Risk factors for radiotherapy incidents: a single institutional experience

التفاصيل البيبلوغرافية
العنوان: Risk factors for radiotherapy incidents: a single institutional experience
المؤلفون: Shigetoshi Noda, Minoru Ishigami, Nobuaki Shuto, Tsuyoshi Terazaki, Hiromichi Ishiyama, Katsunori Yogo, Kazushige Hayakawa
المصدر: Medical dosimetry : official journal of the American Association of Medical Dosimetrists. 44(1)
سنة النشر: 2017
مصطلحات موضوعية: Male, medicine.medical_specialty, Multivariate analysis, medicine.medical_treatment, government.form_of_government, Patient characteristics, 030218 nuclear medicine & medical imaging, 03 medical and health sciences, 0302 clinical medicine, Japan, Risk Factors, medicine, Humans, Radiology, Nuclear Medicine and imaging, External beam radiotherapy, Risk factor, Radiation Injuries, Aged, Retrospective Studies, Univariate analysis, Radiological and Ultrasound Technology, Radiotherapy, business.industry, Retrospective cohort study, Radiation therapy, Oncology, 030220 oncology & carcinogenesis, Emergency medicine, government, Female, business, Incident report
الوصف: We aimed to analyze risk factors for incidents occurring during the practice of external beam radiotherapy (EBRT) at a single Japanese center. Treatment data for EBRT from June 2014 to March 2017 were collected. Data from incident reports submitted during this period were reviewed. Near-miss cases were not included. Risk factors for incidents, including patient characteristics and treatment-related factors, were explored using uni- and multivariate analyses. Factors contributing to each incident were also retrospectively categorized according to the recommendations of the American Association of Physicists in Medicine (AAPM). A total of 2887 patients were treated during the study period, and 26 incidents occurred (0.90% per patient). Previous history of radiotherapy and large fraction size were identified as risk factors for incidents by univariate analysis. Only previous history of radiotherapy was detected as a risk factor in multivariate analysis. Identified categories of contributing factors were human behavior (50.0%), communication (40.6%), and technical (9.4%). The incident rate of EBRT was 0.90% per patient in our institution. Previous history of radiotherapy and large fraction size were detected as risk factors for incidents. Human behavior and communication errors were identified as contributing factors for most incidents.
تدمد: 1873-4022
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2cd99af8cc737fa82ac1409473572978
https://pubmed.ncbi.nlm.nih.gov/29395460
Rights: CLOSED
رقم الانضمام: edsair.doi.dedup.....2cd99af8cc737fa82ac1409473572978
قاعدة البيانات: OpenAIRE
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