Human factors evaluation of remote afterloading brachytherapy: Human error and critical tasks in remote afterloading brachytherapy and approaches for improved system performance. Volume 1
- Pacific Science and Engineering Group, San Diego, CA (United States); and others
Remote Afterloading Brachytherapy (RAB) is a medical process used in the treatment of cancer. RAB uses a computer-controlled device to remotely insert and remove radioactive sources close to a target (or tumor) in the body. Some RAB problems affecting the radiation dose to the patient have been reported and attributed to human error. To determine the root cause of human error in the RAB system, a human factors team visited 23 RAB treatment sites in the US The team observed RAB treatment planning and delivery, interviewed RAB personnel, and performed walk-throughs, during which staff demonstrated the procedures and practices used in performing RAB tasks. Factors leading to human error in the RAB system were identified. The impact of those factors on the performance of RAB was then evaluated and prioritized in terms of safety significance. Finally, the project identified and evaluated alternative approaches for resolving the safety significant problems related to human error.
- Research Organization:
- US Nuclear Regulatory Commission (NRC), Washington, DC (United States). Div. of Systems Technology; Pacific Science and Engineering Group, San Diego, CA (United States); University of California San Diego Medical Center, CA (United States). Div. of Radiation Oncology
- Sponsoring Organization:
- Nuclear Regulatory Commission, Washington, DC (United States)
- OSTI ID:
- 89505
- Report Number(s):
- NUREG/CR-6125-Vol.1; ON: TI95012811; TRN: 95:017615
- Resource Relation:
- Other Information: PBD: May 1995
- Country of Publication:
- United States
- Language:
- English
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