IR@PKUHSC  > 北京大学第三临床医学院  > 肿瘤放疗科
学科主题临床医学
Implementation of Incident Learning in the Safety and Quality Management of Radiotherapy: The Primary Experience in a New Established Program with Advanced Technology
Wang, Junjie; Yang, Ruijie; Zhang, Xile; Sun, Haitao; Gao, Yang; Liu, Lu; Lin, Lei
刊名BIOMED RESEARCH INTERNATIONAL
2014
DOI10.1155/2014/392596
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Biotechnology & Applied Microbiology ; Medicine, Research & Experimental
研究领域[WOS]Biotechnology & Applied Microbiology ; Research & Experimental Medicine
关键词[WOS]RADIATION ONCOLOGY ; ERRORS ; ASSURANCE ; SYSTEM ; THERAPY ; MISSES ; IMPACT ; TOOL
英文摘要

Objective. To explore the implementation of incident learning for quality management of radiotherapy in a new established radiotherapy program. Materials and Methods. With reference to the consensus recommendations by American Association of Physicist in Medicine, an incident learning system was specifically established for reporting, investigating, and learning of individual incidents. The incidents that occurred in external beam radiotherapy from February, 2012, to February, 2014, were reported. Results. A total of 28 near misses and 5 incidents were reported. Among them, 5 originated in imaging for planning, 25 in planning, and 1 in plan transfer, commissioning, and delivery, respectively. One near miss/incident was classified as wrong patient, 7 wrong sites, 6 wrong laterality, and 5 wrong dose. Five reported incidents were all classified as grade 1/2 of dosimetric severity, 1 as grade 0, and the other 4 as grade 1 of medical severity. For the causes/contributory factors, negligence, policy not followed, and inadequate training contributed to 19, 15, and 12 near misses/incidents, respectively. The average incident rate per 100 patients treated was 0.4. Conclusion. Effective implementation of incident learning can reduce the occurrence of near misses/incidents and enhance the culture of safety.

语种英语
WOS记录号WOS:000340130300001
引用统计
被引频次:5[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/49931
专题北京大学第三临床医学院_肿瘤放疗科
作者单位Peking Univ, Hosp 3, Dept Radiat Oncol, Beijing 100191, Peoples R China
推荐引用方式
GB/T 7714
Wang, Junjie,Yang, Ruijie,Zhang, Xile,et al. Implementation of Incident Learning in the Safety and Quality Management of Radiotherapy: The Primary Experience in a New Established Program with Advanced Technology[J]. BIOMED RESEARCH INTERNATIONAL,2014.
APA Wang, Junjie.,Yang, Ruijie.,Zhang, Xile.,Sun, Haitao.,Gao, Yang.,...&Lin, Lei.(2014).Implementation of Incident Learning in the Safety and Quality Management of Radiotherapy: The Primary Experience in a New Established Program with Advanced Technology.BIOMED RESEARCH INTERNATIONAL.
MLA Wang, Junjie,et al."Implementation of Incident Learning in the Safety and Quality Management of Radiotherapy: The Primary Experience in a New Established Program with Advanced Technology".BIOMED RESEARCH INTERNATIONAL (2014).
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