• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

放疗技术进步中的质量和安全:来自中低收入国家机构的概述和历程叙述。

Quality and Safety With Technological Advancements in Radiotherapy: An Overview and Journey Narrative From a Low- and Middle-Income Country Institution.

机构信息

Department of Radiation Oncology, Tata Memorial Centre (TMH/ACTREC), Mumbai, India.

Homi Bhabha National Institute (HBNI), Anushakti Nagar, Mumbai, India.

出版信息

JCO Glob Oncol. 2022 Aug;8:e2100367. doi: 10.1200/GO.21.00367.

DOI:10.1200/GO.21.00367
PMID:35994694
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9470131/
Abstract

PURPOSE

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.

METHODS

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.

RESULTS

We also reviewed the journey of development of our institutional ILS and present here a summary of achievements, challenges, and future vision.

CONCLUSION

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.

摘要

目的

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。

方法

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。

结果

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。

结论

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f427/9470131/7bf734855c50/go-8-e2100367-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f427/9470131/7bf734855c50/go-8-e2100367-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f427/9470131/7bf734855c50/go-8-e2100367-g003.jpg

相似文献

1
Quality and Safety With Technological Advancements in Radiotherapy: An Overview and Journey Narrative From a Low- and Middle-Income Country Institution.放疗技术进步中的质量和安全:来自中低收入国家机构的概述和历程叙述。
JCO Glob Oncol. 2022 Aug;8:e2100367. doi: 10.1200/GO.21.00367.
2
Evaluating incident learning systems and safety culture in two radiation oncology departments.评估两个放射肿瘤学部门的事故学习系统和安全文化。
J Med Radiat Sci. 2022 Jun;69(2):208-217. doi: 10.1002/jmrs.563. Epub 2021 Dec 9.
3
Incident learning in radiation oncology: A review.放射肿瘤学中的事件学习:综述。
Med Phys. 2018 May;45(5):e100-e119. doi: 10.1002/mp.12800. Epub 2018 Apr 11.
4
Evaluation of near-miss and adverse events in radiation oncology using a comprehensive causal factor taxonomy.使用综合因果因素分类法评估放射肿瘤学中的接近失误和不良事件。
Pract Radiat Oncol. 2017 Sep-Oct;7(5):346-353. doi: 10.1016/j.prro.2017.05.008.
5
Safety practices, perceptions, and behaviors in radiation oncology: A national survey of radiation therapists.放射肿瘤学中的安全实践、认知和行为:一项针对放射治疗师的全国性调查。
Pract Radiat Oncol. 2018 Jan-Feb;8(1):48-57. doi: 10.1016/j.prro.2017.06.003. Epub 2017 Jun 15.
6
RO-ILS: Radiation Oncology Incident Learning System: A report from the first year of experience.RO-ILS:放射肿瘤学事件学习系统:第一年经验报告
Pract Radiat Oncol. 2015 Sep-Oct;5(5):312-318. doi: 10.1016/j.prro.2015.06.009. Epub 2015 Jun 25.
7
Recommendations for the treatment of children with radiotherapy in low- and middle-income countries (LMIC): A position paper from the Pediatric Radiation Oncology Society (PROS-LMIC) and Pediatric Oncology in Developing Countries (PODC) working groups of the International Society of Pediatric Oncology (SIOP).中低收入国家儿童放疗治疗推荐:来自儿科放射肿瘤学会(PROS-LMIC)和发展中国家儿科肿瘤学(PODC)工作组以及国际儿科肿瘤学会(SIOP)的立场文件。
Pediatr Blood Cancer. 2017 Dec;64 Suppl 5. doi: 10.1002/pbc.26903.
8
Safety culture and incident learning systems in radiation oncology: Staff perceptions across Australia and New Zealand.放射肿瘤学中的安全文化和事件学习系统:澳大利亚和新西兰的员工认知。
J Med Imaging Radiat Oncol. 2022 Mar;66(2):299-309. doi: 10.1111/1754-9485.13335.
9
Quality assurance needs for modern image-based radiotherapy: recommendations from 2007 interorganizational symposium on "quality assurance of radiation therapy: challenges of advanced technology".现代基于图像的放射治疗的质量保证需求:来自2007年“放射治疗质量保证:先进技术挑战”跨组织研讨会的建议
Int J Radiat Oncol Biol Phys. 2008;71(1 Suppl):S2-12. doi: 10.1016/j.ijrobp.2007.08.080.
10
Radiotherapy services in countries in transition: gross national income per capita as a significant factor.转型国家的放射治疗服务:人均国民总收入作为一个重要因素。
Radiother Oncol. 2002 May;63(2):147-50. doi: 10.1016/s0167-8140(02)00010-5.

