Reitz A, Levrat E, Pétin J-F, Noël A, Aigle D, Peiffert D, Graff P
Centre de recherche en automatique de Nancy CRAN, CNRS, UMR 7039, campus sciences, université de Lorraine, BP 239, 54506 Vandœuvre-lès-Nancy cedex, France.
Cancer Radiother. 2012 Dec;16(8):667-73. doi: 10.1016/j.canrad.2012.06.004. Epub 2012 Nov 9.
We previously presented a systematic and structured approach to acquire an accurate functional model of the patient's process in radiotherapy. This approach relied on new functional structuring patterns, derived from system engineering and knowledge engineering. Additionally, we propose a complementary methodical process for the dysfunctional analysis of the obtained functional model.
The procedure is based on joint implementation of two qualitative methods named "Failure modes and effects analysis" (FMEA) and "Hazard and operability" (HazOp).
All the technical, the human and the organizational dimensions of the patient's process are pooled in a unique, exhaustive and detailed dysfunctional analysis. The application of this systematic approach within a particular institution can precisely identify the risks incurred by patients in care, but also highlight the logical sequence between precursor events and incidents.
The dysfunctional analysis presented in this document will be used for the development still in process of quantified risk models.
我们之前提出了一种系统且结构化的方法，以获取放疗中患者流程的准确功能模型。该方法依赖于源自系统工程和知识工程的新功能构建模式。此外，我们为所获得的功能模型的功能障碍分析提出了一种补充性的方法流程。
该程序基于两种定性方法“失效模式与效应分析”（FMEA）和“危险与可操作性分析”（HazOp）的联合实施。
患者流程的所有技术、人员和组织维度都汇聚在一个独特、详尽且细致的功能障碍分析中。在特定机构内应用这种系统方法，不仅可以精确识别患者在护理过程中面临的风险，还能突出先兆事件与事故之间的逻辑顺序。
本文中呈现的功能障碍分析将用于仍在开发中的量化风险模型。
