当前位置： SCI文献检索 > MEDICAL PHYSICS期刊下所有文献 > The report of Task Group 100 of the AAPM: Application of risk analysis methods to radiation therapy quality management.

The report of Task Group 100 of the AAPM: Application of risk analysis methods to radiation therapy quality management.

Abstract：

:The increasing complexity of modern radiation therapy planning and delivery challenges traditional prescriptive quality management (QM) methods, such as many of those included in guidelines published by organizations such as the AAPM, ASTRO, ACR, ESTRO, and IAEA. These prescriptive guidelines have traditionally focused on monitoring all aspects of the functional performance of radiotherapy (RT) equipment by comparing parameters against tolerances set at strict but achievable values. Many errors that occur in radiation oncology are not due to failures in devices and software; rather they are failures in workflow and process. A systematic understanding of the likelihood and clinical impact of possible failures throughout a course of radiotherapy is needed to direct limit QM resources efficiently to produce maximum safety and quality of patient care. Task Group 100 of the AAPM has taken a broad view of these issues and has developed a framework for designing QM activities, based on estimates of the probability of identified failures and their clinical outcome through the RT planning and delivery process. The Task Group has chosen a specific radiotherapy process required for "intensity modulated radiation therapy (IMRT)" as a case study. The goal of this work is to apply modern risk-based analysis techniques to this complex RT process in order to demonstrate to the RT community that such techniques may help identify more effective and efficient ways to enhance the safety and quality of our treatment processes. The task group generated by consensus an example quality management program strategy for the IMRT process performed at the institution of one of the authors. This report describes the methodology and nomenclature developed, presents the process maps, FMEAs, fault trees, and QM programs developed, and makes suggestions on how this information could be used in the clinic. The development and implementation of risk-assessment techniques will make radiation therapy safer and more efficient.

journal_name

Med Phys

journal_title

Medical physics

authors

Huq MS,Fraass BA,Dunscombe PB,Gibbons JP Jr,Ibbott GS,Mundt AJ,Mutic S,Palta JR,Rath F,Thomadsen BR,Williamson JF,Yorke ED

doi

10.1118/1.4947547

subject

Has Abstract

pub_date

2016-07-01 00:00:00

pages

4209

issue

eissn

0094-2405

issn

2473-4209

journal_volume

pub_type

共识发展会议,杂志文章,实务指引

在线工具

The report of Task Group 100 of the AAPM: Application of risk analysis methods to radiation therapy quality management.