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首页> 外文期刊>Cancer radiotherapie: journal de la Soci閠?fran鏰ise de radiotherapie oncologique >Cartography and risk management in radiotherapy: A collaborative work of the department of radiotherapy and the department of quality and risk management at the Jean-Godinot Institute
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Cartography and risk management in radiotherapy: A collaborative work of the department of radiotherapy and the department of quality and risk management at the Jean-Godinot Institute

机译：放射治疗中的制图和风险管理：Jean-Godinot研究所的放射治疗部门与质量和风险管理部门的合作

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PURPOSE: To deploy an inductive process for radiotherapy risk management in a regional cancer centre and to infer the actions required to solve the situations of criticality. METHODS: Close collaboration between the department of radiation oncology-biophysics and the department of quality and risk management in the same institution allowed to create a multiprofessional and multidisciplinary task force and to make the experience feedback easier. A preliminary risk analysis method was used to identify the generic dangers, the mapping of risks and the specification of the scales of criticality. This method helped to evaluate and to rate each apprehended event. Four scales have been defined: seriousness scale in five levels, likelihood scale in five classes, endeavour scale in four levels and criticality scale in three categories: acceptable (criticality 1) tolerable under control (criticality 2) and unacceptable (criticality 3). RESULTS: Fifty-seven level 1 dangerous situations linked to 78 scenarios of criticality acceptable, tolerable and unacceptable in 24, 44 and 10 cases respectively have been identified in the department of radiotherapy leading to carry out 28 risk reduction actions. CONCLUSIONS: The performed risk analysis offered an original frame for a collective thinking among the care providers and contributed to modify their mode of conceiving both security and radioprotection. The study allowed us to give a relevant answer to the High Authority of Health and the Authority of Nuclear Security demands either in terms of efficient management of the risks in radiotherapy or regarding the daily concerns of the caregivers.
机译：目的：在地区癌症中心部署归纳法进行放射治疗风险管理，并推断出解决危急情况所需采取的行动。方法：在同一机构中，放射肿瘤学-生物物理学系与质量和风险管理系之间的紧密合作可以创建一个多专业，多学科的工作组，并使经验反馈更容易。初步的风险分析方法用于识别一般性危险，风险映射和关键等级的规格。这种方法有助于评估和评估每个被逮捕的事件。定义了四个量表：五个级别的严重性量表，五个级别的可能性量表，四个级别的努力量表和三个类别的关键性量表：可接受（关键性1），可控制（关键性2）和不可接受（关键性3）。结果：放射治疗部门分别确定了24个，44个和10个病例中，与78个严重程度可接受，可耐受和不可接受相关的57个1级危险情况，已采取了28项降低风险的措施。结论：进行的风险分析为医护人员之间的集体思维提供了一个原始框架，并有助于改变他们对安全和放射防护的理解方式。该研究使我们能够有效地管理放射治疗中的风险或照顾者的日常顾虑，从而对卫生高级管理局和核安保局的要求提供了相关的答案。

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