Compliance to technical guidelines for radiotherapy treatment in relation to patient safety

International Journal for Quality in Health Care

Volumn 22, Issue 3, 2010, Pages 187-193

  Simons, Pascale A M ^a   Houben, Ruud M A ^a   Backes, Huub H ^a   Pijls, Rene F G ^a   Groothui, Siebren ^b  

^a MAASTRO CLINIC   (Netherlands)

^b MAASTRICHT UNIVERSITY   (Netherlands)

Author keywords

Design for safety; Guidelines; Practice variations; Quality measurement; Risk management

Indexed keywords

ARTICLE; CANCER RADIOTHERAPY; HEALTH CARE DELIVERY; HEALTH PERSONNEL ATTITUDE; HUMAN; MEDICAL PRACTICE; NETHERLANDS; PATIENT SAFETY; PRACTICE GUIDELINE; PRIORITY JOURNAL; RELIABILITY; RISK ASSESSMENT; RISK MANAGEMENT; TUMOR LOCALIZATION; VIDEORECORDING;

ALLIED HEALTH PERSONNEL; BREAST NEOPLASMS; FEMALE; GUIDELINE ADHERENCE; HUMANS; OBSERVER VARIATION; PARTICLE ACCELERATORS; PRACTICE GUIDELINES AS TOPIC; RADIOTHERAPY; SAFETY MANAGEMENT; VIDEOTAPE RECORDING;

EID: 77953508178     PISSN: 13534505     EISSN: 14643677     Source Type: Journal    
DOI: 10.1093/intqhc/mzq020     Document Type: Article

References (22)

1. de Bruijne MC, Zegers M, Hoonhout LHF et al. Onbedoelde schade in Nederlandse ziekenhuizen (Unintentional harm in Dutch hospitals). Dossieronderzoek van ziekenhuisopnames in 2004 (Research in Hospitalisation Files). Amsterdam: instituut E, NIVEL, 2007.
2. Mandal K, Adams W, Fraser S. 'Near misses' in a cataract theatre: how do we improve understanding and documentation? Br J Ophthalmol 2005;89:1565-8.
3. Israelski EW, Muto WH. Human factors risk management as a way to improve medical device safety: a case study of the therac 25 radiation therapy system. Jt Comm J Qual Saf 2004;30:689-95.
4. Williams MV, Summers ET, Drinkwater K et al. Radiotherapy dose fractionation, access and waiting times in the countries of the UK in 2005. Clin Oncol (R Coll Radiol) 2007;19:273-86.
5. Dobbs J, Barrett A, Ash D. Practical Radiotherapy Planning, 3 edn. London: Arnold, 1999.
6. Han YY, Carcillo JA, Venkataraman ST et al. Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system. Pediatrics 2005;116:1506-12.
7. van Herk M. Errors and margins in radiotherapy. Semin Radiat Oncol 2004;14:52-64.
8. de Leeuw JRJ, Veenhof C, Wagner C et al. Patiëntveiligheid in de eerstelijnsgezondheidszorg: stand van zaken (Patient Safety in Primary Health Care: the State of Affairs). Utrecht: NIVEL, 2008.
9. Reason J. Human error: models and management. Br Med J 2000;320:768-70.
10. Rex JH, Turnbull JE, Allen SJ et al. Systematic root cause analysis of adverse drug events in a tertiary referral hospital. Jt Comm J Qual Improv 2000;26:563-75.
11. van Everdingen JJE, Smorenburg SM, Schellekens W et al. Patient Safety Toolbox: Instruments for Improving Safety in Health Care Organisations. Houten, The Netherlands: Bohn Stafleu van Loghum, 2007, 161.
12. Van der Schaaf TW. Near-miss Reporting in the Chemical Process Industry. Eindhoven, The Netherlands: Eindhoven University of Technology, 1992.
13. Van der Schaaf TW, Lucas DA, Hale AR. Near-miss Reporting as a Safety Tool. Oxford: Butterworth and Heinemann, 1991.
14. Capuzzo M, Nawfal I, Campi M et al. Reporting of unintended events in an intensive care unit: comparison between staff and observer. BMC Emerg Med 2005;5.
15. Nolan T, Resar R, Haraden C et al. Improving the Reliability of Health Care, Cambridge: Institute of Healthcare Improvement, 2004.
16. Oakley E, Stocker S, Staubli G et al. Using video recording to identify management errors in pediatric trauma resuscitation. Pediatrics 2006;117:658-64.
17. Harmon P. Business Process Change, A Manager's Guide to Improving, Redesigning, and Automating Processes, 2nd edn. San Francisco: Morgan Kaufmann Publishers, 2007.
18. Liker JK. The Toyota Way, New York: McGraw-Hill, 2004.
19. van Holsteijn B. Lean Production in Health Care. Enschede: University of Twente, 2002, 161.
20. Amalberti R, Vincent C, Auroy Y et al. Violations and migrations in health care: a framework for understanding and management. Qual Saf Health Care 2006;15:i66-i71.
21. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics 1977;33:159-74.
22. Roth AV, van Dierendonck R. Hospital resource planning: Concepts, feasibility, and framework. Production and Operations Management 1995;4:2-29.