Risk management in radiotherapy: analysis of insurance claims.
OBJECTIVE
The purpose of this study was to analyse risk factors in radiotherapy with regard to those where protocols have been implemented for their prevention and those that are known but still present, thus requiring attention and remedial measures.


METHODS
To demonstrate the existence of risk factors that have not been eliminated and that cause damage in radiotherapy practice, we examined insurance claims related to such radiotherapy procedures. Analysis of the claims made over a 10-year period was performed on the basis of radiotherapists (256 in 2004) insured with the professional association. The total number of claims in the 10-year period was 26.


RESULTS
The type of claim was examined in each of the 26 cases, with as many as 15 being related to radiotherapy injury to tissues surrounding the neoplasm, thus confirming this to be the most frequent cause for insurance claims. The other 11 causes are also reported.


CONCLUSIONS
Now that the historical causes of error that led to incorrect radiotherapy treatment have been eliminated through strict adherence to protocols, risk management in radiotherapy identifies side effects as the main source of risk for patients and physicians. Data analysis confirms the need to implement risk management procedures in radiotherapy in which insurance claims (15/26 cases) are motivated by side effects of treatment.
Lucà
F
F
U.O. Radioterapia, Azienda Ospedaliera S. Camillo-Forlanini, Roma, Italy.
Fileni
A
A
D002985:Clinical Protocols / Q000592:standards; D006801:Humans; D007344:Insurance Claim Reporting / Q000706:statistics & numerical data*; D007351:Insurance, Liability; D007558:Italy; D019300:Medical Errors; D009369:Neoplasms / Q000532:radiotherapy; D011878:Radiotherapy / Q000009:adverse effects*; D012307:Risk Factors; D012308:Risk Management