The use of human factors methods to identify and mitigate safety issues in radiation therapy

Radiotherapy and Oncology

Volumn 97, Issue 3, 2010, Pages 596-600

  Chan, Alvita J ^a,b   Islam, Mohammad K ^b,c,d   Rosewall, Tara ^c,d   Jaffray, David A ^b,c,d   Easty, Anthony C ^a,b   Cafazzo, Joseph A ^a,b,e  

^a TORONTO GENERAL HOSPITAL   (Canada)

^b UNIVERSITY OF TORONTO   (Canada)

^c PRINCESS MARGARET HOSPITAL   (Canada)

^d UNIVERSITY OF TORONTO   (Canada)

^e UNIVERSITY OF TORONTO   (Canada)

Author keywords

Human factors; Patient safety; Radiation therapy; Radiotherapy; Usability testing; User centered design

Indexed keywords

ARTICLE; COMPUTER AIDED DESIGN; COMPUTER INTERFACE; ETHNOGRAPHY; EXPERIMENTAL STUDY; MEASUREMENT ERROR; PRIORITY JOURNAL; RADIOTHERAPY; RISK ASSESSMENT; WORKFLOW;

CHECKLIST; HUMAN ENGINEERING; HUMANS; MEDICAL ERRORS; PARTICLE ACCELERATORS; RADIOTHERAPY; SAFETY;

EID: 78651486068     PISSN: 01678140     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.radonc.2010.09.026     Document Type: Article

References (37)

