Program Information
The National Landscape of Radiation Therapy Safety Efforts
J Johnson1*, G Ezzell2*, (1) UT MD Anderson Cancer Center, Houston, TX, (2) Mayo Clinic Arizona, Phoenix, AZ
Presentations
SU-D-BRD-0 (Sunday, March 6, 2016) 4:30 PM - 5:30 PM Room: Grand Ballroom D
The national landscape for safety in radiation therapy is continually improving and AAPM has had efforts central to those improvements. AAPM and ASTRO launched the Radiation Oncology-Incident Learning System in July, 2014. As of November 2015, 80 institutions representing 163 facilities have joined with more than 1060 events reported. This session will share the current state of national incident learning with the RO-ILS system, the event review process, how various institutions use the system differently, and how useful information is being returned to the community. Lessons learned from the first eighteen months of use will be discussed and examples given about failure modes and best practices reported and how to improve data submission to facilitate such learning.
The Work Group on Prevention of Errors (WGPE) has led several of the national efforts to improve patient safety by providing resources that are readily available to AAPM members for use. Resources include the consensus recommendations for incident learning systems, the Safety Profile Assessment (SPA) tool, Task Group 230 – MPPG 4.a on safety checklists, and numerous educational sessions available in the AAPM virtual library. New initiatives focus on supporting the Task Group 100 rollout, developing Task Group 275 on strategies for effective physics plan and chart review, examining safety barriers and their effectiveness from RO-ILS data, and developing policy and procedure templates built from SPA results. AAPM will continue to focus on safety improvements in patient care.
Learning Objectives:
1. Learn how to create a more complete event narrative that facilitates independent review
2. Learn about incidents reported nationally that can lead to improvements within your own clinic
3. Learn about safety efforts by the WGPE and how you can use these tools within your own clinic
Handouts
- 113-31176-379492-117932-360137877.pdf (J Johnson)
- 113-31177-379492-117933-1017680669.pdf (G Ezzell)
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