Question 1: Which level of the “Error Troika” would correlate to initial plan checks?
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Reference: | Helmreich, R.L., Merritt, A.C., & Wilhelm, J.A. (1999). The evolution of Crew Resource Management training in commercial aviation. International Journal of Aviation Psychology, 9(1), 19-32.
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Choice A: | Error Avoidance. |
Choice B: | Error Trapping. |
Choice C: | Error Mitigation. |
Choice D: | Error Reporting. |
Question 2: The 1994 report of which task group provided recommendations for chart checks that TG275 is updating using TG100 Methodology?
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Reference: | Kutcher et al. (1994). Comprehensive QA for radiation oncology: Report of AAPM Radiation Therapy Committee Task Group 40. Medical Physics, 21 (4), 598-599, 609-611.
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Choice A: | TG 56 |
Choice B: | TG 100 |
Choice C: | TG 40 |
Choice D: | TG 142 |
Question 3: Which of the following is a characteristic of FMEA |
Reference: | T. Pawlicki, P. Dunscombe, A. J. Mundt, and P. Scalliet. 2010. Quality and Safety in Radiotherapy, CRC Press |
Choice A: | Systematic method of identifying and preventing system, product and process problems before they occur. |
Choice B: | Analyze the root causes and contributing factors for an incident. |
Choice C: | FMEA conduct scoring with clinical incident severity. |
Choice D: | Data collected and reconstructed for the event. |
Question 4: Of 99 failure modes identified in FMEA study of on radiosurgery with conical collimators, which high-risk item is in the presumed top 5 high-risk before FMEA but not in top 5 list of FMEA?
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Reference: | K. Younge, Y. Wang, J. Thompson, J. Giovinazzo, M. Finlay, and R. Sankreacha, Int. J of Radiat Oncol Biol Phys 2015;91:1003-1008.
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Choice A: | Patient orientation incorrect on MRI. |
Choice B: | Incorrect cone size used for treatment. |
Choice C: | Incorrect volumes in contours/variability in contouring. |
Choice D: | Mask does not immobilize sufficiently. |
Question 5: In the failure modes and effect analysis (FMEA), each failure mode (FM) is ranked into 3 categories. Which category is not included when performing an FMEA?
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Reference: | Ford EC, Gaudette R, Myers L, et al. Evaluation of safety in a radiation
oncology setting using failure mode and effects analysis. Int J
Radiat Oncol Biol Phys 2009;74:852e858
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Choice A: | The probability of occurrence. |
Choice B: | The radiation treatment site. |
Choice C: | The severity of possible consequences if the failure is not detected, |
Choice D: | The ability to detect the failure itself. |
Question 6: Other than the failure modes and effect analysis (FMEA) what other types of active quality assurance processes have been used to decrease potential systemic errors? |
Reference: | Mayadev J, Dieterich S, Harse R, Lentz S, Mathai M, Boddu S, Kern M, Courquin J, Stern RL.
Brachytherapy. 2015 Nov-Dec;14(6):866-75. doi: 10.1016/j.brachy.2015.06.007. Epub 2015 Jul 21.
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Choice A: | Collaborative process maps. |
Choice B: | Adverse event reporting. |
Choice C: | Fault tree maps. |
Choice D: | Morbidity and mortality educational conference. |