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Related Experiment Video

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[Risk Analysis of Radiotherapy Implementation Process Based on Failure Mode and Effect Analysis].

Mingyin Jiang1, Linlin Wang1, Jiaqi Gao1

  • 1Biomedical Engineering Lab, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022.

Zhongguo Yi Liao Qi Xie Za Zhi = Chinese Journal of Medical Instrumentation
|June 12, 2019
PubMed
Summary

This study introduces a risk assessment method for radiotherapy using Failure Mode and Effect Analysis (FMEA) to identify and mitigate treatment risks. FMEA effectively evaluates radiotherapy risks, offering a new approach for improved patient safety and treatment control.

Keywords:
failure mode and effect analysisradiotherapyrisk analysis

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Area of Science:

  • Medical Physics
  • Radiation Oncology
  • Healthcare Risk Management

Background:

  • Radiotherapy implementation involves complex processes with inherent risks.
  • Effective risk assessment is crucial for ensuring patient safety and treatment efficacy in radiotherapy.

Purpose of the Study:

  • To develop and present a risk assessment methodology for radiotherapy implementation.
  • To identify potential risks within the radiotherapy treatment process.
  • To propose strategies for mitigating or preventing identified risks.

Main Methods:

  • A multidisciplinary expert team was assembled to analyze the radiotherapy treatment workflow.
  • Failure Mode and Effect Analysis (FMEA) was applied to each step of the treatment process.
  • The Risk Priority Number (RPN) score was calculated for quantitative risk evaluation.

Main Results:

  • A total of 106 potential failure modes were identified.
  • 22 high-risk failure modes were identified based on RPN scores (≥20%).
  • 27 high-risk failure modes were identified based on severity scores (≥8), primarily due to human error or hardware/software failures.

Conclusions:

  • Failure Mode and Effect Analysis (FMEA) is a viable method for risk assessment in radiotherapy.
  • This approach offers a novel solution for enhancing risk control within the radiotherapy domain.
  • The findings support the integration of FMEA for proactive risk management in radiation oncology.