Commentary Hidden danger, obvious opportunity: error and risk in the management of cancer. Citation Text: Munro AJ. Hidden danger, obvious opportunity: error and risk in the management of cancer. Br J Radiol. 2007;80(960):955-66. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL January 30, 2008 Munro AJ. Br J Radiol. 2007;80(960):955-66. View more articles from the same authors. This commentary provides context on risks, errors, and safety in cancer treatment in light of a recent analysis by the Chief Medical Officer for the United Kingdom regarding error in radiation therapy. PubMed citation Free full text Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Munro AJ. Hidden danger, obvious opportunity: error and risk in the management of cancer. Br J Radiol. 2007;80(960):955-66. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Diagnostic difficulty and error in primary care—a systematic review. March 11, 2009 Incivility in healthcare: the impact of poor communication. August 2, 2023 The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose. February 14, 2018 Fundamental Use of Surgical Energy (FUSE): an essential educational program for operating room safety. April 5, 2017 Patient safety features of clinical computer systems: questionnaire survey of GP views. June 29, 2005 Disclosing medical errors: views from the United States and the United Kingdom. May 21, 2014 Drug-related morbidity and mortality and the economic impact of pharmaceutical care. March 6, 2005 Time to listen: a review of methods to solicit patient reports of adverse events. April 14, 2010 Importance of teamwork, communication and culture on failure-to-rescue in the elderly. January 13, 2016 Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. January 14, 2009 A prospective, observational study of the effects of implementation strategy on compliance with a surgical safety checklist. October 30, 2013 What's the difference between a hospital and a bottling factory? August 5, 2009 Creating psychological safety in interprofessional simulation for health professional learners: a scoping review of the barriers and enablers. May 18, 2022 Evaluation of the implementation of the alert issued by the UK National Patient Safety Agency on the storage and handling of potassium chloride concentrate solution. June 29, 2005 Incidence, nature and impact of error in surgery. August 3, 2011 Decreasing paediatric prescribing errors in a district general hospital. April 23, 2008 The impact of trained assistance on error rates in anaesthesia: a simulation-based randomised controlled trial. February 25, 2009 Development and measurement of perioperative patient safety indicators. March 18, 2015 Barriers to incident notification in a regional prehospital setting. July 28, 2010 Systems approach to reduce errors in surgery. August 3, 2005 Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and Learning System (NRLS) data from 2006-2008. August 31, 2011 ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2017. October 31, 2018 ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2015. September 14, 2016 ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2014. August 12, 2015 ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2010. June 6, 2012 ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2009. June 13, 2012 ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011. May 9, 2012 ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2016. September 20, 2017 ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2013. July 23, 2014 ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2008. May 20, 2009 How can never event data be used to reflect or improve hospital safety performance? May 19, 2021 ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2007. June 4, 2008 Inadvertent administration of magnesium sulfate through the epidural catheter: report and analysis of a drug error. January 18, 2006 Resilience in healthcare and clinical handover. August 12, 2009 Implementing a perioperative handoff tool to improve postprocedural patient transfers. March 7, 2012 Interrater agreement with a standard scheme for classifying medication errors. January 24, 2007 Teamwork behaviours and errors during neonatal resuscitation. March 24, 2010 Beyond "see one, do one, teach one": toward a different training paradigm. February 25, 2009 Cluster randomized trial to evaluate the impact of team training on surgical outcomes. October 5, 2016 Interruptions and distractions in healthcare: review and reappraisal. May 12, 2010 Relationship between patient safety climate and standard precaution adherence: a systematic review of the literature. November 25, 2015 Patient safety in psychiatric inpatient care: a literature review. August 1, 2012 Common patterns in 558 diagnostic radiology errors. May 23, 2012 Review of patient safety incidents reported from critical care units in North-West England in 2009 and 2010. May 2, 2012 Communication elements supporting patient safety in psychiatric inpatient care. March 25, 2015 Patient safety in women's health-care: professional colleges can make a difference. The Society of Obstetricians and Gynaecologists of Canada MORE(OB) program. April 11, 2007 Changes in the diagnostic process during 40 years of clinicopathologic conferences. March 27, 2005 Incidence and types of preventable adverse events in elderly patients: population based review of medical records. March 27, 2005 Supporting doctors as healthcare quality and safety advocates: recommendations from the Association of Surgeons in