Document Detail


Prevention of Accidental Exposure in Radiotherapy: The Risk Matrix Approach.
MedLine Citation:
PMID:  23274816     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
ABSTRACT: Knowledge and lessons from past accidental exposures in radiotherapy are very helpful in finding safety provisions to prevent recurrence. Disseminating lessons is necessary but not sufficient. There may be additional latent risks for other accidental exposures, which have not been reported or have not occurred, but are possible and may occur in the future if not identified, analyzed, and prevented by safety provisions. Proactive methods are available for anticipating and quantifying risk from potential event sequences. In this work, proactive methods, successfully used in industry, have been adapted and used in radiotherapy. Risk matrix is a tool that can be used in individual hospitals to classify event sequences in levels of risk. As with any anticipative method, the risk matrix involves a systematic search for potential risks; that is, any situation that can cause an accidental exposure. The method contributes new insights: The application of the risk matrix approach has identified that another group of less catastrophic but still severe single-patient events may have a higher probability, resulting in higher risk. The use of the risk matrix approach for safety assessment in individual hospitals would provide an opportunity for self-evaluation and managing the safety measures that are most suitable to the hospital's own conditions.
Authors:
J J Vilaragut; C Duménigo; J M Delgado; J Morales; J D McDonnell; R Ferro; P Ortiz López; M L Ramírez; A Pérez Mulas; S Papadopulos; M Gonçalves; R López Morones; C Sánchez Cayuela; A Cascajo Castresana; F Somoano; C Alvarez; A Guillén; M Rodríguez; P P Pereira; A Nader
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Health physics     Volume:  104     ISSN:  1538-5159     ISO Abbreviation:  Health Phys     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2012-12-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985093R     Medline TA:  Health Phys     Country:  -    
Other Details:
Languages:  ENG     Pagination:  139-150     Citation Subset:  -    
Affiliation:
*Centro Nacional de Seguridad Nuclear, Cuba; †Instituto Madrileño de Oncología, Spain; ‡Instituto Nacional de Oncología y Radiobiología, Cuba; §Universidad Nacional de Rosario, Argentina; **International Atomic Energy Agency; ††Consejo de Seguridad Nuclear, Spain; ‡‡Autoridad Regulatoria Nuclear, Argentina; §§Instituto de Radioproteção e Dosimetria, Comissao Nacional de Energia Nuclear (CNEN), Brazil; ***Comisión Nacional de Seguridad Nuclear y Salvaguardias, México; †††ELEKTA, Spain; ‡‡‡Instituto Nacional de Câncer, Rio de Janeiro, Brazil.
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