| Issue |
Radioprotection
Volume 50, Number 3, Juillet-Septembre 2015
|
|
|---|---|---|
| Page(s) | 171 - 175 | |
| DOI | https://doi.org/10.1051/radiopro/2015012 | |
| Published online | 24 July 2015 | |
Article
Application of failure mode and effect analysis to tomotherapy treatment delivery
1 Servizio di Fisica Sanitaria,
Ospedale San Raffaele, 20132
Milano, Italy.
2 Dipartimento di Fisica, Università
degli Studi di Milano, 20122
Milano, Italy.
3 Servizio di Radioterapia, Ospedale
San Raffaele, 20132
Milano,
Italy.
Received:
1
April
2015
Accepted:
22
June
2015
The failure mode and effect analysis (FMEA) approach was used to assess the potential risks for patients during the delivery of tomotherapy treatments. This study, which completed a previous investigation recently performed on the tomotherapy pretreatment phases, enabled the delineation of the delivery process tree and the identification of 30 failure modes, 9 of which were judged to be of particular concern. Novel solutions and strategies for dealing with these failures are accordingly proposed, and addressed both to the clinical staff directly involved in the delivery process, and to the machine vendor.
Key words: FMEA / Tomotherapy / Risk Assessment / Radiotherapy
© EDP Sciences, 2015
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