Training (ASiT). July 25, 2018 Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada. June 15, 2011 The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit. May 26, 2010 Errors, incidents and accidents in anaesthetic practice. March 6, 2005 The non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident Monitoring System between 2002 and 2008. September 9, 2015 Detecting drug interactions using personal digital assistants in an out-patient clinic. October 31, 2007 Multidisciplinary medication review in nursing home residents: what are the most significant drug-related problems? The Bergen District Nursing Home (BEDNURS) study. March 6, 2005 Variation in caregiver perceptions of teamwork climate in labor and delivery units. July 5, 2006 Improving transfusion safety: implementation of a comprehensive computerized bar code-based tracking system for detecting and preventing errors. April 9, 2008 Simulation as a tool to improve the safety of pre-hospital anaesthesia—a pilot study. September 23, 2009 Impact of reduction in working hours for doctors in training on postgraduate medical education and patients' outcomes: systematic review. April 6, 2011 ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2018. August 21, 2019 ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing-2019. September 30, 2020 ASHP National Survey of Pharmacy Practice in Hospital Settings: clinical services and workforce-2021. October 19, 2022 Anaesthetists' management of oxygen pipeline failure: room for improvement. January 31, 2007 Adverse-event-reporting practices by US hospitals: results of a national survey. January 7, 2009 Comparing measures of patient safety for inpatient care provided to veterans within and outside the VA system in New York. February 27, 2008 Accidental deaths, saved lives, and improved quality. October 5, 2005 A retrospective audit of postoperative days alive and out of hospital, including before and after implementation of the WHO surgical safety checklist. February 2, 2022 A randomised controlled trial of the effect of continuous electronic physiological monitoring on the adverse event rate in high risk medical and surgical patients. December 6, 2006 Analgesic-related medication errors reported to US Poison Control Centers. February 14, 2018 Electronic medical record alert associated with reduced opioid and benzodiazepine coprescribing in high-risk Veteran patients. January 17, 2018 Medication reconciliation at admission and discharge: an analysis of prevalence and associated risk factors. September 23, 2015 Review of patient safety incidents submitted from critical care units in England & Wales to the UK National Patient Safety Agency. December 2, 2009 Sleep deprivation, physician performance, and patient safety. November 25, 2009 Management reasoning: beyond the diagnosis. May 23, 2018 Nurses' role in medical error recovery: an integrative review. April 20, 2016 Engaging pediatric resident physicians in quality improvement through resident-led morbidity and mortality conferences. March 2, 2016 How can we keep patients with dementia safe in our acute hospitals? A review of challenges and solutions. July 10, 2013 Systematic review of safety checklists for use by medical care teams in acute hospital settings—limited evidence of effectiveness. November 2, 2011 Hospital-acquired infections under pay-for-performance systems: an administrative perspective on management and change. September 26, 2018 The clinical and medicolegal implications of radiology results communication. December 13, 2017 Practising safely in the foundation years. April 22, 2009 Bending the patient safety curve: how much can AI help? February 1, 2023 Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems. March 4, 2009 An observational study of changes to long-term medication after admission to an intensive care unit. December 6, 2006 An observational study of practice during transfer of patients from anaesthetic room to operating theatre. October 25, 2006 Improving the accuracy of patient identification in the medication-use process. February 8, 2006 What is the patient really taking? Discrepancies between surgery and anesthesiology preoperative medication histories. December 21, 2005 Understanding diagnostic errors in medicine: a lesson from aviation. June 21, 2006 The role of anesthesia in surgical mortality. March 6, 2005 Enhancing medication use safety: benefits of learning from your peers. October 21, 2009 Association of inpatient hospital experience with patient safety indicators: a cross-sectional, Canadian study. September 21, 2016 Training situational awareness to reduce surgical errors in the operating room. February 25, 2015 Pediatric ADHD medication exposures reported to US poison control centers. June 6, 2018 Reducing surgical mortality in Scotland by use of the WHO Surgical Safety Checklist. May 8, 2019 Randomized trial to improve prescribing safety during pregnancy. July 11, 2007 Patient reports of preventable problems and harms in primary health care. March 6, 2005 Attitudes and barriers to incident reporting: a collaborative hospital study. February 22, 2006 The culture of safety: results of an organization-wide survey in 15 California hospitals. March 6, 2005 Patient safety incidents associated with obesity: a review of reports to the National Patient Safety Agency and recommendations for hospital practice. August 17, 2011 Drug-related problems in medical wards with a computerized physician order entry system. April 8, 2009 View More Related Resources Radiologist age and diagnostic errors. October 18, 2023 Fire safety in the operating room. October 1, 2023 Enhancing patient safety: a national standard for cyber resiliency in healthcare. September 20, 2023 Radiographers' experience of preventing patient safety incidents in the context of radiological examinations. September 13, 2023 Patient Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer July 31, 2023 WebM&M Cases Ventricular Wall Injury during a Diagnostic Cardiac Catheterization June 28, 2023 Reducing errors resulting from commonly missed chest radiography findings. May 31, 2023 Diagnostic errors in musculoskeletal oncology and possible mitigation strategies. May 24, 2023 Interview In Conversation with... Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring April 26, 2023 Perspective Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units April 26, 2023 Patient Safety Innovations The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis March 15, 2023 Factors impacting on patient setup analysis and error management during breast cancer radiotherapy. November 9, 2022 Identifying patients whose symptoms are underrecognized during treatment with breast radiotherapy. May 4, 2022 Quality Special Issue. April 13, 2022 Preventing and mitigating radiology system failures: a guide to disaster planning. February 2, 2022 Errors in breast imaging: how to reduce errors and promote a safety environment. July 7, 2021 Moving beyond the weekend effect: how can we best target interventions to improve patient care? June 30, 2021 Knowledge, attitudes, and expectations of medical staff toward medical error management policies in humanitarian medicine: a qualitative study. February 10, 2021 Clarifying radiology's role in safety events: a 5-year retrospective common cause analysis of safety events at a pediatric hospital. September 2, 2020 The role of cognitive bias in breast radiology diagnostic and judgment errors. May 27, 2020 Hospital image repair strategies, organizational apology, and medical errors: an analysis of the CoxHealth brain over-radiation case. September 18, 2019 Patient Safety Primers Radiation Safety September 7, 2019 Patient safety in medical imaging: a joint paper of the European Society of Radiology (ESR) and the European Federation of Radiographer Societies (EFRS). May 8, 2019 Criminalisation of unintentional error in healthcare in the UK: a perspective from New Zealand. April 24, 2019 WebM&M Cases Which Line: Ordering Provider or Proceduralist? March 1, 2019 Drs Bramhall and Bawa-Garba and the rightful domain of the criminal law. February 20, 2019 Performing an inadvertent procedure. January 30, 2019 Creating a culture of accountability promotes safe medical care. November 21, 2018 Incident learning in radiation oncology: a review. August 15, 2018 Radiology research in quality and safety: current trends and future needs. April 19, 2017 View More See More About The Topic Health Care Providers Clinical Technologists Risk Managers Policy Makers Radiology View More
The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose. February 14, 2018
Fundamental Use of Surgical Energy (FUSE): an essential educational program for operating room safety. April 5, 2017
Patient safety features of clinical computer systems: questionnaire survey of GP views. June 29, 2005
Importance of teamwork, communication and culture on failure-to-rescue in the elderly. January 13, 2016
Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. January 14, 2009
A prospective, observational study of the effects of implementation strategy on compliance with a surgical safety checklist. October 30, 2013
Creating psychological safety in interprofessional simulation for health professional learners: a scoping review of the barriers and enablers. May 18, 2022
Evaluation of the implementation of the alert issued by the UK National Patient Safety Agency on the storage and handling of potassium chloride concentrate solution. June 29, 2005
The impact of trained assistance on error rates in anaesthesia: a simulation-based randomised controlled trial. February 25, 2009
Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and Learning System (NRLS) data from 2006-2008. August 31, 2011
ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2017. October 31, 2018
ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2015. September 14, 2016
ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2014. August 12, 2015
ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2010. June 6, 2012
ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2009. June 13, 2012
ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011. May 9, 2012
ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2016. September 20, 2017
ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2013. July 23, 2014
ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2008. May 20, 2009
ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2007. June 4, 2008
Inadvertent administration of magnesium sulfate through the epidural catheter: report and analysis of a drug error. January 18, 2006
Cluster randomized trial to evaluate the impact of team training on surgical outcomes. October 5, 2016
Relationship between patient safety climate and standard precaution adherence: a systematic review of the literature. November 25, 2015
Review of patient safety incidents reported from critical care units in North-West England in 2009 and 2010. May 2, 2012
Patient safety in women's health-care: professional colleges can make a difference. The Society of Obstetricians and Gynaecologists of Canada MORE(OB) program. April 11, 2007
