[Risk analysis study for patients care in radiotherapy: Learning curve and methodological evolution].
OBJECTIVE
To describe the evaluation of our risk mapping methodology over the past two years.


METHODS
Based on the FMEA (failure mode effects analysis) method, some aspects have been adapted, e.g. the concept of risk control and effort scale, some others have been introduced, e.g. the concept of residual risk management. A weekly meeting is scheduled by a multidisciplinary team in order to support the different projects.


RESULTS
Experiments and practice have led us to upgrade our scales of gravity and detectability, identify critical points and introduce the residual risk management concept. Some difficulties with regards to the multiplicity of scenarios still prevail.


CONCLUSIONS
Risk mapping is an essential tool in the implementation of risk quality management, specifically when the methodology is progressive and takes into consideration all the members of a pluridisciplinary team.
Centre Marie-Curie, 159, boulevard Maréchal-Juin, 26000 Valence, France; Centre hospitalier de Montélimar, quartier Beausseret, 26200 Montélimar, France. Electronic address: souad.elbakri@cmc-valence.org.
S
S
El Bakri
Centre Marie-Curie, 159, boulevard Maréchal-Juin, 26000 Valence, France.
B
B
Fleury
Centre Marie-Curie, 159, boulevard Maréchal-Juin, 26000 Valence, France.
M
M
Le Grévellec
D006801:Humans; D059032:Learning Curve; D009369:Neoplasms / Q000532:radiotherapy*; D018570:Risk Assessment; D012308:Risk Management / Q000379:methods*
Cartographie des risques; Gestion du risque résiduel; Quality; Qualité; Residual risk management; Risk mapping