[Implementation of "never events" checklists in a radiotherapy information system]

Area of Science:

• Medical Physics
• Radiation Oncology
• Patient Safety

Background:

• Major accidents in external radiotherapy pose significant risks to patient safety.
• The implementation of robust safety protocols is crucial in radiation oncology.
• Existing systems may have vulnerabilities that necessitate enhanced safety measures.

Purpose of the Study:

• To detail the integration of "never events" checklists into the record and verify system for external radiotherapy.
• To enhance patient safety by minimizing the occurrence of major accidents.
• To propose future improvements for checklist utilization and system enhancement.

Main Methods:

• Incorporation of "never events" checklists into the existing "record and verify" system.
• Detailed description of the implementation process for these safety checklists.
• Proposal of a peer-to-peer audit system for checklist usage.

Main Results:

• The integration of checklists aims to directly reduce the incidence of major accidents during radiotherapy.
• The process facilitates a structured approach to safety verification.
• Identified need for manufacturer collaboration to further secure the patient's treatment journey.

Conclusions:

• "Never events" checklists are a vital tool for improving safety in external radiotherapy.
• Continuous improvement through audits and system collaboration is recommended.
• Securing the patient's journey requires a multi-faceted approach involving technology and human oversight.