Baehr Andrea, Grohmann Maximilian, Christalle Eva, Schwenzer Felicitas, Scholl Isabelle
Department of Radiation Oncology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Department of Radiation Oncology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Radiother Oncol. 2025 Feb;203:110657. doi: 10.1016/j.radonc.2024.110657. Epub 2024 Dec 2.
Patient Safety Indicators (PSIs) allow the evaluation of safety levels in healthcare settings. Despite their use in various medical fields, a specific and comprehensive PSI catalogue for radiation oncology (RO) is lacking. The Patient Safety in German Radiation Oncology (PaSaGeRO) study aims for the development of a specific PSI catalogue in radiation oncology.
The primary objective of this systematic literature review as part of the PaSaGeRO study is to identify, formulate, and categorize PSIs specific to RO to bridge existing gaps in comprehensive patient safety evaluation.
An electronic search in PubMed included studies from 1989 onwards, in English or German, focusing on safety and quality indicators in RO, patient safety measures, or risk analyses. Exclusions were non-transferable, country-specific measures, techniques exclusive to specific departments, and legally mandated procedures. Additional sources were identified through reference tracking and professional society websites. Two experts independently extracted PSIs from the included references.
Out of 157 included publications and nine secondary sources, we identified and formulated 145 PSIs. These were categorized into patient-specific processes (82, 56%), quality and risk management (42, 28%), human resources (15, 10%), and institutional culture (13, 9%).
The hereby developed PSIs provides a base for professionals to systematically evaluate and improve safety practices, addressing previously unmet needs in this field. By offering clear guidance on safety assessment, the catalogue has the potential to drive significant improvements in patient care and safety outcomes in RO. Funded by Deutsche Krebshilfe. Registered in the German Clinical Trials Register (DRKS00034690).
患者安全指标（PSIs）可用于评估医疗环境中的安全水平。尽管其已在多个医学领域得到应用，但放射肿瘤学（RO）领域仍缺乏具体且全面的PSIs目录。德国放射肿瘤学患者安全（PaSaGeRO）研究旨在开发放射肿瘤学领域特定的PSIs目录。
作为PaSaGeRO研究的一部分，本系统文献综述的主要目的是识别、制定和分类RO领域特有的PSIs，以填补全面患者安全评估中现有的空白。
在PubMed上进行电子检索，纳入1989年起发表的英文或德文研究，重点关注RO领域的安全和质量指标、患者安全措施或风险分析。排除不可转移的、特定国家的措施、特定科室独有的技术以及法定程序。通过参考文献追踪和专业协会网站确定其他来源。两名专家独立从纳入的参考文献中提取PSIs。
在157篇纳入出版物和9个二级来源中，我们识别并制定了145个PSIs。这些指标分为患者特定流程（82个，占56%）、质量与风险管理（42个，占28%）、人力资源（15个，占10%）和机构文化（13个，占9%）。
此处制定的PSIs为专业人员系统评估和改进安全实践提供了基础，满足了该领域此前未满足的需求。通过在安全评估方面提供明确指导，该目录有可能推动RO领域患者护理和安全结果的显著改善。由德国癌症援助组织资助。在德国临床试验注册中心注册（DRKS00034690）。
