Quality assurance analysis of a large multicenter practice: Does increased complexity of intensity-modulated radiotherapy lead to increased error frequency?

International Journal of Radiation Oncology Biology Physics

Volumn 82, Issue 1, 2012, Pages

  Olson, Adam C ^a   Wegner, Rodney E ^a   Scicutella, Carol ^a   Heron, Dwight E ^a   Greenberger, Joel S ^a   Huq, M Saiful ^a   Bednarz, Gregory ^a   Flickinger, John C ^a  

^a UNIVERSITY OF PITTSBURGH CANCER INSTITUTE   (United States)

Author keywords

Error; Intensity modulated radiotherapy; Quality assurance; Quality improvement; Severity index

Indexed keywords

CLINICAL MEDICINE; CLINICAL RADIOTHERAPY; DOSE PLANNING; DOSE VARIATIONS; ERROR REDUCTION; INTENSITY-MODULATED RADIOTHERAPY; MULTI VARIATE ANALYSIS; POLICY CHANGES; POTENTIAL ERRORS; QUALITY IMPROVEMENT; RADIATION ONCOLOGY; SEVERITY INDEX;

ERRORS; MULTIVARIANT ANALYSIS; ONCOLOGY; QUALITY ASSURANCE; RADIOTHERAPY; TEACHING;

PHYSICAL THERAPY;

ADULT; ARTICLE; CLINICAL PRACTICE; COMMUNITY; CORRELATION ANALYSIS; FREQUENCY ANALYSIS; HUMAN; INTENSITY MODULATED RADIATION THERAPY; MULTIVARIATE ANALYSIS; PRIORITY JOURNAL; PROSPECTIVE STUDY; QUALITY CONTROL; RADIATION DOSE; THERAPEUTIC ERROR; TOTAL QUALITY MANAGEMENT; UNIVERSITY HOSPITAL;

HUMANS; LOGISTIC MODELS; MEDICAL ERRORS; MULTI-INSTITUTIONAL SYSTEMS; MULTIVARIATE ANALYSIS; PROSPECTIVE STUDIES; QUALITY CONTROL; RADIOTHERAPY DOSAGE; RADIOTHERAPY PLANNING, COMPUTER-ASSISTED; RADIOTHERAPY, INTENSITY-MODULATED; SEVERITY OF ILLNESS INDEX;

EID: 83955165960     PISSN: 03603016     EISSN: 1879355X     Source Type: Journal    
DOI: 10.1016/j.ijrobp.2011.01.033     Document Type: Article

References (11)

1. E. Ekaette, R.C. Lee, and D.L. Cooke Probabilistic fault tree analysis of a radiation treatment system Risk Anal 27 2007 1395 1410
2. L.T. Ostrom, P. Rathbun, and R. Cumberlin Lessons learned from investigations of therapy misadministration events Int J Radiat Oncol Biol Phys 34 1996 227 234
3. 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
4. D. Thwaites, P. Scalliet, J.W. Leer Quality assurance in radiotherapy European Society for Therapeutic Radiology and Oncology advisory report to the Commission of the European Union for the 'Europe Against Cancer Programme' Radiother Oncol 35 1995 61 73
5. J.P. Bissonnette, and G. Medlam Trend analysis of radiation therapy incidents over seven years Radiother Oncol 96 2010 139 144
6. R.M. Macklis, T. Meier, and M.S. Weinhous Error rates in clinical radiotherapy J Clin Oncol 16 1998 551 556
7. 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
8. T.W. Nolan System changes to improve patient safety BMJ 320 2000 771 773
9. 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
10. A. Konski, B. Movsas, and M. Konopka Developing a radiation error scoring system to monitor quality control events in a radiation oncology department J Am Coll Radiol 6 2009 45 50
11. C.P. Landrigan, G.J. Parry, and C.B. Bones Temporal trends in rates of patient harm resulting from medical care N Engl J Med 363 2010 2124 2134