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The report of AAPM task group 288: Recommendations for guiding radiotherapy event narratives.
Thomadsen, Bruce; Kapur, Ajay; Blankenship, Bette; Caldwell, Barrett; Claps, Lindsey; Cunningham, Joanne; Elee, Jennifer; Evans, Suzanne; Ford, Eric; Gilley, Debbie; Hayden, Sandra; Hintenlang, Kathleen; Kapoor, Rishabh; Kildea, John; Kroger, Linda; Kujundzic, Ksenija; Liang, Qing; Mutic, Sasa; O'Donovan, Anita; O'Hara, Michael; Ouhib, Zoubir; Palta, Jatinder; Pawlicki, Todd; Salter, William; Schmidt, Stacey; Tripathi, Sugata.
Afiliación
  • Thomadsen B; Department of Medical Physics, University of Wisconsin, Madison, Wisconsin, USA.
  • Kapur A; Department of Radiation Medicine, Northwell Health, Lake Success, New York, USA.
  • Blankenship B; Alliance Medical Physics LLC, Guyton, Georgia, USA.
  • Caldwell B; Purdue University Schools of Industrial Engineering and Aeronautics & Astronautics, West Lafayette, Indiana, USA.
  • Claps L; Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
  • Cunningham J; Radiation Oncology Safety Information System, Dublin, Ireland.
  • Elee J; Conference of Radiation Control Program Directors, Inc., Sterlington, Louisiana, USA.
  • Evans S; Therapeutic Radiology, Yale University, New Haven, Connecticut, USA.
  • Ford E; Radiation Oncology, University of Washington, Seattle, Washington, USA.
  • Gilley D; International Atomic Energy Agency (retired), The Villages, Florida, USA.
  • Hayden S; Galveston College, Health Sciences, Galveston, Texas, USA.
  • Hintenlang K; Department of Radiation Oncology, The Ohio State University, Columbus, Ohio, USA.
  • Kapoor R; Department of Radiation Oncology, Virginia Commonwealth University Health System, Richmond, Virginia, USA.
  • Kildea J; Medical Physics Unit, McGill University, Montréal, Québec, Canada.
  • Kroger L; University of California Davis, Sacramento, California, USA.
  • Kujundzic K; American Society of Radiation Oncology, Arlington, Virginia, USA.
  • Liang Q; Radiation Sciences, Actinium Pharmaceuticals, New York, New York, USA.
  • Mutic S; Radiation Oncology, Varian Medical Systems, Palo Alto, California, USA.
  • O'Donovan A; Discipline of Radiation Therapy, Trinity College Dublin, Dublin, Ireland.
  • O'Hara M; Division of Radiological Health, Center for Devices and Radiological Health, U.S. Food and Drug Administration, Silver Spring, Maryland, USA.
  • Ouhib Z; Radiation Oncology, Florida Atlantic University, Boca Raton, Florida, USA.
  • Palta J; Department of Radiation Oncology, Virginia Commonwealth University, Richmond, Virginia, USA.
  • Pawlicki T; Radiation Medicine and Applied Sciences, University of California San Diego, La Jolla, California, USA.
  • Salter W; Radiation Oncology, University of Utah, Salt Lake City, Utah, USA.
  • Schmidt S; Northwestern Medicine Proton Center and West & North Region Cancer Centers, Warrenville, Illinois, USA.
  • Tripathi S; Radiation Oncology, Marshfield Clinic Health System, Marshfield, Wisconsin, USA.
Med Phys ; 2024 Jul 29.
Article en En | MEDLINE | ID: mdl-39073127
ABSTRACT
Incident reporting and learning systems provide an opportunity to identify systemic vulnerabilities that contribute to incidents and potentially degrade quality. The narrative of an incident is intended to provide a clear, easy to understand description of an incident. Unclear, incomplete or poorly organized narratives compromise the ability to learn from them. This report provides guidance for drafting effective narratives, with particular attention to the use of narratives in incident reporting and learning systems (IRLS). Examples are given that compare effective and less than effective narratives. This report is mostly directed to organizations that maintain IRLS, but also may be helpful for individuals who desire to write a useful narrative for entry into such a system. Recommendations include the following (1) Systems should allow a one- or two-sentence, free-text synopsis of an incident without guessing at causes; (2) Information included should form a sequence of events with chronology; and (3) Reporting and learning systems should consider using the headings suggested to guide the reporter through the narrative (a) incident occurrences and actions by role; (b) prior circumstances and actions; (c) method by which the incident was identified; (d) equipment related details if relevant; (e) recovery actions by role; (f) relevant time span between responses; (g) and how individuals affected during or immediately after incident. When possible and appropriate, supplementary information including relevant data elements should be included using numerical scales or drop-down choices outside of the narrative. Information that should not be included in the narrative includes (a) patient health information (PHI); (b) conjecture or blame; (c) jargon abbreviations or details without specifying their significance; (d) causal analysis.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Med Phys Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Med Phys Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos