2020
DOI: 10.1016/j.tipsro.2020.02.001
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Quality management in radiation therapy: A 15 year review of incident reporting in two integrated cancer centres

Abstract: a b s t r a c tFifteen years of reported incidents were reviewed to provide insight into the effectiveness of an Incident Learning System (ISL). The actual error rate over the 15 years was 1.3 reported errors per 1000 treatment attendances. Incidents were reviewed using a Mann-Whitney U Test. The average number of incidents per year and the number of incidents per thousand attendances declined over time. Two seven-year periods were considered for analysis and the average for the first period (2005-2011) was 6 … Show more

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Cited by 12 publications
(12 citation statements)
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“…Bissonnette and Medlam 7 found that increases in treatment complexity resulted in increases in documentation errors, which aligns with the findings of the current study. Smith et al 20 also reported on a fifteen-year review of incident data in 2020, reporting similar results to the current study with regards to increases in near misses and errors related to the implementation of new technology. Their study found an increase in near miss events associated with the 20 However, overall, there is a paucity of literature reporting a comparative analysis of radiation incidents in relation to the implementation of new technology and electronic processes plus changes within a large academic department over a greater than a ten-year period.…”
Section: Discussionsupporting
confidence: 87%
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“…Bissonnette and Medlam 7 found that increases in treatment complexity resulted in increases in documentation errors, which aligns with the findings of the current study. Smith et al 20 also reported on a fifteen-year review of incident data in 2020, reporting similar results to the current study with regards to increases in near misses and errors related to the implementation of new technology. Their study found an increase in near miss events associated with the 20 However, overall, there is a paucity of literature reporting a comparative analysis of radiation incidents in relation to the implementation of new technology and electronic processes plus changes within a large academic department over a greater than a ten-year period.…”
Section: Discussionsupporting
confidence: 87%
“…Smith et al. 20 also reported on a fifteen‐year review of incident data in 2020, reporting similar results to the current study with regards to increases in near misses and errors related to the implementation of new technology. Their study found an increase in near miss events associated with the introduction of image‐guided RT (IGRT) technology.…”
Section: Discussionsupporting
confidence: 87%
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