Narrow Results Clear All
Search results for ""
Unintended exposure of patient Lisa Norris during radiotherapy treatment at the Beatson Oncology Centre, Glasgow in January 2006.
Johnson AM. Edinburgh, Scotland: Scottish Executive; 2006.
This report shares results and recommendations from the investigation of a radiotherapy overdose. The investigation identified contributing factors such as an inexperienced caregiver, supervision gaps, ineffective double-checks, and the misalignment of system improvements with training and documentation.
Journal Article > Study
'Saying it without words': a qualitative study of oncology staff's experiences with speaking up about safety concerns.
Schwappach DL, Gehring K. BMJ Open. 2014;4:e004740.
Using semistructured interviews with experienced oncology nurses and doctors, this study found that staff were willing to speak up regarding medication safety, but they were not as comfortable voicing concerns related to hygiene and safety rule violations. In these circumstances, staff frequently relied on non-verbal gestures, such as handing the physician gloves.