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Risk analysis for radiotherapy at the Universitätsklinikum Erlangen

PURPOSE: Risk analysis is required by various laws and regulations in Germany and has an impact on each department of a large clinic. We provide an overview of the relevant laws and regulations in Germany and present the technical and organizational experience of introducing risk analysis in the Dep...

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Autores principales: Lohmann, Daniel, Lang-Welzenbach, Marga, Feldberger, Lorenz, Sommer, Ellen, Bücken, Stefan, Lotter, Michael, Ott, Oliver J., Fietkau, Rainer, Bert, Christoph
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9948825/
https://www.ncbi.nlm.nih.gov/pubmed/35012863
http://dx.doi.org/10.1016/j.zemedi.2021.11.002
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author Lohmann, Daniel
Lang-Welzenbach, Marga
Feldberger, Lorenz
Sommer, Ellen
Bücken, Stefan
Lotter, Michael
Ott, Oliver J.
Fietkau, Rainer
Bert, Christoph
author_facet Lohmann, Daniel
Lang-Welzenbach, Marga
Feldberger, Lorenz
Sommer, Ellen
Bücken, Stefan
Lotter, Michael
Ott, Oliver J.
Fietkau, Rainer
Bert, Christoph
author_sort Lohmann, Daniel
collection PubMed
description PURPOSE: Risk analysis is required by various laws and regulations in Germany and has an impact on each department of a large clinic. We provide an overview of the relevant laws and regulations in Germany and present the technical and organizational experience of introducing risk analysis in the Department of Radiation Oncology at the Universitätsklinikum Erlangen. METHODS: Risk analysis was performed with an in-house developed extension of our intranet platform and ticketing system. Risks were classified according to occurrence and severity, each on a 5-level scale resulting into a risk matrix. An interdisciplinary team of six experienced members formed the core meeting weekly. RESULTS: A total of 38 risks and 50 measures have been identified in 41 1 h-meetings corresponding to approx. 260 working hours. Risk was distributed 8/20/13 to the categories critical (n = 8), monitoring (n = 20), and conditionally acceptable (n = 13). Risk analysis has been evaluated before and after introducing measures. CONCLUSION: The risk analysis method introduced has been successfully used in routine operations for over a year. Risk analysis takes time and effort. However, because experts from different disciplines meet each other every week, the overall workflow of the radiation oncology department can be improved efficiently and continuously.
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spelling pubmed-99488252023-02-23 Risk analysis for radiotherapy at the Universitätsklinikum Erlangen Lohmann, Daniel Lang-Welzenbach, Marga Feldberger, Lorenz Sommer, Ellen Bücken, Stefan Lotter, Michael Ott, Oliver J. Fietkau, Rainer Bert, Christoph Z Med Phys Original Paper PURPOSE: Risk analysis is required by various laws and regulations in Germany and has an impact on each department of a large clinic. We provide an overview of the relevant laws and regulations in Germany and present the technical and organizational experience of introducing risk analysis in the Department of Radiation Oncology at the Universitätsklinikum Erlangen. METHODS: Risk analysis was performed with an in-house developed extension of our intranet platform and ticketing system. Risks were classified according to occurrence and severity, each on a 5-level scale resulting into a risk matrix. An interdisciplinary team of six experienced members formed the core meeting weekly. RESULTS: A total of 38 risks and 50 measures have been identified in 41 1 h-meetings corresponding to approx. 260 working hours. Risk was distributed 8/20/13 to the categories critical (n = 8), monitoring (n = 20), and conditionally acceptable (n = 13). Risk analysis has been evaluated before and after introducing measures. CONCLUSION: The risk analysis method introduced has been successfully used in routine operations for over a year. Risk analysis takes time and effort. However, because experts from different disciplines meet each other every week, the overall workflow of the radiation oncology department can be improved efficiently and continuously. Elsevier 2022-01-07 /pmc/articles/PMC9948825/ /pubmed/35012863 http://dx.doi.org/10.1016/j.zemedi.2021.11.002 Text en © 2022 Published by Elsevier GmbH. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Paper
Lohmann, Daniel
Lang-Welzenbach, Marga
Feldberger, Lorenz
Sommer, Ellen
Bücken, Stefan
Lotter, Michael
Ott, Oliver J.
Fietkau, Rainer
Bert, Christoph
Risk analysis for radiotherapy at the Universitätsklinikum Erlangen
title Risk analysis for radiotherapy at the Universitätsklinikum Erlangen
title_full Risk analysis for radiotherapy at the Universitätsklinikum Erlangen
title_fullStr Risk analysis for radiotherapy at the Universitätsklinikum Erlangen
title_full_unstemmed Risk analysis for radiotherapy at the Universitätsklinikum Erlangen
title_short Risk analysis for radiotherapy at the Universitätsklinikum Erlangen
title_sort risk analysis for radiotherapy at the universitätsklinikum erlangen
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9948825/
https://www.ncbi.nlm.nih.gov/pubmed/35012863
http://dx.doi.org/10.1016/j.zemedi.2021.11.002
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