引用本文的文献

1
Advancing the Collaboration Between Imaging and Radiation Oncology.推进影像医学与放射肿瘤学的协作。
Semin Radiat Oncol. 2024 Oct;34(4):402-417. doi: 10.1016/j.semradonc.2024.07.005.
2
Financial Toxicity: Unveiling the Burden of Cancer Care on Patients in Rwanda.财务毒性:揭示卢旺达癌症患者的负担。
Oncologist. 2024 Mar 4;29(3):e345-e350. doi: 10.1093/oncolo/oyad291.
3
Radiation Oncology Research in Asia: Current Status and a Peep Into the Future From the Federation of Asian Organizations for Radiation Oncology.

本文引用的文献

1
Technology-driven research for radiotherapy innovation.放疗创新的技术驱动型研究。
Mol Oncol. 2020 Jul;14(7):1500-1513. doi: 10.1002/1878-0261.12659. Epub 2020 Mar 19.
2
Clinical practice workflow in Radiation Oncology should be highly standardized.放射肿瘤学的临床实践工作流程应高度标准化。
J Appl Clin Med Phys. 2019 Apr;20(4):6-9. doi: 10.1002/acm2.12555. Epub 2019 Mar 12.
3
An Audit for Radiotherapy Planning and Treatment Errors From a Low-Middle-Income Country Centre.从中低收入国家中心进行的放射治疗计划和治疗误差审计。
亚洲放射肿瘤学研究:亚洲放射肿瘤学组织联合会对现状的评估和对未来的展望。
JCO Glob Oncol. 2023 Jun;9:e2300002. doi: 10.1200/GO.23.00002.
4
Quality Improvement Process with Incident Learning Program Helped Reducing Transcriptional Errors on Telecobalt Due to Mismatched Parameters in Different Generations.带有事件学习计划的质量改进流程有助于减少因不同代产品参数不匹配而导致的远距钴治疗转录错误。
J Med Phys. 2022 Oct-Dec;47(4):367-373. doi: 10.4103/jmp.jmp_74_22. Epub 2023 Jan 10.
Clin Oncol (R Coll Radiol). 2019 Jan;31(1):e67-e74. doi: 10.1016/j.clon.2018.09.008. Epub 2018 Oct 12.
4
Improving the quality of radiation oncology: 10years' experience of QUATRO audits in the IAEA Europe Region.提高放射肿瘤学质量:国际原子能机构欧洲区域 QUATRO 审核 10 年经验。
Radiother Oncol. 2018 Feb;126(2):183-190. doi: 10.1016/j.radonc.2017.09.011. Epub 2017 Oct 5.
5
Evaluation of near-miss and adverse events in radiation oncology using a comprehensive causal factor taxonomy.使用综合因果因素分类法评估放射肿瘤学中的接近失误和不良事件。
Pract Radiat Oncol. 2017 Sep-Oct;7(5):346-353. doi: 10.1016/j.prro.2017.05.008.
6
Improving radiation oncology through clinical audits: Introducing the IROCA project.通过临床审计改善放射肿瘤学:介绍IROCA项目。
Rep Pract Oncol Radiother. 2017 Sep-Oct;22(5):408-414. doi: 10.1016/j.rpor.2017.07.004. Epub 2017 Aug 11.
7
Patient safety in external beam radiotherapy, results of the ACCIRAD project: Current status of proactive risk assessment, reactive analysis of events, and reporting and learning systems in Europe.体外放射治疗中的患者安全,ACCIRAD项目结果:欧洲主动风险评估、事件反应性分析以及报告与学习系统的现状
Radiother Oncol. 2017 Apr;123(1):29-36. doi: 10.1016/j.radonc.2017.02.016. Epub 2017 Mar 25.
8
Standardizing dose prescriptions: An ASTRO white paper.剂量处方标准化:美国放射肿瘤学会白皮书
Pract Radiat Oncol. 2016 Nov-Dec;6(6):e369-e381. doi: 10.1016/j.prro.2016.08.007. Epub 2016 Aug 24.
9
The report of Task Group 100 of the AAPM: Application of risk analysis methods to radiation therapy quality management.美国医学物理学家协会第100任务组报告:风险分析方法在放射治疗质量管理中的应用。
Med Phys. 2016 Jul;43(7):4209. doi: 10.1118/1.4947547.
10
Assessing the Quality of a Radiation Oncology Case-Based, Peer-Review Program in an Integrated Academic and Community Cancer Center Network.评估综合学术与社区癌症中心网络中基于病例的放射肿瘤学同行评审项目的质量。
J Oncol Pract. 2016 Apr;12(4):e476-86. doi: 10.1200/JOP.2015.005983. Epub 2016 Mar 1.