Progress in Medical Physics (한국의학물리학회지:의학물리)

Korean Society of Medical Physics (한국의학물리학회)
권호 표지
DOI QR코드

DOI QR Code

Comparative Analysis of Terminology and Classification Related to Risk Management of Radiotherapy

  • Oh, Yoonjin (Research Institute of Clinical Medicine, Kyung Hee University Hospital at Gangdong) ;
  • Kim, Dong Wook (Department of Radiation Oncology, Kyung Hee University Hospital at Gangdong) ;
  • Shin, Dong Oh (Department of Radiation Oncology, Kyung Hee University Hospital) ;
  • Koo, Jihye (Department of Bio-convergence Engineering, Korea University) ;
  • Lee, Soon Sung (Department of Radiological and Medico Oncological Sciences, University of Science and Technology) ;
  • Choi, Sang Hyoun (Division of Medical Radiation Equipment, Korea Institute of Radiological and Medical Sciences) ;
  • Ahn, Sohyun (Department of Radiation Oncology, School of Medicine, Yonsei University) ;
  • Park, Dong-wook (Department of Radiation Oncology, Inje University Ilsan Paik Hospital)
  • Received : 2016.09.06
  • Accepted : 2016.09.23
  • Published : 2016.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

We analyzed the terminology and classification related to the risk management of radiation treatment overseas to establish the terminology and classification system for Korea. This study investigated the terminology and classification for radiotherapy risk management through overseas research materials from related organizations and associations, including the IAEA, WHO, British group, EC, and AAPM. Overseas risk management commonly uses the terms "near miss", "incident", and "adverse event", classified according to the degree of severity. However, several organizations have ambiguous terminologies. They use the term "near miss" for events such as a near event, close call, and good catch; the term "incident" for an event; and the term "adverse event" for the likes of an accident and an event. In addition, different organizations use different classifications: a "near miss" is generally classified as "incident" in most cases but not classified as such in BIR et al. Confusion might also be caused by the disunity of the terminology and classification, and by the ambiguity of definitions. Patient safety management of medical institutions in Korea uses the terms "near miss", "adverse event", and "sentinel event", which it classifies into eight levels according to the severity of risk to the patient. Therefore, the terminology and classification for radiotherapy risk management based on the patient safety management of medical institutions in Korea will help in improving the safety and quality of radiotherapy.

Keywords

References

  1. IAEA: Safety glossary: terminology used in nuclear safety and radiation protection. International Atomic Energy Agency (2008)
  2. WHO: Radiotherapy risk profile. World Health Organization (2008)
  3. BIR, IPEM, NPSA, SCR, RCR: Towards safer radiotherapy. The Royal College of Radiologists (2008)
  4. Japanese radiotherapy research working group: Risk management in radiation treatment planning. Japanese radiotherapy research working group (2010)
  5. European Commission: RP 181: General guidelines on risk management in external beam radiotherapy. European Union (2015)
  6. Huq MS, Fraass BA, Dunscombe PB, et al.: The report of Task Group 100 of the AAPM: Application of risk analysis methods to radiation therapy quality management. J. Med. Phys. 43(7): 4209-4262 (2016) https://doi.org/10.1118/1.4947547
  7. Oh SA, Kim SK, Yea JW, Kang MK, Lee JH, Lee R: Basic Data Analysis of the Quality Control for Patient Safety in Department of Radiation Oncology at Yeungnam University Hospital. Progress in J. Med. Phys. 26(2): 112-117 (2015) https://doi.org/10.14316/pmp.2015.26.2.112
  8. Duffey RB, Saull JW: Know the risk: Learning from errors and accidents: Safety and risk in today's technology. Butterworth-Heinemann Publications (2003)
  9. Lopez PO, Cosset JM, Dunscombe P et al.: Preventing accidental exposures from new external beam radiation therapy technologies. ICRP 39(4): 1-101 (2009)
  10. ASN: Report Concerning the Radiation Therapy Incident at the University Hospital Centre (CHU) in Toulouse Rangueil Hospital (2007)
  11. Derreumaux S, Etard C, Huet C et al.: Lessons from recent accidents in radiation therapy in France. Radiat. Prot. Dosim. 131(1): 130-135 (2008) https://doi.org/10.1093/rpd/ncn235
  12. ROSIS: http://www.rosis.info (2008)
  13. Ash D: Lessons from Epinal. Clinical Oncology. 19(8): 614-615 (2007) https://doi.org/10.1016/j.clon.2007.06.011
  14. Mayles WPM: The Glasgow Incident: a physicist's reflections. Clinical Oncology. 19(1): 4-7 (2007) https://doi.org/10.1016/j.clon.2006.12.003
  15. Williams MV: Radiation therapy near misses, incidents and errors: radiation therapy incident in Glasgow. J. Clin. Oncol. 19(1): 1-3 (2007) https://doi.org/10.1016/j.clon.2006.12.004
  16. Weingart SN: Beyond Babel: prospects for a universal patient safety taxonomy. Int. J. Qual. Health C. 17(2): 93-94 (2005) https://doi.org/10.1093/intqhc/mzi029
  17. Purdy JA, Biggs PJ, Bowers C,et al.: Medical accelerator safety considerations: Report of AAPM Radiation Therapy Committee Task Group No. 35. J. Med. Phys. 20(4): 1261-1275 (1993) https://doi.org/10.1118/1.596977
  18. 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. 74(3): 852-858 (2009) https://doi.org/10.1016/j.ijrobp.2008.10.038

Cited by

  1. Optimal collimator rotation based on the outline of multiple brain targets in VMAT vol.13, pp.None, 2016, https://doi.org/10.1186/s13014-018-1039-5
  2. Mid-Term Performance of Clinical LINAC in Volumetric Modulated Arc Therapy vol.44, pp.1, 2019, https://doi.org/10.14407/jrpr.2019.44.1.43