Program Information

Safety Improvement Through Incident Learning

E Ford

T Pawlicki

A Dicker

A Hajek

E Ford¹*, T Pawlicki²*, A Dicker³*, A Hajek⁴*, (1) University of Washington, Seattle, WA, (2) UCSD Medical Center, La Jolla, CA, (3) Thomas Jefferson University, Philadelphia, PA, (4) Clarity Group Inc., Chicago, IL

WE-F-WAB-1 Wednesday 3:00PM - 3:50PM Room: Wabash Ballroom

Incident learning is a key tool for improving the quality and safety of procedures. Its use has been linked to better patient-safety outcomes. This session is designed to provide practical advice to the clinical medical physicist on how to run a successful incident learning system in radiation oncology. The session will draw on engaging examples from clinical practice and will focus on the relevance to smaller clinics. The session will include a presentation from a leading physician on clinical perspectives on quality and safety improvement. The session will also introduce the new national incident reporting system being developed by AAPM and ASTRO. This program employs the Patient Safety Organization (PSO) structure. The concept and structure of the PSO system will be discussed by an expert in the field.

Learning Objectives:
1. Appreciate the value of incident learning for improving patient safety
2. Understand the difference between incident learning at the institutional level vs. the national level, and recognize the issues unique to each
3. Learn about the new national radiation oncology incident learning system developed by AAPM and ASTRO

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