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Comparing the Evolution of Risk Culture in Radiation Oncology, Aviation, and Nuclear Power

All organizations seek to minimize the risks that their operations pose to public safety. This task is especially significant if they deal with complex or hazardous technologies. Five decades of research in quantitative risk analysis have generated a set of risk management frameworks and practices t...

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Autores principales: Abdulla, Ahmed, Schell, Kristen R., Schell, Michael C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7678666/
https://www.ncbi.nlm.nih.gov/pubmed/30608909
http://dx.doi.org/10.1097/PTS.0000000000000560
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author Abdulla, Ahmed
Schell, Kristen R.
Schell, Michael C.
author_facet Abdulla, Ahmed
Schell, Kristen R.
Schell, Michael C.
author_sort Abdulla, Ahmed
collection PubMed
description All organizations seek to minimize the risks that their operations pose to public safety. This task is especially significant if they deal with complex or hazardous technologies. Five decades of research in quantitative risk analysis have generated a set of risk management frameworks and practices that extend across a range of such domains. Here, we investigate the risk culture in three commercial enterprises that require exceedingly high standards of execution: radiation oncology, aviation, and nuclear power. METHODS: One of the characteristics of high reliability organizations is their willingness to learn from other such organizations. We investigate the extent to which this is true by compiling a database of the major publications on risk within each of the three fields. We conduct a bibliographic coupling analysis on the combined database to identify connections among publications. This analysis reveals the strength of engagement across disciplinary boundaries and the extent of cross-adoption of best practices. RESULTS: Our results show that radiation oncology is more insulated than the other two fields in its adoption and propagation of state-of-the-art risk management tools and frameworks that have transformed aviation and nuclear power into high reliability enterprises with actuarially low risk. CONCLUSIONS: Aviation and nuclear power have established risk cultures that cross-pollinate. In both nature and extent, we found a distinct difference in radiation oncology's engagement with the risk community, and it lags behind the other two fields in implementing best practices that might mitigate or eliminate risks to patient safety.
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spelling pubmed-76786662020-11-23 Comparing the Evolution of Risk Culture in Radiation Oncology, Aviation, and Nuclear Power Abdulla, Ahmed Schell, Kristen R. Schell, Michael C. J Patient Saf Original Articles All organizations seek to minimize the risks that their operations pose to public safety. This task is especially significant if they deal with complex or hazardous technologies. Five decades of research in quantitative risk analysis have generated a set of risk management frameworks and practices that extend across a range of such domains. Here, we investigate the risk culture in three commercial enterprises that require exceedingly high standards of execution: radiation oncology, aviation, and nuclear power. METHODS: One of the characteristics of high reliability organizations is their willingness to learn from other such organizations. We investigate the extent to which this is true by compiling a database of the major publications on risk within each of the three fields. We conduct a bibliographic coupling analysis on the combined database to identify connections among publications. This analysis reveals the strength of engagement across disciplinary boundaries and the extent of cross-adoption of best practices. RESULTS: Our results show that radiation oncology is more insulated than the other two fields in its adoption and propagation of state-of-the-art risk management tools and frameworks that have transformed aviation and nuclear power into high reliability enterprises with actuarially low risk. CONCLUSIONS: Aviation and nuclear power have established risk cultures that cross-pollinate. In both nature and extent, we found a distinct difference in radiation oncology's engagement with the risk community, and it lags behind the other two fields in implementing best practices that might mitigate or eliminate risks to patient safety. Lippincott Williams & Wilkins 2020-12 2018-12-20 /pmc/articles/PMC7678666/ /pubmed/30608909 http://dx.doi.org/10.1097/PTS.0000000000000560 Text en Copyright © 2018 The Author(s). Published by Wolters Kluwer Health, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Original Articles
Abdulla, Ahmed
Schell, Kristen R.
Schell, Michael C.
Comparing the Evolution of Risk Culture in Radiation Oncology, Aviation, and Nuclear Power
title Comparing the Evolution of Risk Culture in Radiation Oncology, Aviation, and Nuclear Power
title_full Comparing the Evolution of Risk Culture in Radiation Oncology, Aviation, and Nuclear Power
title_fullStr Comparing the Evolution of Risk Culture in Radiation Oncology, Aviation, and Nuclear Power
title_full_unstemmed Comparing the Evolution of Risk Culture in Radiation Oncology, Aviation, and Nuclear Power
title_short Comparing the Evolution of Risk Culture in Radiation Oncology, Aviation, and Nuclear Power
title_sort comparing the evolution of risk culture in radiation oncology, aviation, and nuclear power
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7678666/
https://www.ncbi.nlm.nih.gov/pubmed/30608909
http://dx.doi.org/10.1097/PTS.0000000000000560
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