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Revista Cubana de Salud y Trabajo

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2019, Number 2

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Revista Cubana de Salud y Trabajo 2019; 20 (2)

New approaches to risk analysis based on fmea applied to ionizing radiation medicine practices

Torres VA, Amador BZ, Arias FM
Full text How to cite this article

Language: Spanish
References: 11
Page: 19-26
PDF size: 605.62 Kb.


Key words:

risk management, quality management, FMEA, Ishikawa diagram, failure modes, fault tree.

ABSTRACT

The AAPM-TG-100 represents the state of the art for the application of risk management to quality assurance optimization for ionizing radiation medicine practices. In this document combines the tools as Ishikawa diagram, FMEA evaluations and fault trees. A distinguished item of this document is the diversity of the used codes to develop this application. The SECURE-MR-FMEA code allows the next capabilities: process map generation, as Ishikawa diagram, FMEA evaluation and fault tree construction for subprocess and causes whose generate the failures modes. The document illustrates these capabilities and shows a critical point of view of the state of the art, includes the new indicators and graphical capabilities to evaluate the contributors at the level of the subproc-ess, stages, failure modes and causes. This possibility is focused to systematic design of the defense measures for the most important contributors, which allows increasing the efficacy and efficiency in the decision taking for the improvement of quality and safety in these practices.


REFERENCES

  1. Saiful Huq M. The report of Task Group 100 of the AAPM: Application of risk analysis methods to radiation therapy quality management. Med Phys. 2016;43(7).

  2. Juran E. Mejora de la calidad; 1999.

  3. Cunningham J, Coffey M, Knöös T, Holmberg O. Radiation Oncology Safety Information System (ROSIS) – Profiles of participants and the first 1074 incident reports. Radiotherapy and Oncology. 2010; 97(3):601-7.

  4. Safety in Radiation Oncology, SAFRON [Internet] [citado feb 2017]. Disponible en: https://rpop.iaea.org/ SAFRON/Default.aspx.

  5. Oficina Nacional de Normalización. NC ISO 9001:2015. Acciones para abordar riesgos y oportunidades (punto 6.1). La Habana: ONN; 2015.

  6. International Standard Organization. ISO 31000: 2018, Risk management – Guidelines, 2nd ed. 2018- 02.

  7. Ministerio de Ciencia, Tecnología y Medio Ambiente. Centro Nacional de Seguridad Nuclear. Resolución 334/2011, Reglamento sobre notificación y autorización de prácticas y actividades asociadas al empleo de fuentes de radiaciones ionizantes. La Habana: ONN; 2011.

  8. Paulicki T, Dunscombe P, Mundt A, Scalliet P. Quality and safety in radiotherapy. Pierre Scalliet, eds. ISBN-978-1-4398-0436-0, 2011, p. XI.

  9. Xu A Y, Bhatnagar J, Bednarz G, Flickinger J, et al. Failure modes and effects analysis (FMEA) for Gamma knife radiosurgery. J Appl Clin Med Phys. 2017;18:6:152-68.

  10. Da Silva FC. Failure mode and effects analysis based risk profile assessment for stereotactic radiosurgery programs at three cancer centers in Brazil. Medical Physics. 2016;43(1).

  11. Torres A. Manual del usuario SECURE-MR-Fmea, Programa de análisis de riesgo basado en matriz de riesgo y Fmea; 2017.




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Revista Cubana de Salud y Trabajo. 2019;20