AND METHODS: Information from peer-reviewed literature, online resources and the authors' experience synthesised into a concise understanding of the topic. RESULTS: Incident learning systems can be local, national or international, each having the same basic goals but facilitating different audiences and environments. A key component of any reporting and learning system is timely and effective analysis of near-misses and incidents as well as feedback to the users of the system. It is important for staff to know that reports are acknowledged, analysed and acted upon. There is a need to comply with current European legislation and other national systems, which can be addressed together with the steps required for comprehensive management of an incident. CONCLUSION: Reporting and learning from incidents and near-misses is a key component of quality and safety in radiotherapy. A major benefit of the national or international systems is the potential for a larger database of incidents, supporting wider analysis and comparison, and sharing of knowledge across a larger community.
AIMS: To discuss the background for incident reporting and learning systems, as well as the infrastructure and operational aspects to run them. MATERIALS AND METHODS: Information from peer-reviewed literature, online resources and the authors' experience synthesised into a concise understanding of the topic. RESULTS: Incident learning systems can be local, national or international, each having the same basic goals but facilitating different audiences and environments. A key component of any reporting and learning system is timely and effective analysis of near-misses and incidents as well as feedback to the users of the system. It is important for staff to know that reports are acknowledged, analysed and acted upon. There is a need to comply with current European legislation and other national systems, which can be addressed together with the steps required for comprehensive management of an incident. CONCLUSION: Reporting and learning from incidents and near-misses is a key component of quality and safety in radiotherapy. A major benefit of the national or international systems is the potential for a larger database of incidents, supporting wider analysis and comparison, and sharing of knowledge across a larger community.
Authors: Clare Snyder; Brian W Pogue; Michael Jermyn; Irwin Tendler; Jacqueline M Andreozzi; Petr Bruza; Venkat Krishnaswamy; David J Gladstone; Lesley A Jarvis Journal: J Med Imaging (Bellingham) Date: 2018-01-02
Authors: Brandon T Mullins; Lukasz Mazur; Michael Dance; Ross McGurk; Eric Schreiber; Lawrence B Marks; Colette J Shen; Michael V Lawrence; Bhishamjit S Chera Journal: Front Oncol Date: 2020-07-08 Impact factor: 6.244