Dosimetry, Optimization and FMEA of Total Skin Electron Irradiation (TSEI)

Shariff, Maya; Stillkrieg, Willi; Lotter, Michael; Lohmann, Daniel; Weissmann, Thomas; Fietkau, Rainer; Bert, Christoph

doi:10.1016/j.zemedi.2021.09.004

Cited by 4 publications

(2 citation statements)

References 14 publications

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“…To date, several studies reporting the application of FMEA in various areas such as healthcare process, 11,12 hospital management, 13,14 hospital informatisation 15,16 and medical equipment/ production 17,18 have been published. However, to the best of our knowledge, only one paper discussed the use of the FMEA technique in a population-based screening programme for CRC.…”

Section: Discussionmentioning

confidence: 99%

Applying the healthcare failure mode and effects analysis approach to improve the quality of an organised colorectal cancer screening programme

Chiereghin,

Squillace,

Pizzi

et al. 2023

J Med Screen

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Objective The first level of a colorectal cancer (CRC) screening process was systematically analysed using the Healthcare Failure Mode and Effects Analysis (HFMEA) approach by a multidisciplinary team aiming to improve the programme quality. Setting The study was conducted at the Local Health Authority of Bologna, Northern Italy. Methods Seven brainstorming sessions were conducted and all the activities performed were recorded on a FMEA worksheet consisting of individual records reporting the specific phases of the analysed process along with associated activities, possible failure modes, their causes and effects, the obtained risk priority numbers (RPNs) and the control measures to plan. Results Twenty-three failure modes, 14 effects and 12 possible causes were identified. Nine failure modes were prioritised according to the RPN obtained; most resulted in possible false-negative faecal immunochemical test (FIT) results (66.7%), followed by sample loss (22.2%) and not reaching the entire target population (11.1%). This leads to 66.7% of corrective/preventive actions being applied to the phase of returning the stool sample by the citizen. For this phase reorganisation, the local pharmacies were involved not only as FIT kit delivery points but also as specimen collection and sending points to the laboratory. These organisational changes allowed the introduction of complete traceability of kits and specimens flow, as well as temperature control. A re-evaluation of the prioritised failure modes 6 months after launching the implemented screening process showed that HFMEA application decreased the risk of potential errors by 75.9%. Conclusion HFMEA application in CRC screening programme is a useful tool to reduce potential errors.

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Section: Discussionmentioning

confidence: 99%

Applying the healthcare failure mode and effects analysis approach to improve the quality of an organised colorectal cancer screening programme

Chiereghin,

Squillace,

Pizzi

et al. 2023

J Med Screen

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show abstract

“…Many methods are currently used in radiation therapy to implement risk analysis using a FMEA [9] , [22] . Most publications on risk analysis in radiotherapy refer to individual treatment methods [16] , [23] , [24] or specific steps of the treatment planning process [25] , [26] . This is reasonable, since most errors occur during treatment planning [27] and physicists have a high workload in the entire therapy process [28] .…”

Section: Discussionmentioning

confidence: 99%