title: How safe is Australian radiotherapy?
abstract: Many incidents and near-incidents are known to occur in Australian radiation oncology departments. The vast majority of incidents are minor in nature; however, a small percentage represent major threats to good patient care, administrative structures and public confidence. A small, but regular, number of incidents result in ad hoc local and/or state committees of enquiry or tort actions, and inevitably have substantial personal and departmental repercussions. Apart from some local databases on treatment-delivery incidents maintained by radiation therapists, no systematic data collection or analysis of treatment incidents exists for radiation oncology in Australia. The present paper argues the case for a prospective, systematic approach to the recording and analysis of treatment-related incidents and near incidents. Major barriers to such a scheme, including fear of litigation, misuse of information and lack of understanding on the nature of an incident are discussed.
authors.affiliation: Newcastle Mater Hospital, Sydney, New South Wales, Australia. mdcsh@alinga.newcastle.edu.au
authors.forename: Chris
authors.initials: C
authors.lastname: Hamilton
authors.forename: Lyn
authors.initials: L
authors.lastname: Oliver
authors.forename: Kristine
authors.initials: K
authors.lastname: Coulter
mesh_terms: D001315:Australia; D002983:Clinical Competence; D006801:Humans; D019300:Medical Errors; D010819:Physician's Role; D011785:Quality Assurance, Health Care; D018787:Radiation Oncology / Q000706:statistics & numerical data*; D012308:Risk Management; D012449:Safety