Key Publications in the Area

Reijnders-Thijssen P, Geerts D, van Elmpt W, Pawlicki T, Wallis A, Coffey M. Prevalence of software alerts in radiotherapy. Technical Innovations & Patient Support in Radiation Oncology. 2020;14:32-35.

Huq MS, Fraass BA, Dunscombe PB, Gibbons JP, Jr., Ibbott GS, Mundt AJ, et al. The report of Task Group 100 of the AAPM: Application of risk analysis methods to radiation therapy quality management. Med Phys. 2016;43(7):4209-62.

Teixeira FC, de Almeida CE, Saiful Huq M. Failure mode and effects analysis based risk profile assessment for stereotactic radiosurgery programs at three cancer centers in Brazil. Med Phys. 2016;43(1):171-78.

Dunscombe P, Brown D, Donaldson H, Greener A, O’Neill M, Sutlief S, et al. Safety Profile Assessment: An online tool to gauge safety-critical performance in radiation oncology. Pract Radiat Oncol. 2015;5(2):127-34.

Mayadev J, Dieterich S, Harse R, Lentz S, Mathai M, Boddu S, et al. A failure modes and effects analysis study for gynecologic high-dose- rate brachytherapy. Brachytherapy. 2015;14(6):866-875.

Simons PAM Houben R, Vlayen A, Hellings J, Pijls-Johannesma M, Marneffe W, et al. Does lean management improve patient safety culture? An extensive evaluation of safety culture in a radiotherapy institute. Eur J Oncol Nurs. 2015;19(1):29-37.

Yang F, Cao N, Young L, Howard J, Logan W, Arbuckle T, et al. Validating FMEA output against incident learning data: A study in stereotactic body radiation therapy. Med Phys. 2015;42(6):2777-85.

Ford EC, Smith K, Terezakis S, Croog V, Gollamudi S, Gage I, et al. A streamlined failure mode and effects analysis. Med Phys. 2014;41(6):061709.

Simons PAM, Houben R, Benders J, Pijls-Johannesma M, Vandijck D, Marneffe W, et al. Does compliance to patient safety tasks improve and sustain when radiotherapy treatment processes are standardized? Eur J Oncol Nurs. 2014;18(5):459-65.

Smith KS, Harris KM, Potters L, Sharma R, Mutic S, Gay HA, et al. Physician attitudes and practices related to voluntary error and near-miss reporting. J Oncol Pract. 2014;10(5):e350-e57.

Williams MV. Improving patient safety in radiotherapy by learning from near misses, incidents and errors. Br J Radiol.2014; 80(953):297-301.

Perks JR, Stanic S, Stern RL, Henk B, Nelson MS, Harse RD, et al. Failure mode and effect analysis for delivery of lung stereotactic body radiation therapy. International Int J Radiat Oncol Biol Phys. 2012;83(4):1324-29.

Ritter T, Balter JM, Lee C, Roberts D, Roberson PL. Audit tool for external beam radiation therapy departments. Practical Radiat Oncol. 2012;2(4):e39-e44.

Bissonnette J-P, Medlam G. Trend analysis of radiation therapy incidents over seven years. Radiother & Oncol. 2010;96(1):139-44.

Ford EC, Terezakis S. How Safe Is Safe? Risk in Radiotherapy. Int J Radiat Oncol Biol Phys. 2010;78(2):321-322.

Simons PAM, Houben RMA, Backes HH, Pijls RFG, Groothuis S. Compliance to technical guidelines for radiotherapy treatment in relation to patient safety. Int J Qual Health Care. 2010;22(3):187-93.

Boadu M, Rehani MM. Unintended exposure in radiotherapy: Identification of prominent causes. Radiother & Oncol. 2009;93(3):609-17.

Ford EC, Gaudette R, Myers L, Vanderver B, Engineer L, Zellars R, et al. Evaluation of Safety in a Radiation Oncology Setting Using Failure Mode and Effects Analysis. Int J Radiat Oncol Biol Phys. 2009;74(3):852-58.

Shafiq J, Barton M, Noble D, Lemer C, Donaldson LJ. An international review of patient safety measures in radiotherapy practice. Radiother & Oncol. 2009;92(1):15-21.

Rivera AJ, Karsh B-T. Human Factors and Systems Engineering Approach to Patient Safety for Radiotherapy. Int J Radiat Oncol Biol Phys. 2008;71(1, Supplement):S174-S77.

Williamson JF, Dunscombe PB, Sharpe MB, Thomadsen BR, Purdy JA, Deye JA. Quality Assurance Needs for Modern Image-Based Radiotherapy: Recommendations From 2007 Interorganizational Symposium on “Quality Assurance of Radiation Therapy: Challenges of Advanced Technology”. Int J Radiat Oncol Biol Phys.2008;71(1, Supplement):S2-S12.

Ash D. Lessons from Epinal. Clinical Oncol. 2007;19(8):614-5.

Toft B, Mascie-Taylor H. Involuntary automaticity: a work-system induced risk to safe health care. Health Serv Manage Res. 2005;18(4):211-16.

Reason J. Understanding adverse events: human factors. BMJ Qual Saf. 1995;4(2):80-9.

Ash D, Bates T. Report on the clinical effects of inadvertent radiation underdosage in 1045 patients. Clinical Oncol.1994;6(4):214-26.

ROSEIS Publications

Cunningham J. Radiation Oncology Safety Information System (ROSIS): A Reporting and Learning System for Radiation Oncology. PhD Thesis. Dublin: Trinity College Dublin; 2011. Available from: [Accessed 14 May 2021]

Cunningham J, Coffey M, Knöös T, Holmberg O: Radiation Oncology Safety Information System (ROSIS) – Profiles of participants and the first 1074 incident reports. Radiotherapy and Oncology. 2010; 97(3):601-7.

Cunningham, J, Coffey, M, Holmberg, O, Knoos, T. A global standard for incident reporting in radiation therapy using the rosis classification system. (ROSIS = Radiation Oncology Safety Information System). Radiotherapy and Oncology. 2007;84 (1, Supplement):S59.

Holmberg, O, Cunningham, J, Coffey, M, Knöös, T. ROSIS network. Radiotherapy & Oncology. 2006;81(1, Supplement):S125.

Cunningham, J, Coffey, M, Holmberg, O, Knöös, T. ROSIS (Radiation Oncology Safety Information System) Recognising risk, enhancing safety. Radiotherapy & Oncology.2004;73(1, Supplement):S220.

do Carmo Lopes, M. To become an active department in the ROSIS project: process and evaluation. Radiotherapy & Oncology.2004;73(1, Supplement):S220.

Cunningham, J, Coffey, M, Holmberg, O, Knöös, T. The ROSIS project. Radiotherapy & Oncology.2003;68(1, Supplement):S78.