Department of Radiation Oncology, Tata Memorial Centre (TMH/ACTREC), Mumbai, India.
Homi Bhabha National Institute (HBNI), Anushakti Nagar, Mumbai, India.
JCO Glob Oncol. 2022 Aug;8:e2100367. doi: 10.1200/GO.21.00367.
To present an overview of quality and safety in radiotherapy from the context of low- and middle-income countries on the basis of a recently conducted annual meeting of our institution and our experience of implementing an error management system at our center.
The minutes of recently concluded annual Evidence-Based Medicine (EBM-2021) meeting on the basis of technology in radiation oncology were reviewed. The session on quality and safety, which had international experts as speakers, was reviewed. Along with this, we reviewed the literature for preventive and reactive measures proposed to manage errors including error reporting and learning systems (ILSs). Concise summary for the same was prepared for this article.
We also reviewed the journey of development of our institutional ILS and present here a summary of achievements, challenges, and future vision.
Preventive and reactive measures must be followed to achieve high-quality and safe radiotherapy. Despite resource constraints, a successful ILS program can be developed in a low- and middle-income country center by first understanding the patterns of error and developing one that suits the working ecosystem.
根据我们机构最近举行的一次年会以及我们在中心实施错误管理系统的经验,从低中等收入国家的角度介绍放射治疗的质量和安全概况。
对最近举行的年度循证医学(EBM-2021)会议关于放射肿瘤学技术的会议记录进行了回顾。对有国际专家作为演讲者的质量和安全专题进行了回顾。此外,我们还对预防和应对措施进行了文献回顾,包括错误报告和学习系统(ILS)。为此,我们为本文准备了简明的总结。
我们还回顾了我们机构 ILS 的发展历程,并在此介绍了成就、挑战和未来愿景的摘要。
必须采取预防和应对措施,以实现高质量和安全的放射治疗。尽管资源有限,但通过首先了解错误模式并开发适合工作生态系统的 ILS,低中等收入国家中心也可以成功开发 ILS 计划。