| Incidents analysis in radiation therapy: application of the human factors analysis and classification system. | |
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MedLine Citation:
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PMID: 19636164 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The purpose of this investigation was to analyse incidents discovered in our radiation therapy department by means of human factor analysis and classification system (HFAC S). We adapted the original framework of the HFAC S and apply it to the analysis of incidents discovered in our radiotherapy department during a five-year period. Results showed that recurrent causal factors of incidents were attention failures and distracted/overconfidence behaviour as well as loss of situational awareness and mental fatigue. In our radiation therapy department the HFAC S allowed to highlight recurrent errors causal factors. Consequently we defined corrections factors for operators behaviour and implemented an operational protocol which improve operators attitude. |
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Authors:
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Maurizio Portaluri; Fulvio I M Fucilli; Santa Bambace; Roberta Castagna; Maria Chiara De Luca; Giorgio Pili; Vittorio Didonna; Francesco Tramacere; Maria Carmen Francavilla; Angela Leone; Maria Grazia Leo |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Annali dell'Istituto superiore di sanità Volume: 45 ISSN: 0021-2571 ISO Abbreviation: Ann. Ist. Super. Sanita Publication Date: 2009 |
Date Detail:
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Created Date: 2009-07-28 Completed Date: 2009-10-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7502520 Medline TA: Ann Ist Super Sanita Country: Italy |
Other Details:
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Languages: eng Pagination: 128-33 Citation Subset: IM |
Affiliation:
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UOC di Radioterapia, ASL BR Di Summa, Ospedale Perrino, Brindisi, Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Data Interpretation, Statistical Factor Analysis, Statistical Humans Occupational Exposure / adverse effects*, classification* Radiotherapy / adverse effects* Task Performance and Analysis |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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