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Incident learning in radiation oncology: A review
Eric C Ford1, Suzanne B Evans2
1Department of Radiation Oncology, University of Washington, Seattle, WA, 98195, USA.
Medical Physics
|February 9, 2018
Summary
Incident learning systems (ILS) are crucial for healthcare safety and quality. This review explores ILS in radiation oncology, covering its history, operations, and challenges for improved patient safety.
Area of Science:
- Medical Physics
- Radiation Oncology
- Healthcare Quality Improvement
Background:
- Incident learning is vital for healthcare safety and quality, supported by professional guidelines and evidence.
- There's growing interest in incident learning systems (ILS) within radiation oncology, evidenced by over 40 publications since 2010.
Purpose of the Study:
- To provide a comprehensive review of incident learning systems (ILS) in radiation oncology.
- To discuss the history, literature, operational aspects, and national/international applications of ILS in this field.
Main Methods:
- Literature review of incident learning systems in radiation oncology.
- Analysis of core patient safety principles related to ILS.
- Discussion of challenges in applying ILS within the radiation oncology context.
Main Results:
- The article synthesizes existing literature on ILS in radiation oncology.
- It covers nomenclature, operational aspects (event handling, root cause analysis), and shared learning initiatives.
- Key patient safety concepts like systems view of error, safety culture, and cognitive bias are discussed.
Conclusions:
- Despite progress, challenges persist in implementing ILS effectively in radiation oncology.
- This review serves as a foundation for future research and development in radiation oncology incident learning.
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