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Guidelines and Strategies for Safe Computer Charting01:18

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The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
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Design Example: Calculating Safe Diameter for Wind-Exposed Disc01:17

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Habitat fragmentation describes the division of a more extensive, continuous habitat into smaller, discontinuous areas. Human activities such as land conversion, as well as slower geological processes leading to changes in the physical environment, are the two leading causes of habitat fragmentation. The fragmentation process typically follows the same steps: perforation, dissection, fragmentation, shrinkage, and attrition.
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Updated: Jan 28, 2026

Stereotactic Radiosurgery for Gynecologic Cancer
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Lausanne checklist for safe stereotactic radiosurgery.

Constantin Tuleasca1,2,3,4,5, Michele Zeverino6, David Patin6

  • 1Centre Hospitalier Universitaire Vaudois, Neurosurgery Service and Gamma Knife Center, Lausanne University Hospital (CHUV), Rue du Bugnon 44-46, BH-08, CH-1011, Lausanne, Switzerland. constantin.tuleasca@gmail.com.

Acta Neurochirurgica
|February 22, 2019
PubMed
Summary

Implementing a safety checklist for stereotactic radiosurgery (SRS) procedures, particularly Gamma Knife radiosurgery, significantly reduces human errors. This protocol ensures patient safety and enhances multidisciplinary cooperation in neurosurgery.

Keywords:
ChecklistGamma KnifeMedical physicsRadiosurgerySafetyStereotactic

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Area of Science:

  • Neurosurgery
  • Radiation Oncology

Background:

  • Stereotactic radiosurgery (SRS) is a minimally invasive technique for various neurosurgical conditions.
  • Ensuring safety and avoiding complications in SRS requires strict guidelines and checklists.
  • Previous reports highlight human and technical errors in SRS procedures.

Purpose of the Study:

  • To describe a safety checklist protocol for Gamma Knife radiosurgery procedures.
  • To present a method for minimizing errors in SRS.

Main Methods:

  • Development and implementation of a safety checklist for Gamma Knife radiosurgery.
  • The checklist has been refined over 8 years and 1500 procedures.
  • Two checklist types are used: one for tissue volume irradiation (tumors, vascular disorders) and one for functional disorders.

Main Results:

  • No human errors were reported in 8 years of practice using the developed checklists.
  • The checklist protocol has been consistently applied with minor improvements over time.

Conclusions:

  • Safety checklists foster a zero-tolerance approach to errors in SRS.
  • Checklists help reduce complications and improve multidisciplinary collaboration.
  • The use of safety checklists is highly recommended for SRS procedures in neurosurgery.