A reference guide for learning from incidents in radiation treatment
Cooke DL, Dubetz M, Heshmati R, Iftody S, McKimmon E, Powers J, Lee RC, Dunscombe PB
Record ID 32006000223
English
Authors' objectives:
The aim of this report is to improve safety and reduce the risk of critical incidents by learning from the more frequent lower severity incidents and near-misses that inevitably occur in a complex health-care delivery system like radiation treatment.
Authors' recommendations:
We present a model process that will assist health care organizations in developing and implementing a formal management system for learning from incidens. Developed specifically for the Radiation Treatment (RT) Program at the Tom Baker Cancer Centre, a major cancer treatment centre in Calgary, Alberta, Canada, the incident learning system described in this reference guide is built on sound safety management principles. It will contribute to the Alberta Cancer Board's development of organization wide patient safety programs. It can easily be adapted for use at other health care institutions.
Authors' methods:
Overview
Details
Project Status:
Completed
Year Published:
2006
URL for published report:
http://www.ihe.ca/advanced-search/a-reference-guide-for-learning-from-incidents-in-radiation-treatment
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Canada
MeSH Terms
- Learning
- Radiotherapy
- Risk Management
Contact
Organisation Name:
Institute of Health Economics
Contact Address:
1200, 10405 Jasper Avenue, Edmonton, Alberta, Canada, T5J 3N4. Tel: +1 780 448 4881; Fax: +1 780 448 0018;
Contact Name:
djuzwishin@ihe.ca
Contact Email:
djuzwishin@ihe.ca
Copyright:
<p>Alberta Heritage Foundation for Medical Research (AHFMR)</p>
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