Risk analysis for radiotherapy at the Universitätsklinikum Erlangen
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 Dep...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-08-01
|
| Series: | Zeitschrift für Medizinische Physik |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S093938892100091X |
| _version_ | 1827578750046306304 |
|---|---|
| author | Daniel Lohmann Marga Lang-Welzenbach Lorenz Feldberger Ellen Sommer Stefan Bücken Michael Lotter Oliver J. Ott Rainer Fietkau Christoph Bert |
| author_facet | Daniel Lohmann Marga Lang-Welzenbach Lorenz Feldberger Ellen Sommer Stefan Bücken Michael Lotter Oliver J. Ott Rainer Fietkau Christoph Bert |
| author_sort | Daniel Lohmann |
| collection | DOAJ |
| description | 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 Universitätsklinikum 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. |
| first_indexed | 2024-03-08T21:51:51Z |
| format | Article |
| id | doaj.art-4ebe9f6daec948478b3c8702c8417cd4 |
| institution | Directory Open Access Journal |
| issn | 0939-3889 |
| language | English |
| last_indexed | 2024-03-08T21:51:51Z |
| publishDate | 2022-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Zeitschrift für Medizinische Physik |
| spelling | doaj.art-4ebe9f6daec948478b3c8702c8417cd42023-12-20T07:33:12ZengElsevierZeitschrift für Medizinische Physik0939-38892022-08-01323273282Risk analysis for radiotherapy at the Universitätsklinikum ErlangenDaniel Lohmann0Marga Lang-Welzenbach1Lorenz Feldberger2Ellen Sommer3Stefan Bücken4Michael Lotter5Oliver J. Ott6Rainer Fietkau7Christoph Bert8Department of Radiation Oncology, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Universitätsstraße 27, 91054 Erlangen, Germany; Comprehensive Cancer Center Erlangen-EMN (CCC ER-EMN), 91054 Erlangen, Germany; Corresponding author: Daniel Lohmann, Universitätsklinikum Erlangen, Strahlenklinik, Universitätsstraße 27, 91054 Erlangen, Germany.Department of Radiation Oncology, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Universitätsstraße 27, 91054 Erlangen, Germany; Comprehensive Cancer Center Erlangen-EMN (CCC ER-EMN), 91054 Erlangen, GermanyMedical Center for Information and Communication Technology, Krankenhausstraße 12, 91054, Erlangen, GermanyQuality Management Department, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen Nürnberg, Krankenhausstraße 12, 91054, Erlangen, GermanyMedical Center for Information and Communication Technology, Krankenhausstraße 12, 91054, Erlangen, GermanyDepartment of Radiation Oncology, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Universitätsstraße 27, 91054 Erlangen, Germany; Comprehensive Cancer Center Erlangen-EMN (CCC ER-EMN), 91054 Erlangen, GermanyDepartment of Radiation Oncology, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Universitätsstraße 27, 91054 Erlangen, Germany; Comprehensive Cancer Center Erlangen-EMN (CCC ER-EMN), 91054 Erlangen, GermanyDepartment of Radiation Oncology, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Universitätsstraße 27, 91054 Erlangen, Germany; Comprehensive Cancer Center Erlangen-EMN (CCC ER-EMN), 91054 Erlangen, GermanyDepartment of Radiation Oncology, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Universitätsstraße 27, 91054 Erlangen, Germany; Comprehensive Cancer Center Erlangen-EMN (CCC ER-EMN), 91054 Erlangen, GermanyPurpose: 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 Universitätsklinikum 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.http://www.sciencedirect.com/science/article/pii/S093938892100091XRisk analysisRadiation therapyGBAStrahlenschutzverordnung |
| spellingShingle | Daniel Lohmann Marga Lang-Welzenbach Lorenz Feldberger Ellen Sommer Stefan Bücken Michael Lotter Oliver J. Ott Rainer Fietkau Christoph Bert Risk analysis for radiotherapy at the Universitätsklinikum Erlangen Zeitschrift für Medizinische Physik Risk analysis Radiation therapy GBA Strahlenschutzverordnung |
| title | Risk analysis for radiotherapy at the Universitätsklinikum Erlangen |
| title_full | Risk analysis for radiotherapy at the Universitätsklinikum Erlangen |
| title_fullStr | Risk analysis for radiotherapy at the Universitätsklinikum Erlangen |
| title_full_unstemmed | Risk analysis for radiotherapy at the Universitätsklinikum Erlangen |
| title_short | Risk analysis for radiotherapy at the Universitätsklinikum Erlangen |
| title_sort | risk analysis for radiotherapy at the universitatsklinikum erlangen |
| topic | Risk analysis Radiation therapy GBA Strahlenschutzverordnung |
| url | http://www.sciencedirect.com/science/article/pii/S093938892100091X |
| work_keys_str_mv | AT daniellohmann riskanalysisforradiotherapyattheuniversitatsklinikumerlangen AT margalangwelzenbach riskanalysisforradiotherapyattheuniversitatsklinikumerlangen AT lorenzfeldberger riskanalysisforradiotherapyattheuniversitatsklinikumerlangen AT ellensommer riskanalysisforradiotherapyattheuniversitatsklinikumerlangen AT stefanbucken riskanalysisforradiotherapyattheuniversitatsklinikumerlangen AT michaellotter riskanalysisforradiotherapyattheuniversitatsklinikumerlangen AT oliverjott riskanalysisforradiotherapyattheuniversitatsklinikumerlangen AT rainerfietkau riskanalysisforradiotherapyattheuniversitatsklinikumerlangen AT christophbert riskanalysisforradiotherapyattheuniversitatsklinikumerlangen |