1. L.B. Marks, K.L. Light, and J.L. Hubbs The impact of advanced technologies on treatment deviations in radiation treatment delivery Int J Radiat Oncol Biol Phys 69 2007 1579 1586
2. Bogdanich W. The radiation boom - radiation offers new cures, and ways to do harm. New York ed. The New York Times.2010 Jan 24; Sect. A:1. Available from: http://www.nytimes.com/2010/01/24/health/24radiation.html.
3. Bogdanich W, Ruiz RR. F.D.A. to increase oversight of medical radiation. New York ed. The New York Times. 2010 Feb 10; Sect. A:17. Available from: http://www.nytimes.com/2010/02/10/health/policy/10radiation.html.
4. Bogdanich W. F.D.A. toughens process for radiation equipment. New York ed. The New York Times. 2010 Apr 09; Sect. A:12. Available from: http://www.nytimes.com/2010/04/09/health/policy/09radiation.html.
5. T. Pawlicki, and A.J. Mundt Quality in radiation oncology Med Phys 34 2007 1529 1534
6. B.A. Fraass, K.L. Lash, and G.M. Matrone The impact of treatment complexity and computer-control delivery technology on treatment delivery errors Int J Radiat Oncol Biol Phys 42 1998 651 659
7. R.M. Macklis, T. Meier, and M.S. Weinhous Error rates in clinical radiotherapy J Clin Oncol 16 1998 551 556
8. G.A. Patton, D.K. Gaffney, and J.H. Moeller Facilitation of radiotherapeutic error by computerized record and verify systems Int J Radiat Oncol Biol Phys 56 2003 50 57
9. G. Huang, G. Medlam, and J. Lee Error in the delivery of radiation therapy: Results of a quality assurance review Int J Radiat Oncol Biol Phys 61 2005 1590 1595
10. V.J. Gawron, C.G. Drury, R.J. Fairbanks, and R.C. Berger Medical error and human factors engineering: Where are we now? Am J Med Qual 21 2006 57 67
11. R.S. Bridger, and M.A. Poluta Ergonomics: Introducing the human factor into the clinical setting J Clin Eng 23 1998 180 188
12. R. Stone, and R. McCloy Ergonomics in medicine and surgery Br Med J 328 2004 1115 1118
13. M. Pattison, H. McQuaid, and A. Wilcox Incorporating human factors in product design and development Med Device Technol 18 2007 28 30 32-33
14. C.D. Wickens, J. Lee, Y. Liu, and S.G. Becker An introduction to human factors engineering 2nd ed. 2004 Pearson Prentice Hall Upper Saddle River
15. Sawyer D, Do it by design. An introduction to human factors in medical devices. US food and drug administration document 1996.
16. R.W. Proctor, and K.P.L. Vu Cumulative knowledge and progress in human factors Annu Rev Psychol 61 2010 623 651
17. G. Alexander, and N. Staggers A systematic review of the designs of clinical technology: findings and recommendations for future research Adv Nurs Sci 32 2009 252 279
18. M.C. Beuscart-Zephir, S. Pelayo, and S. Bernonville Example of a human factors engineering approach to a medication administration work system: potential impact on patient safety Int J Med Inf 79 2010 e43 e57
19. K. Nielsen, and A. Trinkoff Applying ergonomics to nurse computer workstations: review and recommendations Comput Inform Nurs 21 2003 150 157
20. L. Lin, K.J. Vicente, and D.J. Doyle Patient safety, potential adverse drug events, and medical device design: a human factors engineering approach J Biomed Inform 34 2001 274 284
21. A.F. Rose, J.L. Schnipper, E.R. Park, E.G. Poon, Q. Li, and B. Middleton Using qualitative studies to improve the usability of an EMR J Biomed Inform 38 2005 51 60
22. M.C. Beuscart-Zephir, F. Anceaux, H. Menu, S. Guerlinger, L. Watbled, and F. Evrard User-centred, multidimensional assessment method of Clinical Information Systems: a case-study in anaesthesiology Int J Med Inf 74 2005 179 189
23. R. Berguer Surgery and ergonomics Arch Surg 134 1999 1011 1016
24. P.M.A. Van Ooijen, A.P. Koesoema, and M. Oudkerk User questionnaire to evaluate the radiological workspace J Digit Imaging 19 2006 52 59
25. K.M. Siddiqui, S. Chia, N. Knight, and E.L. Siegel Design and ergonomic considerations for the filmless environment J Am Coll Radiol 3 2006 456 467
26. M.G. Harisinghani, M.A. Blake, and M. Saksena Importance and effects of altered workplace ergonomics in modern radiology suites Radiographics 24 2004 615 627
27. S.C. Horii, H.N. Horii, S.K. Mun, H.R. Benson, and R.K. Zeman Environmental designs for reading from imaging workstations: Ergonomic and architectural features J Digit Imaging 16 2003 124 131
28. M. Portaluri, F.I. Fucilli, and S. Bambace Incidents analysis in radiation therapy: application of the human factors analysis and classification system Ann Ist Super Sanita 45 2009 128 133
29. F. Rath Tools for developing a quality management program: proactive tools (process mapping, value stream mapping, fault tree analysis, and failure mode and effects analysis) Int J Radiat Oncol Biol Phys 71 2008 S187 S190
30. A.J. Rivera, and B.T. Karsh Human factors and systems engineering approach to patient safety for radiotherapy Int J Radiat Oncol Biol Phys 71 2008 S174 S177
31. Kaye RD, Henriksen K, Morisseau DS, Deye JA. Human factors in radiation oncology therapy: some software controlinterface issues. computer-based medical systems, 1993. In:Proceedings of Sixth Annual IEEE Symposium on 1993. p.258-65.
32. J. Nielsen Usability testing. Usability engineering 1993 Academic Press San Diego : p65-206
33. P. Garnerin, M. Ares, A. Huchet, and F. Clergue Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback Qual Saf in Health Care 17 2008 454 458
34. R.J. Raja Lope, N.Y. Boo, J. Rohana, and F.C. Cheah A quality assurance study on the administration of medication by nurses in a neonatal intensive care unit Singapore Med J 50 2009 68 72
35. D. Liu, T. Grundgeiger, P.M. Sanderson, S.A. Jenkins, and T.A. Leane Interruptions and blood transfusion checks: Lessons from the simulated operating room Anesth Analg 108 2009 219 222
36. P. Mitchell, C.L. Nicholson, and A. Jenkins Side errors in neurosurgery Acta Neurochir 148 2006 1289 1292
37. Institute for Safe Medication Practices. Medication error prevention "toolbox" Med Safe Alert 4 1999 1