The role of surface-guided radiation therapy for improving patient safety
The role of surface-guided radiation therapy for improving patient safety
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DOI：
10.1016/j.radonc.2021.08.008
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发表时间：
2021-09-20
影响因子：
5.7
通讯作者：
Meyer, Juergen
中科院分区：
文献类型：
--
作者：
Al-Hallaq, Hania;Batista, Vania;Meyer, Juergen
新出现的数据表明，SGRT可以通过防止其作为治疗室中的独立系统的能力出现错误来提高安全性和质量。这项工作的目的是调查SGRT在安全和质量方面的效用。对三个事件学习系统(ILS)进行了审查，以分类和量化本可以通过SGRT预防的错误：SAFRON(国际原子能机构)、UW-ILS(华盛顿大学)和AVIC(斯凯大学医院)。在治疗前审查/核查和治疗阶段共发生了849/9737起事件。在这些事件中，179例(21%)被预测为SGRT可以预防的事件。最常见的可预防事件是错误的等中心线(43%)和错误的附件(34%)，这两种情况在Safron和UW-ILS中的发生率相当。在中航ILS中，由于错误的附件而导致的事件比例要小得多，这可能是由于瑞典强制使用SGRT。提出了几个案例场景，以证明SGRT作为常规用于放射治疗的其他质量改进工具的有价值的补充。在SGRT本身造成事故的案例中也有记录。这些问题大多与工作流程问题有关，严重程度较低。严重性数据表明，除了错误的附件外，SGRT可能减轻的事件对于所有类别都具有更高的严重性。在整个工作流程中改进SGRT系统的供应商集成可以进一步增强其临床实用价值。SGRT是一种有价值的工具，有可能提高放射治疗中患者的安全性和治疗质量。爱思唯尔出版，放射治疗与肿瘤学613(2021)229-236
Emerging data indicates SGRT could improve safety and quality by preventing errors in its capacity as an independent system in the treatment room. The aim of this work is to investigate the utility of SGRT in the context of safety and quality. Three incident learning systems (ILS) were reviewed to categorize and quantify errors that could have been prevented with SGRT: SAFRON (International Atomic Energy Agency), UW-ILS (University of Washington) and AvIC (Skane University Hospital). A total of 849/9737 events occurred during the pre-treatment review/verification and treatment stages. Of these, 179 (21%) events were predicted to have been preventable with SGRT. The most common preventable events were wrong isocentre (43%) and incorrect accessories (34%), which appeared at comparable rates among SAFRON and UW-ILS. The proportion of events due to wrong accessories was much smaller in the AvIC ILS, which may be attributable to the mandatory use of SGRT in Sweden. Several case scenarios are presented to demonstrate that SGRT operates as a valuable complement to other quality-improvement tools routinely used in radiotherapy. Cases are noted in which SGRT itself caused incidents. These were mostly related to workflow issues and were of low severity. Severity data indicated that events with the potential to be mitigated by SGRT were of higher severity for all categories except wrong accessories. Improved vendor integration of SGRT systems within the overall workflow could further enhance its clinical utility. SGRT is a valuable tool with the potential to increase patient safety and treatment quality in radiotherapy. Published by Elsevier B.V. Radiotherapy and Oncology 613 (2021) 229-236