Incidence and types of preventable adverse events in elderly patients: population based review of medical records. March 27, 2005
Supporting doctors as healthcare quality and safety advocates: recommendations from the Association of Surgeons in Training (ASiT). July 25, 2018
Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada. June 15, 2011
The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit. May 26, 2010
The non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident Monitoring System between 2002 and 2008. September 9, 2015
Detecting drug interactions using personal digital assistants in an out-patient clinic. October 31, 2007
Multidisciplinary medication review in nursing home residents: what are the most significant drug-related problems? The Bergen District Nursing Home (BEDNURS) study. March 6, 2005
Improving transfusion safety: implementation of a comprehensive computerized bar code-based tracking system for detecting and preventing errors. April 9, 2008
Simulation as a tool to improve the safety of pre-hospital anaesthesia—a pilot study. September 23, 2009
Impact of reduction in working hours for doctors in training on postgraduate medical education and patients' outcomes: systematic review. April 6, 2011
ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2018. August 21, 2019
ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing-2019. September 30, 2020
ASHP National Survey of Pharmacy Practice in Hospital Settings: clinical services and workforce-2021. October 19, 2022
Comparing measures of patient safety for inpatient care provided to veterans within and outside the VA system in New York. February 27, 2008
A retrospective audit of postoperative days alive and out of hospital, including before and after implementation of the WHO surgical safety checklist. February 2, 2022
A randomised controlled trial of the effect of continuous electronic physiological monitoring on the adverse event rate in high risk medical and surgical patients. December 6, 2006
Electronic medical record alert associated with reduced opioid and benzodiazepine coprescribing in high-risk Veteran patients. January 17, 2018
Medication reconciliation at admission and discharge: an analysis of prevalence and associated risk factors. September 23, 2015
Review of patient safety incidents submitted from critical care units in England & Wales to the UK National Patient Safety Agency. December 2, 2009
Engaging pediatric resident physicians in quality improvement through resident-led morbidity and mortality conferences. March 2, 2016
How can we keep patients with dementia safe in our acute hospitals? A review of challenges and solutions. July 10, 2013
Systematic review of safety checklists for use by medical care teams in acute hospital settings—limited evidence of effectiveness. November 2, 2011
Hospital-acquired infections under pay-for-performance systems: an administrative perspective on management and change. September 26, 2018
Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems. March 4, 2009
An observational study of changes to long-term medication after admission to an intensive care unit. December 6, 2006
An observational study of practice during transfer of patients from anaesthetic room to operating theatre. October 25, 2006
What is the patient really taking? Discrepancies between surgery and anesthesiology preoperative medication histories. December 21, 2005
Association of inpatient hospital experience with patient safety indicators: a cross-sectional, Canadian study. September 21, 2016
The culture of safety: results of an organization-wide survey in 15 California hospitals. March 6, 2005
Patient safety incidents associated with obesity: a review of reports to the National Patient Safety Agency and recommendations for hospital practice. August 17, 2011
Drug-related problems in medical wards with a computerized physician order entry system. April 8, 2009
Radiographers' experience of preventing patient safety incidents in the context of radiological examinations. September 13, 2023
Patient Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer July 31, 2023
Interview In Conversation with... Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring April 26, 2023
Perspective Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units April 26, 2023
Patient Safety Innovations The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis March 15, 2023
Factors impacting on patient setup analysis and error management during breast cancer radiotherapy. November 9, 2022
Identifying patients whose symptoms are underrecognized during treatment with breast radiotherapy. May 4, 2022
Moving beyond the weekend effect: how can we best target interventions to improve patient care? June 30, 2021
Knowledge, attitudes, and expectations of medical staff toward medical error management policies in humanitarian medicine: a qualitative study. February 10, 2021
Clarifying radiology's role in safety events: a 5-year retrospective common cause analysis of safety events at a pediatric hospital. September 2, 2020
Hospital image repair strategies, organizational apology, and medical errors: an analysis of the CoxHealth brain over-radiation case. September 18, 2019
Patient safety in medical imaging: a joint paper of the European Society of Radiology (ESR) and the European Federation of Radiographer Societies (EFRS). May 8, 2019
Criminalisation of unintentional error in healthcare in the UK: a perspective from New Zealand. April 24, 2019