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Patient Safety in Radiation Oncology Welcome and Introduction

Patient Safety in Radiation Oncology Welcome and Introduction. Joanne Cunningham Geoff Delaney. Why patient safety?. “First do no harm”... Recent studies Acute care Radiation oncology. Medical error. Human Cost US 1997, 33.6 million acute admissions

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Patient Safety in Radiation Oncology Welcome and Introduction

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  1. Patient Safety in Radiation Oncology Welcome and Introduction Joanne Cunningham Geoff Delaney

  2. Why patient safety? • “First do no harm”... • Recent studies • Acute care • Radiation oncology

  3. Medical error • Human Cost • US 1997, 33.6 million acute admissions • => 44,000 to 98,000 patients died due to medical errors • (mva 43K, breast ca 42K, AIDs 16K) Harvard Medical Practice Study • Economic Cost • $8.8bn in the US • £1bn a year in the UK in terms of additional bed days alone • 8% of all hospital bed days in Australia Estimates based on sentinel studies

  4. Improvement necessary “With hindsight, it is easy to see a disaster waiting to happen. We need to develop the capability to achieve the much more difficult - to spot one coming” DoH UK 2001; An Organisation with a Memory Safety Culture: system improvement, reporting and learning, compliance, communication

  5. Why patient safety? • Health care = risk to patients • Improve the quality of care delivered to the patient • Focus on identification and prevention of these failures in complex health care systems • Successes • E.g. Anaesthesiology, mortality reduced x20 in past 25 years

  6. ROSIS & Patient Safety • Incidents can have serious consequences in radiotherapy • Information about incidents is generally not shared between radiotherapy departments • Lost opportunities to learn from incidents and prevent injury to future patients • ROSIS established in 2001 • To be proactive rather than reactive

  7. Radiation Oncology Practice Standards (Tripartite Agreement)

  8. Aims of this workshop • To assess the impact of mistakes, and methods of prevention, detection, and correction • To heighten awareness of the occurrence of incidents and near incidents in radiotherapy • To encourage a culture of openness in relation to incidents, and promote collaboration

  9. Format • Lectures • Discussion time • Group exercises and feedback sessions • INTERACTIVE • PRACTICAL as well as theoretical • Real-life challenges and solutions!

  10. Feedback • Feedback sheet • Fill in (ANONYMOUSLY) as we go along • Feedback on scope, contents, format and execution • Hand in at the end of the workshop

  11. Thanks to our sponsors GOLD SILVER BRONZE

  12. On behalf of........................Welcome! National Organising Committee Faculty Mr Anthony Arnold, NSW Ms Fifine Cahill, ACT Prof Mary Coffey, IRELAND Dr Joanne Cunningham, VIC Prof Geoff Delaney, NSW Prof Chris Hamilton, VIC Dr Ola Holmberg, AUSTRIA Prof Tomas Kron, VIC Prof Tommy Knöös, SWEDEN Dr James MacKean, QLD Dr Ivan Williams,  VIC • Mr Anthony Arnold, NSW • Dr Joanne Cunningham, VIC • Prof Geoff Delaney, NSW • Dr Dion Forstner, NSW • Prof Chris Hamilton, VIC • Ms Caryn Knight, NSW • Prof Tomas Kron, VIC • Ms Legend Lee, NSW • Mr Leigh Smith, VIC • Ms Natalia Vukolova, NSW • Mr David Collier, VIC

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