ASMR

Feedback session

Recommended Actions

Risk Priori ty Num ber (RPN )

Sever ity (1- 10)

Likelihood of Detection (1-10)

Likeliho od of Occurre nce (1-10)

Potential Failure Effects

Potential Failure Causes

Potential Failure Mode

Steps in the Proce ss

1

select wrong patient

No check

Treating with different iso

1

3

10

30

Compare ID Automatic check ID

2 3 4 5

Imaging and treating wrong

4

3

5-9

60- 120

Second check, interlock systematic

wrong patient selection

Image wrong patient

6 7

imported under wrong fraction

Software fout

Register wrong image Not able to import

1

4

3

12

One intergrated system

8

sagging

Pane off set

3-4

1

4

24-32 Automatic postion verification

9