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PSNet: Patient Safety Network
Journal Article

Comparing the evolution of risk culture in radiation oncology, aviation, and nuclear power.

Abdulla A, Schell KR, Schell MC. J Patient Saf. 2020;16(4):e352-e358.

High reliability industries ensure safety amidst high-risk work environments and rapidly changing conditions. The authors explored the relationship between risk culture in three fields that require high standards of reliability and execution – radiation oncology, aviation, and nuclear power. A bibliographic coupling analysis found that the radiation oncology field has been slow to adopt and disseminate state-of-the-art risk management tools, frameworks, and best practices that have led to high reliability in aviation and nuclear power and that could mitigate or eliminate patient safety risks.