使用安全性能指标评估放射治疗设施的安全文化
Smriti Sharma1,2, Mahalakshmi Sivaramakrishnan1, Arti Tripathi1
1Radiation Applications Safety Division, Atomic Energy Regulatory Board, Anushaktinagar, Mumbai 400094, India.
Radiation protection dosimetry
|August 30, 2024
概括
安全性绩效指标 (SPI) 是为了评估放射治疗的安全文化而开发的. 大多数机构都表现出强烈的安全承诺,SPI在自我评估和监管评估方面被证明是有效的.
科学领域:
- 医学物理 医学物理
- 辐射瘤学 辐射瘤学
- 医疗保健管理的管理
背景情况:
- 评估放射治疗中的安全文化对于患者的福祉至关重要.
- 现有的方法可能缺乏标准化,可量化的安全文化评估指标.
研究的目的:
- 开发和验证安全绩效指标 (SPI) 以评估放射治疗安全文化.
- 建立一种方法来评估使用SPI在放射治疗机构的安全文化.
- 确定放射治疗安全文化的共同优势和改善领域.
主要方法:
- 开发了23个安全绩效指标 (SPI),涵盖8个类别,并采用分数系统 (0-2,分别增加0.5).
- 评估方法包括互动讨论,直接观察和文档分析.
- 在17个放射治疗机构应用SPI.
主要成果:
- 相对累积的SPI得分高于80%表明安全承诺强烈;低于50%表明需要改进.
- 在17所机构中,有7所机构得分超过80%.
- 其余的10所机构得分在67.0%至80%之间.
结论:
- 安全性能指标 (SPI) 是评估放射治疗中的安全文化的一个有效工具.
- SPI促进放射治疗机构的自我评估,以确定需要改进的领域.
- SPI得分可以为监管机构提供信息,以对辐射安全合规性进行分级.
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