… The present document is the third and final report of the findings from the ACCIRAD project.
… authorities on risk assessment and analysis of adverse error-events and near misses. The …

… a tender for a project (subsequently denominated “ACCIRAD”) … Concurrently with the ACCIRAD
project, the EC has recently … Errors that harm the patient during radiotherapy are very rare…

… , the EC commissioned a project (denominated “ACCIRAD”) to … The specific objectives of
the ACCIRAD project were (1) to … To avoid confusion, the term “adverse error-event” is used in …

… The ACCIRAD project (“Guidelines on risk analysis of accidental and unintended exposures
… and analysis of adverse error-events and near misses: Introducing the ACCIRAD project. …

… from the ACCIRAD project and … the ACCIRAD project: recommendations for radiotherapy
institutions and national authorities on assessing risks and analysing adverse error-events and …

… event reporting-and-learning systems utilised in radiation therapy. Due to the impact of errors
… The European risk management project, ACCIRAD, identified a large variation among the …

… safety events. Patient-and disease-specific risk factors could be identified and used for error
… thought to be at higher risk for errors. However, voluntary incident reporting systems are not …

Background A radiotherapy incident reporting system should (1) record and classify incidents,
(2) assess the impact of incidents on patients in terms of dose errors and (3) identify areas …

… or the severity of errors. Reactive RM or analysis of adverse events is another key component
… To illustrate approaches for RM in different countries, the European ACCIRAD project that …

… of errors, as well as increase possibility to detect and correct … The incidents are not a result
of random flow of events, or a … Results of IRS implementation projects show that Risk Matrix …