Key Publications in the Area

  1. Ash D. Lessons from Epinal. Clinical oncology (Royal College of Radiologists (Great Britain)). 2007;19(8):614-5.
  2. Ash D, Bates T. Report on the clinical effects of inadvertent radiation underdosage in 1045 patients. Clinical oncology (Royal College of Radiologists (Great Britain)). 1994;6(4):214-26.
  3. Bissonnette J-P, Medlam G. Trend analysis of radiation therapy incidents over seven years. Radiotherapy and Oncology. 2010;96(1):139-44.
  4. Boadu M, Rehani MM. Unintended exposure in radiotherapy: Identification of prominent causes. Radiotherapy and Oncology. 2009;93(3):609-17.
  5. 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. Practical radiation oncology. 2015;5(2):127-34.
  6. 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. International Journal of Radiation Oncology*Biology*Physics. 2009;74(3):852-8.
  7. Ford EC, Smith K, Terezakis S, Croog V, Gollamudi S, Gage I, et al. A streamlined failure mode and effects analysis. Medical physics. 2014;41(6):061709.
  8. Ford EC, Terezakis S. How Safe Is Safe? Risk in Radiotherapy. International Journal of Radiation Oncology*Biology*Physics. 2010;78(2):321-2.
  9. 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. Medical physics. 2016;43(7):4209.
  10. 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):866-75.
  11. 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 journal of radiation oncology, biology, physics. 2012;83(4):1324-9.
  12. Reason J. Understanding adverse events: human factors. Quality in Health Care. 1995;4(2):80-9.
  13. Rivera AJ, Karsh B-T. Human Factors and Systems Engineering Approach to Patient Safety for Radiotherapy. International Journal of Radiation Oncology*Biology*Physics. 2008;71(1, Supplement):S174-S7.
  14. Shafiq J, Barton M, Noble D, Lemer C, Donaldson LJ. An international review of patient safety measures in radiotherapy practice. Radiotherapy and Oncology. 2009;92(1):15-21.
  15. 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? European Journal of Oncology Nursing. 2014;18(5):459-65.
  16. 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. European Journal of Oncology Nursing. 2015;19(1):29-37.
  17. Simons PAM, Houben RMA, Backes HH, Pijls RFG, Groothuis S. Compliance to technical guidelines for radiotherapy treatment in relation to patient safety. International Journal
    for Quality in Health Care. 2010.
  18. 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. Journal of oncology practice /
    American Society of Clinical Oncology. 2014;10(5):e350-7.
  19. 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.
    Medical physics. 2016;43(1):171.
  20. Toft B, Mascie-Taylor H. Involuntary automaticity: a work-system induced risk to safe health care. Health services management research. 2005;18(4):211-6.
  21. Williams M. Improving patient safety in radiotherapy by learning from near misses, incidents and errors. The British journal of radiology. 2014.
  22. Williamson JF, Dunscombe PB, Sharpe MB, Thomadsen BR, Purdy JA, Deye JA. Quality Assurance Needs for Modern Image-Based Radiotherapy: Recommendations From 2007
  23. Interorganizational Symposium on “Quality Assurance of Radiation Therapy: Challenges of Advanced Technology”. International Journal of Radiation Oncology*Biology*Physics. 2008;71(1, Supplement):S2-S12.
  24. 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. Medical physics. 2015;42(6):2777-85.
  25. Ritter T, Balter JM, Lee C, Roberts D, Roberson PL. Audit tool for external beam radiation therapy departments. Practical radiation oncology. 2012;2(4):e39-44.

ROSEIS Publications

  • 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):601-607. doi:10.1016/j.radonc.2010.10.023
  • Cunningham J. Radiation Oncology Safety Information System (ROSIS): A Reporting and Learning System for Radiation Oncology. PhD Thesis. Trinity College Dublin, Ireland, 2011. Click here to download pdf.
  • Holmberg, O, Cunningham, J, Coffey, M, Knöös, T. ROSIS network. Radiother. Oncol. 2006;81:S125.
  • 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). Radiother. Oncol. 2007;84:S59.
  • Cunningham, J, Coffey, M, Holmberg, O, Knöös, T. The ROSIS project. Radiother. Oncol. 2003;68:S78.
  • Cunningham, J, Coffey, M, Holmberg, O, Knöös, T. ROSIS (Radiation Oncology Safety Information System) Recognising risk, enhancing safety. Radiother. Oncol. 2004;73:S220.
  • do Carmo Lopes, M. To become an active department in the ROSIS project: process and evaluation. Radiother. Oncol. 2004;73:S220.
    Cunningham, J, Coffey, M, Knöös, T, Holmberg, O. Introduction to ROSIS. ROSIS Newsletter 1: Available at: http://www.clin.radfys.lu.se/reports/ROSIS_Newsletter_1_Intro%20to%20ROSIS.pdf; Accessed on 1st July 2009. 2006.
  • Knöös, T, Holmberg, O, Cunningham, J, Coffey, M. Spotlight on In-vivo dosimetry. ROSIS Newsletter 2: Available at: http://www.clin.radfys.lu.se/reports/ROSIS_Newsletter_2_In_vivo_dosimetry.pdf; Accessed 1st July 2009. 2006.
  • Coffey, M, Cunningham, J, Knöös, T, Holmberg, O. Spotlight on Patient Identification. ROSIS Newsletter 3: Available at: http://www.clin.radfys.lu.se/reports/ROSIS_Newsletter_3_Patient_identification.pdf; Accessed 1st July 2009. 2006.
  • Cunningham, J, Holmberg, O, Coffey, M, Knöös, T. Spotlight on Data Transfer. ROSIS Newsletter 4: Available at: http://www.clin.radfys.lu.se/reports/ROSIS_Newsletter_4_Data_Transfer.pdf; Accessed 1st July 2009. 2007.
  • Cunningham, J, Holmberg, O, Coffey, M, Knöös, T. Spotlight on Record and Verify. ROSIS Newsletter 5: Available at: http://www.clin.radfys.lu.se/reports/ROSIS_Newsletter_5_Record_and_Verify.pdf; Accessed 1st July 2009. 2007.
  • Cunningham, J, Holmberg, O, Coffey, M, Knöös, T. ROSIS in the Scientific Literature. RoSIS Newsletter 6: Available at: http://www.clin.radfys.lu.se/reports/ROSIS_Newsletter_6_ROSIS_lit.pdf; Accessed 1st July 2009. 2009.
  • André, L, Aebersold, D, Kann, R, Moeckli, R, Seelentag, W, Wessels, C. www.ROSIS.ch: A Swiss knowledge database of critical incidences. Available at: http://www.sgsmp.ch/2008/Andre-96.pdf; Accessed 1st July 2009.
  • Cooney, L. An Evaluation of The ROSIS Database and Local Reporting Practice: A Cross-Sectional Survey of ROSIS Users. Division of Radiation Therapy, School of Medicine: Trinity College Dublin. 2007; unpublished.

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