Incident database review identifies common image-guidance errors in radiation oncology, highlighting preventative strategies to reduce accidental medical exposures.
Key Points
To characterize common error pathways associated with imaging in radiotherapy and outline corrective practices to prevent accidental medical exposures and near misses.
Reviewed incident reports from the IAEA Safety in Radiation Oncology (SAFRON) database, Radiation Oncology Incident Learning Systems, and nuclear safety authority newsletters.
Analyzed qualitative descriptions of image-guidance events causing unintended radiation exposures or near misses during treatment preparation and delivery.
Identified the most frequently occurring categories of clinical errors stemming from image-guidance workflows in radiation therapy.
Summarized preventive interventions, quality assurance measures, and operational checkpoints to reduce the likelihood of imaging-related treatment delivery errors.