Analysis and learning from radiotherapy and near miss data reported voluntarily by UK radiotherapy providers and the relevant reporting authorities.
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- United Kingdom
Table of Contents
- Contents 2
- Full radiotherapy error data analysis 3
- Inspectorate data 4
- Case study 9 patient positioning 5
- Causative factors 5
- Safety barriers 6
- Method of detection 6
- Corrective actions 6
- Learning from excellence and published guidance 6
- August to November 2022 data analysis 8
- Number of RTE reports 8
- Monitoring of RTE coding by radiotherapy providers 8
- Complete Report 9
- Complete - Fixed Report Incomplete Report 9
- Incomplete - Fixed Report Non-RTE Report 9
- Number of reports per provider 10
- Breakdown of process codes 11
- Breakdown of process subcodes 12
- Classification level of RTE 13
- Reportable radiation incident level 1 RTE 14
- Non-reportable radiation incident level 2 RTE 16
- Minor radiation incident level 3 RTE 17
- Near miss level 4 RTE 18
- Other non-conformance level 5 RTE 19
- Failed safety barriers 21
- Method of detection 22
- Causative factors 23
- Brachytherapy RTE 24
- References 27
