Risikoanalyse in der Strahlentherapie: Muss es die FMEA-Methode mit RPZ sein?

Risk management patterns in radiation oncology—results of a national survey within the framework of the Patient Safety in German Radiation Oncology (PaSaGeRO) project

“…The authors reported on national RM requirements in 10 countries, yet in Germany, the implementation of national regularities for RM in RO took until 2018. As only few scientific papers on approaches of RM in Germany exist [4,18,34], our results present a considerable support for enhanced communication about the topic, for the definition of guidelines and teaching content as well as a base for future research.…”

“…Most departments adhered to common recommendations concerning methods and protagonists, e.g., involving an FMEA and interprofessional teams. FMEA was recommended in multiple publications about RM in RO [16,[35][36][37]; however, deviation in methods might bear certain advantages as described recently [18]. Most departments included planning, patient setup, and first radiation treatment in the analyses, while treatment routine was only assessed by two-third of institutions.…”

“…Most departments adhered to common recommendations concerning methods and protagonists, e.g., involving an FMEA and interprofessional teams. FMEA was recommended in multiple publications about RM in RO [ 16 , 35 – 37 ]; however, deviation in methods might bear certain advantages as described recently [ 18 ].…”

“…Topic of analysis might be only one step of the treatment process (subprocess) or even several processes altogether [ 16 ]. Several methods might be of help and especially failure modes and effects analysis (FMEA) with nomination of values to rank risks or use of a risk matrix are the topic of several publications [ 16 – 18 ]. Based on this analysis, measures can be initiated and implemented in daily routine to minimize the occurrence or the severity of errors.…”