ESTRO 2025 - Abstract Book

S2357

Interdisciplinary – Other

ESTRO 2025

Conclusion This study presents the first consensus-based implementation protocol for RT innovations, bridging the theory practice gap with a structured approach for clinical application. The Delphi study strengthens its (inter)national applicability, enabling more efficient implementation. By allocating resources to the preparation, inefficiencies during the implementation could be prevented. Future research is advised to validate the protocol and assess the impact of early planning on implementation success.

Keywords: Implementation, Radiotherapy, Innovations

1075

Digital Poster Enhancing patient safety through incident learning – insights from the MARLIN Project Colin Kelly1, Carlos Prieto Martin2, Kearny Maeve3, Gianfranco Brusadin4, Nicolas Pourel5, Jonas Johansen6, Monika Hierath7, Peld Nathan8 1Physics, St Lukes Radiation Oncology Network, Dublin, Ireland. 2Radiofisica, Hospital de la Princesa, Madrid, Spain. 3Radiation Therapy, Trinity College, Dublin, Ireland. 4Quality and Risk, Institut Gustave Roussy, Villejuif, France. 5Radiation Oncology, Institut Sainte Catherine, Avignon, France. 6Scientific and EU Projects, ESTRO, Brussels, Belgium. 7MARLIN Prpject, EIBIR, Vienna, Austria. 8MARLIN Project, EIBIR, Vienna, Austria Purpose/Objective In 2022, the MARLIN consortium was established jointly by EFOMP, EIBIR and ESTRO. It comprised of multidisciplinary experts in the field of incident learning and its objective was to fulfil an EU commissioned project for the development of comprehensive best practice guidelines for the implementation of incident learning systems (ILS). This work presents the outcome of this project and introduces the guidelines which highlight the collaborative roles and responsibilities of clinical facilities (CF), competent authorities (CA), and professional societies (PS) in generating a culture of continuous safety improvement. Material/Methods 4 Work packages (WP) were completed over 24 months: WP1: A survey on current practices of incident learning and the implementation of European legal requirements was designed and distributed. WP2: Based on the survey analysis, general and practice specific guidelines were developed. WP3: The guidelines were submitted to international stakeholders for review and feedback. WP4: A two-day workshop was held to present the guidelines to a selected stakeholder audience. Suggestions for further revision were obtained and specific discussions for future direction recorded. Results The final approved guidelines, consisting of 5 chapters and 10 annexes, are expected to be published in early 2025. An executive summary and a summary of main recommendations will preface the document for easy reference. Chapter 1 introduces the concept of ILS by performing a comprehensive literature review and highlights the effectiveness of ILS for the reduction of risk and the establishment of a safety culture. Chapter 2 outlines best practice application of ILS in the clinical setting, illustrating the responsibilities of the CF under the BSSD [1] and how the 5 key elements of reporting, recording, analysis, learning and redesign can be used to embed a culture of continuous safety improvement through learning. Chapter 3 explores the role of the CA and how in collaboration with the CF and PS, results can be shared on a national level to enhance transparency and confidence in healthcare systems and promote patient safety. Chapter 4 highlights the role the PS's can play in providing training, promoting standardisation and disseminating results.