Lessons Learned from Accidental Exposures in Radiotherapy PDF Download
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Author: International Atomic Energy Agency
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 110
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Book Description
This Safety Report is a review of a large number of events that may serve as a checklist against which to test the vulnerability of a facility to potential accidents, and to provide a basis for improving safety in the use of radiation in medical applications. Furthermore, it is intended to encourage the development of a questioning and learning attitude, the adoption of measures for the prevention of accidents, and the preparation for mitigation of the consequences of accidents, if they occur.
Author: International Atomic Energy Agency
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 110
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Book Description
This Safety Report is a review of a large number of events that may serve as a checklist against which to test the vulnerability of a facility to potential accidents, and to provide a basis for improving safety in the use of radiation in medical applications. Furthermore, it is intended to encourage the development of a questioning and learning attitude, the adoption of measures for the prevention of accidents, and the preparation for mitigation of the consequences of accidents, if they occur.
Author: ICRP,
Publisher: SAGE Publications Limited
ISBN: 9780702044052
Category : Science
Languages : en
Pages : 0
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Book Description
Lessons from accidental exposures are, therefore, an invaluable resource for revealing vulnerable aspects of the practice of radiotherapy, and for providing guidance for the prevention of future occurrences. These lessons have successfully been applied to avoid catastrophic events with conventional technologies and techniques. Recommendations, for example, include the independent verification of beam calibration and independent calculation of the treatment times and monitor units for external beam radiotherapy, and the monitoring of patients and their clothes immediately after brachytherapy. New technologies are meant to bring substantial improvement to radiation therapy. However, this is often achieved with a considerable increase in complexity, which in turn brings opportunities for new types of human error and problems with equipment. Dissemination of information on these errors or mistakes as soon as it becomes available is crucial in radiation therapy with new technologies. In addition, information on circumstances that almost resulted in serious consequences (near misses) is also important, as the same type of events may occur elsewhere. Sharing information about near-misses is thus a complementary important aspect of prevention. Lessons from retrospective information are provided in Sections 2 and 4 of this report.
Author: International Atomic Energy Agency
Publisher:
ISBN:
Category : History
Languages : en
Pages : 136
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Book Description
This report, compiled by a team of senior experts, contains the assessment of a radiological accident which led to serious overexposure of radiotherapy patients in Panama. The report evaluates the doses incurred, undertakes a medical evaluation of the affected patients' prognosis and treatment, and closes with lessons to be learned.
Author: International Atomic Energy Agency
Publisher:
ISBN: 9789201072160
Category : Radiation
Languages : en
Pages : 0
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Book Description
This publication describes a project to introduce a tool for self-evaluation by radiotherapy services that allows the analysis of errors or failures that might give rise to accidents. The results of applying this tool to a generic radiotherapy service are also presented. These results are used as a basis for a set of recommendations to strengthen quality and safety programmes in radiotherapy departments. Both operational experience (lessons learned from accidental exposure) and the results of probability safety assessment studies have been taken into account in applying the tool and formulating these recommendations.
Author: ICRP,
Publisher: SAGE Publications Limited
ISBN: 9780080440828
Category : Science
Languages : en
Pages : 72
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Book Description
This publication aims to assist in the prevention of accidental exposures involving patients undergoing treatment from external beam or solid brachytherapy sources. It does not directly deal with therapy involving unsealed sources. The document is addressed to a diverse audience of professionals directly involved in radiotherapy procedures, hospital administrators, and health and regulatory authorities. The approach adopted is to describe illustrative severe accidents, discuss the causes of these events and contributory factors, summarise the sometimes devastating consequences of these events, and provide recommendations on the prevention of such events. The measures discussed include institutional arrangements, staff training, quality assurance programmes, adequate supervision, clear definition of responsibilities, and prompt reporting. In many of the accidental exposures described in this report, a single cause cannot be identified. Usually, there was a combination of factors contributing to the accident, e.g., deficient staff training, lack of independent checks, lack of quality control procedures, and absence of overall supervision. Such combinations often point to an overall deficiency in management, allowing patient treatment in the absence of a comprehensive quality assurance programme. Factors common to many accidents are identified and discussed in detail. The use of radiation therapy in the treatment of cancer patients has grown considerably and is likely to continue to increase. Major accidents are rare, but are likely to continue to happen unless awareness is increased. In this report, explicit recommendations on measures to prevent radiotherapy accidents are given with respect to regulations, education, and quality assurance.
Author: International Atomic Energy Agency
Publisher: IAEA
ISBN:
Category : Business & Economics
Languages : en
Pages : 120
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Book Description
In February 2001, an accident occurred in the Bialystok Oncology Centre in Poland, which caused five patients undergoing radiotherapy treatment to be given significantly higher does than intended. This report reviews this accidental medical overexposure, the subsequent dose assessment and the clinical consequences to the patients. It also discusses the lessons learned and provides recommendations for preventing similar events from occurring.
Author:
Publisher:
ISBN:
Category : Electronic book
Languages : en
Pages : 74
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Book Description
Annotation This publication describes a project to introduce a tool for self-evaluation by radiotherapy services that allows the analysis of errors or failures that might give rise to accidents. The results of applying this tool to a generic radiotherapy service are also presented. These results are used as a basis for a set of recommendations to strengthen quality and safety programmes in radiotherapy departments. Both operational experience (lessons learned from accidental exposure) and the results of probability safety assessment studies have been taken into account in applying the tool and formulating these recommendations.
Author: IAEA.
Publisher:
ISBN: 9781280013706
Category :
Languages : en
Pages :
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Book Description
Author:
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
Author: International Atomic Energy Agency
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 68
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Book Description
The main purpose of this report is to assist physicians involved in the early medical handling of radiation victims to apply prompt diagnostic measures and emergency treatment. Special emphasis is given to localized radiation injuries, which are the most frequently occurring direct health effects observed from ionizing radiation. The lessons learned from the accidents at Chernobyl (Ukraine, 1986), Goiânia (Brazil, 1987), San Salvador (El Salvador, 1989), Soreq (Israel, 1990) and Nesvizh (Belarus, 1991) on the early medical handling of radiation injuries have been incorporated into this report.
