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The role of surface-guided radiation therapy for improving patient safety

Al-Hallaq, Hania ; Batista, Vania ; Kügele, Malin LU orcid ; Ford, Eric ; Viscariello, Natalie and Meyer, Juergen (2021) In Radiotherapy and Oncology 163. p.229-236
Abstract

Emerging data indicates SGRT could improve safety and quality by preventing errors in its capacity as an independent system in the treatment room. The aim of this work is to investigate the utility of SGRT in the context of safety and quality. Three incident learning systems (ILS) were reviewed to categorize and quantify errors that could have been prevented with SGRT: SAFRON (International Atomic Energy Agency), UW-ILS (University of Washington) and AvIC (Skåne University Hospital). A total of 849/9737 events occurred during the pre-treatment review/verification and treatment stages. Of these, 179 (21%) events were predicted to have been preventable with SGRT. The most common preventable events were wrong isocentre (43%) and incorrect... (More)

Emerging data indicates SGRT could improve safety and quality by preventing errors in its capacity as an independent system in the treatment room. The aim of this work is to investigate the utility of SGRT in the context of safety and quality. Three incident learning systems (ILS) were reviewed to categorize and quantify errors that could have been prevented with SGRT: SAFRON (International Atomic Energy Agency), UW-ILS (University of Washington) and AvIC (Skåne University Hospital). A total of 849/9737 events occurred during the pre-treatment review/verification and treatment stages. Of these, 179 (21%) events were predicted to have been preventable with SGRT. The most common preventable events were wrong isocentre (43%) and incorrect accessories (34%), which appeared at comparable rates among SAFRON and UW-ILS. The proportion of events due to wrong accessories was much smaller in the AvIC ILS, which may be attributable to the mandatory use of SGRT in Sweden. Several case scenarios are presented to demonstrate that SGRT operates as a valuable complement to other quality-improvement tools routinely used in radiotherapy. Cases are noted in which SGRT itself caused incidents. These were mostly related to workflow issues and were of low severity. Severity data indicated that events with the potential to be mitigated by SGRT were of higher severity for all categories except wrong accessories. Improved vendor integration of SGRT systems within the overall workflow could further enhance its clinical utility. SGRT is a valuable tool with the potential to increase patient safety and treatment quality in radiotherapy.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Radiotherapy and Oncology
volume
163
pages
229 - 236
publisher
Elsevier
external identifiers
  • pmid:34453955
  • scopus:85115154798
ISSN
1879-0887
DOI
10.1016/j.radonc.2021.08.008
language
English
LU publication?
yes
id
7cc7c8f9-1b7a-4968-8daf-24dba0954b0f
date added to LUP
2021-09-29 12:56:51
date last changed
2024-06-15 17:05:39
@article{7cc7c8f9-1b7a-4968-8daf-24dba0954b0f,
  abstract     = {{<p>Emerging data indicates SGRT could improve safety and quality by preventing errors in its capacity as an independent system in the treatment room. The aim of this work is to investigate the utility of SGRT in the context of safety and quality. Three incident learning systems (ILS) were reviewed to categorize and quantify errors that could have been prevented with SGRT: SAFRON (International Atomic Energy Agency), UW-ILS (University of Washington) and AvIC (Skåne University Hospital). A total of 849/9737 events occurred during the pre-treatment review/verification and treatment stages. Of these, 179 (21%) events were predicted to have been preventable with SGRT. The most common preventable events were wrong isocentre (43%) and incorrect accessories (34%), which appeared at comparable rates among SAFRON and UW-ILS. The proportion of events due to wrong accessories was much smaller in the AvIC ILS, which may be attributable to the mandatory use of SGRT in Sweden. Several case scenarios are presented to demonstrate that SGRT operates as a valuable complement to other quality-improvement tools routinely used in radiotherapy. Cases are noted in which SGRT itself caused incidents. These were mostly related to workflow issues and were of low severity. Severity data indicated that events with the potential to be mitigated by SGRT were of higher severity for all categories except wrong accessories. Improved vendor integration of SGRT systems within the overall workflow could further enhance its clinical utility. SGRT is a valuable tool with the potential to increase patient safety and treatment quality in radiotherapy.</p>}},
  author       = {{Al-Hallaq, Hania and Batista, Vania and Kügele, Malin and Ford, Eric and Viscariello, Natalie and Meyer, Juergen}},
  issn         = {{1879-0887}},
  language     = {{eng}},
  pages        = {{229--236}},
  publisher    = {{Elsevier}},
  series       = {{Radiotherapy and Oncology}},
  title        = {{The role of surface-guided radiation therapy for improving patient safety}},
  url          = {{http://dx.doi.org/10.1016/j.radonc.2021.08.008}},
  doi          = {{10.1016/j.radonc.2021.08.008}},
  volume       = {{163}},
  year         = {{2021}},
}