2016 AAPM Annual Meeting
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Session Title: Experiences with TG100 in Clinical Use (Session 5 of the TG100 Certificate Course series)
Question 1: Which level of the “Error Troika” would correlate to initial plan checks?
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.
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?
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.
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?
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.
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?   
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
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.
Choice A:Collaborative process maps.
Choice B:Adverse event reporting.
Choice C:Fault tree maps.
Choice D:Morbidity and mortality educational conference.
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