Objectives Stereotactic body radiation therapy (SBRT) can improve therapeutic ratios and
patient convenience, but delivering higher doses per fraction increases the potential for …

Results Of the 2681 radiation events reported to RO-ILS between February 2014 and
December 2016, 217 (8%) involved SRS/SBRT. 28 institutions contributed SRS/SBRT …

Purpose/Objectives: Stereotactic radiosurgery (SRS) and stereotactic body radiation therapy
(SBRT) may be considered “high risk” due to the high doses per fraction. We analyzed …

Abstract Purpose Safety in Radiation Oncology (SAFRON) is a reporting and learning
system on radiotherapy and radionuclide therapy incidents and near misses. The primary …

The safe delivery of therapeutic radiation is both complex and inherently high risk. Given the
number of steps required for radiation delivery, it is remarkable that so few severe errors …

Purpose: Though failure mode and effects analysis (FMEA) is becoming more widely
adopted for risk assessment in radiation therapy, to our knowledge, its output has never …

Purpose To quantify the impact of a comprehensive incident learning system in terms of
safety improvements. Methods and Materials An incident learning system tailored for …

Purpose Rigorous use of departmental incident learning is integral to improving patient
safety and quality of care. The goal of this study was to quantify the impact of a high-volume …

By combining incident learning and process failure-mode-and-effects-analysis (FMEA) in a
structure-process-outcome framework we have created a risk profile for our radiation …

Background and purpose Incident learning can reveal important opportunities for safety
improvement, yet learning from error is challenged by a number of human factors. In this …