Radiotherapy: learning from errors
- Public Health England
- Part of:
- Medical radiation: uses, dose measurements and safety advice
- 22 December 2016
Supplementary guidance to support the radiotherapy community.
Ref: PHE publications gateway number: 2016522 PDF, 294KB, 38 pages
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- presents the causative factor taxonomy
- presents the refinement to the radiotherapy pathway coding which includes the introduction of the safety barrier taxonomy
- provides guidance on the application of the taxonomy
- shares submission procedures for coding with radiotherapy staff and risk managers for inclusion in national analysis
- encourages local application of the taxonomies to improve local learning from radiotherapy error and near miss events (RTE)
Published: 22 December 2016