Development and clinical implementation of a digital system for risk assessments for radiation therapy

Kornek D, Menichelli D, Leske J, Hofmann M, Antkiewicz D, Brandt T, Ott O, Lotter M, Lang-Welzenbach M, Fietkau R, Bert C (2023)

Publication Type: Journal article

Publication year: 2023

Journal

Zeitschrift für Medizinische Physik Elsevier Science B.v; Amsterdam

DOI: 10.1016/j.zemedi.2023.08.003

Abstract

Before introducing new treatment techniques, an investigation of hazards due to unintentional radiation exposures is a reasonable activity for proactively increasing patient safety. As dedicated software is scarce, we developed a tool for risk assessment to design a quality management program based on best practice methods, i.e., process mapping, failure modes and effects analysis and fault tree analysis. Implemented as a web database application, a single dataset was used to describe the treatment process and its failure modes. The design of the system and dataset allowed failure modes to be represented both visually as fault trees and in a tabular form. Following the commissioning of the software for our department, previously conducted risk assessments were migrated to the new system after being fully re-assessed which revealed a shift in risk priorities. Furthermore, a weighting factor was investigated to bring risk levels of the migrated assessments into perspective. The compensation did not affect high priorities but did re-prioritize in the midrange of the ranking. We conclude that the tool is suitable to conduct multiple risk assessments and concomitantly keep track of the overall quality management activities.

Authors with CRIS profile

Dominik Kornek Department of Radiation Oncology Tobias Brandt Department of Radiation Oncology Oliver Ott Medizinische Fakultät Rainer Fietkau Lehrstuhl für Strahlentherapie Christoph Bert Professur für Med. Strahlenphysik

Involved external institutions

IBA-Dosimetry GmbH DE Germany (DE)

How to cite

APA:

Kornek, D., Menichelli, D., Leske, J., Hofmann, M., Antkiewicz, D., Brandt, T.,... Bert, C. (2023). Development and clinical implementation of a digital system for risk assessments for radiation therapy. Zeitschrift für Medizinische Physik. https://doi.org/10.1016/j.zemedi.2023.08.003

MLA:

Kornek, Dominik, et al. "Development and clinical implementation of a digital system for risk assessments for radiation therapy." Zeitschrift für Medizinische Physik (2023).

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