Applying failure mode effects and criticality analysis in radiotherapy: lessons learned and perspectives of enhancement

Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology
Marta ScorsettiPaolo Trucco

Abstract

The radiation oncology process along with its unique therapeutic properties is also potentially dangerous for the patient, and thus it should be delivered under a systematic risk control. To this aim incident reporting and analysis are not sufficient for assuring patient safety and proactive risk assessment should also be implemented. The paper accounts for some methodological solutions, lessons learned and opportunities for improvement, starting from the systematic application of the failure mode effects and criticality analysis (FMECA) technique to the radiotherapy process of an Italian hospital. The analysis, performed by a working group made of experts of the radiotherapy unit, was organised into the following steps: (1) complete and detailed analysis of the process (integration definition for function modelling); (2) identification of possible failure modes (FM) of the process, representing sources of adverse events for the patient; (3) qualitative risk assessment of FMs, aimed at identifying priorities of intervention; (4) identification and planning of corrective actions. Organisational and procedural corrective measures were implemented; a set of safety indexes for the process was integrated within the traditional quali...Continue Reading

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Citations

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