Program Information
Using Event Reporting to Improve Patient Safety
E Ford1*, S Richardson2*, S Evans3*, (1) University of Washington, Seattle, WA, (2) Swedish Medical Center-Tumor Institute, Seattle, WA, (3) Yale University, New Haven, CT
Presentations
SU-A-BRD-0 (Sunday, March 8, 2015) 7:30 AM - 9:30 AM Room: Ballroom D
In 2014, ASTRO and AAPM publicly launched a free national reporting system for incidents in radiation oncology known as the RO-ILS: Radiation Oncology Incident Learning System. This session will share details on what information is submitted through RO-ILS, how institutions can use the information locally for improvement as well as the structure that has been established for reviewing incidents and sharing lessons learned. The session will include a live demonstration of the RO-ILS portal and case studies drawn from incidents reported to the RO-ILS system. Strategies will be shared for addressing the barriers that are inevitably encountered in starting and maintaining an incident learning program. Of particular interest are strategies for engaging physicians and leadership and methods for promoting a culture of safety.
Learning Objectives:
1. Understand the value and the structure of the Radiation Oncology Incident Learning System (RO-ILS) and the steps involved in participation
2. Understand and learn about error investigation from a series of case studies
3. Learn strategies to engage radiation oncologists and other department leaders in reporting and learning from events
Handouts
- 97-25846-352470-109895-806629817.pdf (E Ford)
- 97-25847-352470-109893-336957054.pdf (S Evans)
- 97-25848-352470-109896-1770157594.pdf (S Richardson)
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