• Preventing treatment errors in radiotherapy by identifying and evaluating near misses and actual incidents

      Holmberg, Ola; McClean, Brendan (Cambridge University Press, 2002-06)
      When preparing radiation treatment, the prescribed dose and irradiation geometry must be translated into physical machine parameters. An error in the calculations or machine settings can negatively affect the intended treatment outcome. Analysing incidents originating in the treatment preparation chain makes it possible to find weak links and prevent treatment errors. The aim of this work is to study the effectiveness of a multilayered error prevention system by analysing both near misses and actual treatment errors.