Key Publications in the Area

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. https://doi.org/10.1118/1.4947547

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. https://doi.org/10.1118/1.4938065

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. https://doi.org/10.1016/j.prro.2014.10.012

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. https://doi.org/10.1016/j.brachy.2015.06.007

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.https://doi.org/10.1016/j.ejon.2014.08.001

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. https://doi.org/10.1118/1.4919440

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. https://doi.org/10.1118/1.4875687

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. https://doi.org/10.1016/j.ejon.2014.05.003

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. https://doi.org/10.1200/JOP.2013.001353

Williams MV. Improving patient safety in radiotherapy by learning from near misses, incidents and errors. Br J Radiol.2014; 80(953):297-301. https://doi.org/10.1259/bjr/29018029

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. https://doi.org/10.1016/j.ijrobp.2011.09.019

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.https://doi.org/10.1016/j.prro.2012.03.011

Bissonnette J-P, Medlam G. Trend analysis of radiation therapy incidents over seven years. Radiother & Oncol. 2010;96(1):139-44. https://doi.org/10.1016/j.radonc.2010.05.002

Ford EC, Terezakis S. How Safe Is Safe? Risk in Radiotherapy. Int J Radiat Oncol Biol Phys. 2010;78(2):321-322. https://doi.org/10.1016/j.ijrobp.2010.04.047

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. https://doi.org/10.1093/intqhc/mzq020

Boadu M, Rehani MM. Unintended exposure in radiotherapy: Identification of prominent causes. Radiother & Oncol. 2009;93(3):609-17. https://doi.org/10.1016/j.radonc.2009.08.044

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. https://doi.org/10.1016/j.ijrobp.2008.10.038

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. https://doi.org/10.1016/j.radonc.2009.03.007

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. http://dx.doi.org/10.1016/j.ijrobp.2007.06.088

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. https://doi.org/10.1016/j.ijrobp.2007.08.080

Ash D. Lessons from Epinal. Clinical Oncol. 2007;19(8):614-5. https://doi.org/10.1016/j.clon.2007.06.011

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. https://doi.org/10.1258/095148405774518615

Reason J. Understanding adverse events: human factors. BMJ Qual Saf. 1995;4(2):80-9. https://doi.org/10.1136/qshc.4.2.80

Ash D, Bates T. Report on the clinical effects of inadvertent radiation underdosage in 1045 patients. Clinical Oncol.1994;6(4):214-26. https://doi.org/10.1016/S0936-6555(05)80290-0

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: http://www.tara.tcd.ie/handle/2262/78869 [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. https://doi.org/10.1016/j.radonc.2010.10.023

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. https://doi.org/10.1016/S0167-8140(07)80271-4

Holmberg, O, Cunningham, J, Coffey, M, Knöös, T. ROSIS network. Radiotherapy & Oncology. 2006;81(1, Supplement):S125. https://doi.org/10.1016/S0167-8140(07)80271-4

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. https://doi.org/10.1016/S0167-8140(04)82361-2

do Carmo Lopes, M. To become an active department in the ROSIS project: process and evaluation. Radiotherapy & Oncology.2004;73(1, Supplement):S220. https://doi.org/10.1016/S0167-8140(04)82362-4

Cunningham, J, Coffey, M, Holmberg, O, Knöös, T. The ROSIS project. Radiotherapy & Oncology.2003;68(1, Supplement):S78. https://doi.org/10.1016/S0167-8140(03)80222-0