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Title: Human factors evaluation of remote afterloading brachytherapy. Supporting analyses of human-system interfaces, procedures and practices, training and organizational practices and policies. Volume 3

Technical Report ·
DOI:https://doi.org/10.2172/93757· OSTI ID:93757
; ;  [1]
  1. Pacific Science & Engineering Group, San Diego, CA (United States); and others

A human factors project on the use of nuclear by-product material to treat cancer using remotely operated afterloaders was undertaken by the Nuclear Regulatory Commission. The purpose of the project was to identify factors that contribute to human error in the system for remote afterloading brachytherapy (RAB). This report documents the findings from the second, third, fourth, and fifth phases of the project, which involved detailed analyses of four major aspects of the RAB system linked to human error: human-system interfaces; procedures and practices; training practices and policies; and organizational practices and policies, respectively. Findings based on these analyses provided factual and conceptual support for the final phase of this project, which identified factors leading to human error in RAB. The impact of those factors on RAB performance was then evaluated and prioritized in terms of safety significance, and alternative approaches for resolving safety significant problems were identified and evaluated.

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:
93757
Report Number(s):
NUREG/CR-6125-Vol.3; ON: TI95016111; TRN: 95:018615
Resource Relation:
Other Information: PBD: Jul 1995
Country of Publication:
United States
Language:
English