Taxonometric applications in radiotherapy incident analysis

International Journal of Radiation Oncology, Biology, Physics
P DunscombeDavid L Cooke

Abstract

Recent publications in both the scientific and the popular press have highlighted the risks to which patients expose themselves when entering a healthcare system. Patient safety issues are forcing us to, not only acknowledge that incidents do occur, but also actively develop the means for assessing and managing the risks of such incidents. To do this, we ideally need to know the probability of an incident's occurrence, the consequences or severity for the patient should it occur, and the basic causes of the incident. A structured approach to the description of failure modes is helpful in terms of communication, avoidance of ambiguity, and, ultimately, decision making for resource allocation. In this report, several classification schemes or taxonomies for use in risk assessment and management are discussed. In particular, a recently developed approach that reflects the activity domains through which the patient passes and that can be used as a basis for quantifying incident severity is described. The estimation of incident severity, which is based on the concept of the equivalent uniform dose, is presented in some detail. We conclude with a brief discussion on the use of a defined basic-causes table and how adding such a table ...Continue Reading

References

Feb 23, 2005·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Andrew ChangJerod M Loeb
Mar 15, 2005·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·Tai Keung YeungErnst Lederer

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Citations

Sep 24, 2014·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·Julian MalickiHannu Jarvinen
Dec 9, 2010·Strahlentherapie und Onkologie : Organ der Deutschen Röntgengesellschaft ... [et al]·Maurizio PortaluriGiorgio Pili
Oct 11, 2019·Journal of Applied Clinical Medical Physics·Hualin ZhangVythialingam Sathiaseelan
Jun 17, 2021·Journal of Radiological Protection : Official Journal of the Society for Radiological Protection·Francesco TramacereArtor Niccoli Asabella

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