PMID- 16884798
OWN - NLM
STAT- MEDLINE
DCOM- 20070116
LR  - 20081121
IS  - 0167-8140 (Print)
IS  - 0167-8140 (Linking)
VI  - 80
IP  - 3
DP  - 2006 Sep
TI  - Risk analysis in radiation treatment: application of a new taxonomic structure.
PG  - 282-7
AB  - BACKGROUND AND PURPOSE: Radiation treatment (RT) for cancer is susceptible to 
      clinical incidents resulting from human errors and equipment failures. A 
      systematic approach to collecting and processing incidents is required to manage 
      patient risks. We describe the application of a new taxonomic structure for RT 
      that supports risk analysis and organizational learning. MATERIALS AND METHODS: A 
      systematic analysis of the RT process identified five process domains. Within 
      each domain we defined incident type groups. We then constructed a database 
      reflecting this taxonomic structure and populated it with incidents from publicly 
      available sources. Querying this database provides insights into the nature and 
      relative frequency of incidents in RT. RESULTS: There are relatively few reports 
      of incidents in the Prescription domain compared with the Preparation and 
      Treatment domains. There are also fewer reports of systematic and infrastructure 
      incidents in comparison to sporadic and process incidents. Infrastructure 
      incidents are mainly systematic in nature, while process incidents are more 
      likely to be sporadic. CONCLUSIONS: The lack of a standard, systems-oriented 
      framework for incident reporting makes it difficult to learn from existing 
      incident report sources. A clear understanding of the potential consequences and 
      relationships between different incident types will guide incident reporting, 
      resource allocation, and risk management efforts.
FAU - Ekaette, Edidiong U
AU  - Ekaette EU
AD  - Department of Community Health Sciences, Faculty in Medicine, University of 
      Calgary, Calgary, Canada. eekaette@ucalgary.ca
FAU - Lee, Robert C
AU  - Lee RC
FAU - Cooke, David L
AU  - Cooke DL
FAU - Kelly, Karie-Lynn
AU  - Kelly KL
FAU - Dunscombe, Peter B
AU  - Dunscombe PB
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20060801
PL  - Ireland
TA  - Radiother Oncol
JT  - Radiotherapy and oncology : journal of the European Society for Therapeutic 
      Radiology and Oncology
JID - 8407192
SB  - IM
MH  - Documentation/*standards
MH  - Drug Prescriptions
MH  - Humans
MH  - Medical Errors/*statistics & numerical data
MH  - Neoplasms/drug therapy/radiotherapy
MH  - *Quality Assurance, Health Care
MH  - Radiation Injuries/prevention & control
MH  - Radiotherapy/*standards
MH  - Risk Management/*standards
EDAT- 2006/08/04 09:00
MHDA- 2007/01/17 09:00
CRDT- 2006/08/04 09:00
PHST- 2005/09/07 00:00 [received]
PHST- 2006/04/18 00:00 [revised]
PHST- 2006/07/10 00:00 [accepted]
PHST- 2006/08/04 09:00 [pubmed]
PHST- 2007/01/17 09:00 [medline]
PHST- 2006/08/04 09:00 [entrez]
AID - S0167-8140(06)00286-6 [pii]
AID - 10.1016/j.radonc.2006.07.004 [doi]
PST - ppublish
SO  - Radiother Oncol. 2006 Sep;80(3):282-7. doi: 10.1016/j.radonc.2006.07.004. Epub 
      2006 Aug 1.