Journal
ZEITSCHRIFT FUR MEDIZINISCHE PHYSIK
Volume 32, Issue 3, Pages 273-282Publisher
ELSEVIER
DOI: 10.1016/j.zemedi.2021.11.002
Keywords
Risk analysis; Radiation therapy; GBA; Strahlenschutzverordnung
Funding
- Bayerisches Staatsministerium fur Wirtschaft, Landesent- wicklung und Energie (StMWi) [IUK 588/0022]
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Risk analysis is required by laws and regulations in Germany, impacting every department of a large clinic. The method introduced successfully improved the overall workflow of the radiation oncology department by efficiently and continuously identifying and addressing risks. It takes time and effort, but the interdisciplinary team's regular meetings have proven effective in managing risks.
Purpose: Risk analysis is required by various laws and regulations in Germany and has an impact on each department of a large clinic. We provide an overview of the relevant laws and regulations in Germany and present the technical and organizational experience of introducing risk analysis in the Department of Radiation Oncology at the Universitatsklinikum Erlangen.Methods: Risk analysis was performed with an in-house developed extension of our intranet platform and ticketing system. Risks were classified according to occurrence and severity, each on a 5-level scale resulting into a risk matrix. An interdisciplinary team of six experienced members formed the core meeting weekly.Results: A total of 38 risks and 50 measures have been identified in 41 1 h-meetings corresponding to approx. 260 working hours. Risk was distributed 8/20/13 to the categories critical (n = 8), monitoring (n = 20), and conditionally acceptable (n = 13). Risk analysis has been evaluated before and after introducing measures.Conclusion: The risk analysis method introduced has been successfully used in routine operations for over a year. Risk analysis takes time and effort. However, because experts from different disciplines meet each other every week, the overall workflow of the radiation oncology department can be improved efficiently and continuously.
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