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Title: SU-F-T-248: FMEA Risk Analysis Implementation (AAPM TG-100) in Total Skin Electron Irradiation Technique

Abstract

Purpose: Total Skin Electron Irradiation (TSEI) is a radiotherapy treatment which involves irradiating the entire body surface as homogeneously as possible. It is composed of an extensive multi-step technique in which quality management requires high consumption of resources and a fluid communication between the involved staff, necessary to improve the safety of treatment. The TG-100 proposes a new perspective of quality management in radiotherapy, presenting a systematic method of risk analysis throughout the global flow of the stages through the patient. The purpose of this work has been to apply TG-100 approach to the TSEI procedure in our institution. Methods: A multidisciplinary team specifically targeting TSEI procedure was formed, that met regularly and jointly developed the process map (PM), following TG-100 guidelines of the AAPM. This PM is a visual representation of the temporal flow of steps through the patient since start until the end of his stay in the radiotherapy service. Results: This is the first stage of the full risk analysis, which is being carried out in the center. The PM provides an overview of the process and facilitates the understanding of the team members who will participate in the subsequent analysis. Currently, the team is implementing themore » analysis of failure modes and effects (FMEA). The failure modes of each of the steps have been identified and assessors are assigning a value of severity (S), frequency of occurrence (O) and lack of detection (D) individually. To our knowledge, this is the first PM made for the TSEI. The developed PM can be useful for those centers that intend to implement the TSEI technique. Conclusion: The PM of TSEI technique has been established, as the first stage of full risk analysis, performed in a reference center in this treatment.« less

Authors:
; ;  [1];  [1];  [2]; ; ; ; ; ; ; ; ;  [3];  [3];  [2]
  1. Hospital La Fe, Valencia, Valencia (Spain)
  2. (Spain)
  3. Hospital General ERESA, Valencia, Valencia (Spain)
Publication Date:
OSTI Identifier:
22648864
Resource Type:
Journal Article
Resource Relation:
Journal Name: Medical Physics; Journal Volume: 43; Journal Issue: 6; Other Information: (c) 2016 American Association of Physicists in Medicine; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
60 APPLIED LIFE SCIENCES; 61 RADIATION PROTECTION AND DOSIMETRY; HAZARDS; IMPLEMENTATION; IRRADIATION; RADIOTHERAPY; RISK ASSESSMENT; SKIN

Citation Formats

Ibanez-Rosello, B, Bautista-Ballesteros, J, Bonaque, J, Perez-Calatayud, J, Clinica Benidorm, Benidorm, Alicante, Gonzalez-Sanchis, A, Lopez-Torrecilla, J, Brualla-Gonzalez, L, Garcia-Hernandez, T, Vicedo-Gonzalez, A, Granero, D, Serrano, A, Borderia, B, Solera, C, Rosello, J, and Universidad de Valencia, Valencia, Valencia. SU-F-T-248: FMEA Risk Analysis Implementation (AAPM TG-100) in Total Skin Electron Irradiation Technique. United States: N. p., 2016. Web. doi:10.1118/1.4956471.
Ibanez-Rosello, B, Bautista-Ballesteros, J, Bonaque, J, Perez-Calatayud, J, Clinica Benidorm, Benidorm, Alicante, Gonzalez-Sanchis, A, Lopez-Torrecilla, J, Brualla-Gonzalez, L, Garcia-Hernandez, T, Vicedo-Gonzalez, A, Granero, D, Serrano, A, Borderia, B, Solera, C, Rosello, J, & Universidad de Valencia, Valencia, Valencia. SU-F-T-248: FMEA Risk Analysis Implementation (AAPM TG-100) in Total Skin Electron Irradiation Technique. United States. doi:10.1118/1.4956471.
Ibanez-Rosello, B, Bautista-Ballesteros, J, Bonaque, J, Perez-Calatayud, J, Clinica Benidorm, Benidorm, Alicante, Gonzalez-Sanchis, A, Lopez-Torrecilla, J, Brualla-Gonzalez, L, Garcia-Hernandez, T, Vicedo-Gonzalez, A, Granero, D, Serrano, A, Borderia, B, Solera, C, Rosello, J, and Universidad de Valencia, Valencia, Valencia. Wed . "SU-F-T-248: FMEA Risk Analysis Implementation (AAPM TG-100) in Total Skin Electron Irradiation Technique". United States. doi:10.1118/1.4956471.
@article{osti_22648864,
title = {SU-F-T-248: FMEA Risk Analysis Implementation (AAPM TG-100) in Total Skin Electron Irradiation Technique},
author = {Ibanez-Rosello, B and Bautista-Ballesteros, J and Bonaque, J and Perez-Calatayud, J and Clinica Benidorm, Benidorm, Alicante and Gonzalez-Sanchis, A and Lopez-Torrecilla, J and Brualla-Gonzalez, L and Garcia-Hernandez, T and Vicedo-Gonzalez, A and Granero, D and Serrano, A and Borderia, B and Solera, C and Rosello, J and Universidad de Valencia, Valencia, Valencia},
abstractNote = {Purpose: Total Skin Electron Irradiation (TSEI) is a radiotherapy treatment which involves irradiating the entire body surface as homogeneously as possible. It is composed of an extensive multi-step technique in which quality management requires high consumption of resources and a fluid communication between the involved staff, necessary to improve the safety of treatment. The TG-100 proposes a new perspective of quality management in radiotherapy, presenting a systematic method of risk analysis throughout the global flow of the stages through the patient. The purpose of this work has been to apply TG-100 approach to the TSEI procedure in our institution. Methods: A multidisciplinary team specifically targeting TSEI procedure was formed, that met regularly and jointly developed the process map (PM), following TG-100 guidelines of the AAPM. This PM is a visual representation of the temporal flow of steps through the patient since start until the end of his stay in the radiotherapy service. Results: This is the first stage of the full risk analysis, which is being carried out in the center. The PM provides an overview of the process and facilitates the understanding of the team members who will participate in the subsequent analysis. Currently, the team is implementing the analysis of failure modes and effects (FMEA). The failure modes of each of the steps have been identified and assessors are assigning a value of severity (S), frequency of occurrence (O) and lack of detection (D) individually. To our knowledge, this is the first PM made for the TSEI. The developed PM can be useful for those centers that intend to implement the TSEI technique. Conclusion: The PM of TSEI technique has been established, as the first stage of full risk analysis, performed in a reference center in this treatment.},
doi = {10.1118/1.4956471},
journal = {Medical Physics},
number = 6,
volume = 43,
place = {United States},
year = {Wed Jun 15 00:00:00 EDT 2016},
month = {Wed Jun 15 00:00:00 EDT 2016}
}