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- Communication Improvement 2
- Culture of Safety 2
- Education and Training
- Error Reporting and Analysis 1
- Human Factors Engineering 3
- Legal and Policy Approaches 2
- Quality Improvement Strategies
Search results for "Education and Training"
Perspectives on Safety > Perspective
with commentary by Antonio Pinto, MD, PhD, Safety in Radiology, October 2013
This piece explores how to mitigate risks associated with radiology procedures.
Rockville, MD: US Food and Drug Administration; November 9, 2010.
This notice analyzes findings from a government initiative on CT scan injuries and provides recommendations to enhance safety and prevent such incidents.
Tools/Toolkit > Fact Sheet/FAQs
Fairfax, VA: The American Society for Radiation Oncology; March 9, 2010.
This Web site offers information to help patients understand both safety issues and risks involved in radiation therapy.
Journal Article > Study
Improving patient safety: effects of a safety program on performance and culture in a department of radiology.
Donnelly LF, Dickerson JM, Goodfriend MA, Muething SE. AJR Am J Roentgenol. 2009;193:165-171.
Bogdanich W. New York Times. June 20, 2009;National Desk:1.
Flawed safety standards, including a lack of peer review and oversight, led to a series of errors in a cancer unit at a Philadelphia Veterans Affairs hospital.
Journal Article > Review
Shafiq J, Barton M, Noble D, Lemer C, Donaldson LJ. Radiother Oncol. 2009;92:15-21.
Radiation oncology is one of the more technologically sophisticated fields in medicine, requiring close collaboration between physicians, technologists, and medical physicists. High-profile errors in this field have been attributed to rapidly changing technology and human factors, and this review sought to characterize the types and frequency of errors and near misses in routine radiotherapy practice using data from voluntary error databases as well as published literature. Although the overall incidence of errors appears low, most reported errors were considered preventable, as they occurred due to faulty information transfer. The authors discuss the types of errors that may occur at each stage of radiotherapy and recommend error prevention strategies.
McNeil DG Jr. New York Times. August 19, 2005;National Desk section:1.
This front page article in The New York Times reviews flying object incidents in magnetic resonance imaging (MRI) scanners. A number of dramatic cases are described (including several that were fatal), as are some of the challenges, both technological and procedural, in preventing this safety hazard.
Cases & Commentaries
- Web M&M
John E. Heffner, MD ; May 2003
A chest x-ray incorrectly read as pleural effusion, rather than lung collapse, leads to iatrogenic pneumothorax following thoracentesis.