title: The Canadian National System for Incident Reporting in Radiation Treatment (NSIR-RT) Taxonomy.
abstract: OBJECTIVE
  Incident investigation, reporting, and learning are core elements of quality improvement in radiation treatment. This report describes the development of a Canadian National System for Incident Reporting in Radiation Treatment (NSIR-RT), focusing especially on the taxonomy.
  
  
  METHODS
  The NSIR-RT was developed to provide a framework in Canada for reporting and analyzing radiation treatment incidents. A key objective was to assure compatibility with other international reporting systems to facilitate future information exchange. The Canadian community was engaged at every step of the development process through Delphi consensus building and inter-user agreement testing to promote awareness of the system and motivate broad-based utilization across the country.
  
  
  RESULTS
  The final taxonomy was comprised of 6 data groups (impact, discovery, patient, details, treatment delivery, and investigation) and 33 data categories with predefined menu options. There was a high level agreement within the Canadian community about the final suite of data categories, and broad alignment of these categories with the World Health Organization and other American and European radiation treatment incident classifications.
  
  
  CONCLUSIONS
  The Canadian NSIR-RT taxonomy will be implemented as an online, web-based reporting and analysis system. It is expected that the taxonomy will evolve and mature over time to meet the changing needs of the Canadian radiation treatment community and support radiation treatment incident learning on a global scale.
authors.affiliation: University Health Network and Princess Margaret Cancer Center, Toronto, Canada; University of Toronto, Toronto, Canada. Electronic address: mike.milosevic@rmp.uhn.ca.
authors.forename: Michael
authors.initials: M
authors.lastname: Milosevic
authors.affiliation: The Ottawa Hospital Cancer Center, Ottawa, Canada.
authors.forename: Crystal
authors.initials: C
authors.lastname: Angers
authors.affiliation: Odette Cancer Center and Sunnybrook Hospital, Toronto, Canada.
authors.forename: Brian
authors.initials: B
authors.lastname: Liszewski
authors.affiliation: Dr. H. Bliss Murphy Cancer Center, St. John's, Canada.
authors.forename: C Suzanne
authors.initials: CS
authors.lastname: Drodge
authors.affiliation: Hopital Maisonneuve Rosemont, Montreal, Canada.
authors.forename: Eve-Lyne
authors.initials: EL
authors.lastname: Marchand
authors.affiliation: University Health Network and Princess Margaret Cancer Center, Toronto, Canada.
authors.forename: Jean Pierre
authors.initials: JP
authors.lastname: Bissonnette
authors.affiliation: Canadian Partnership for Quality Radiotherapy (CPQR), Red Deer, Canada.
authors.forename: Erika
authors.initials: E
authors.lastname: Brown
authors.affiliation: University of Calgary, Calgary, Canada.
authors.forename: Peter
authors.initials: P
authors.lastname: Dunscombe
authors.affiliation: Canadian Institute for Health Information, Ottawa, Canada.
authors.forename: Jordan
authors.initials: J
authors.lastname: Hunt
authors.affiliation: University Health Network and Princess Margaret Cancer Center, Toronto, Canada.
authors.forename: Haiyan
authors.initials: H
authors.lastname: Jiang
authors.affiliation: Canadian Institute for Health Information, Ottawa, Canada.
authors.forename: Krista
authors.initials: K
authors.lastname: Louie
authors.affiliation: Canadian Partnership Against Cancer, Toronto, Canada.
authors.forename: Gunita
authors.initials: G
authors.lastname: Mitera
authors.affiliation: Nova Scotia Cancer Center, Halifax, Canada.
authors.forename: Kathryn
authors.initials: K
authors.lastname: Moran
authors.affiliation: University Health Network and Princess Margaret Cancer Center, Toronto, Canada.
authors.forename: Tony
authors.initials: T
authors.lastname: Panzarella
authors.affiliation: Cross Cancer Institute and University of Alberta, Edmonton, Canada.
authors.forename: Matthew
authors.initials: M
authors.lastname: Parliament
authors.affiliation: Canadian Institute for Health Information, Ottawa, Canada.
authors.forename: Spencer
authors.initials: S
authors.lastname: Ross
authors.affiliation: Cancer Center of Southeastern Ontario and Queen's University, Kingston, Canada.
authors.forename: Michael
authors.initials: M
authors.lastname: Brundage
mesh_terms: D002170:Canada; D006801:Humans; D011878:Radiotherapy / Q000379:methods*; D012308:Risk Management / Q000379:methods*