Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8958499 | Practical Radiation Oncology | 2018 | 10 Pages |
Abstract
Our experience demonstrates that workflow event reports are far more common than near-misses and that near-miss events are more likely to both originate and be discovered in later treatment phases. The frequency of workflow reports highlights the imperative need for safety and operational teams to work collaboratively to maximize the benefit of ILS. We suggest a potential utility of the RPN system to guide mitigation strategies for future near-miss events.
Related Topics
Health Sciences
Medicine and Dentistry
Oncology
Authors
Jean L MD, Arti MD, Byung-Han MD, Valentina MHA, Annette RT(T), Amanda DNP RN, Akila N. MD, Theodore L. MD, Todd PhD, Stephanie A. MD,