ESTRO Guide 2018

“Pressures from hospital managers to offer the advanced technologies in radiotherapy often distract the radiotherapy community as a whole from focusing resources on risk management and patient safety. The course, for me, was a timely reminder of my duty and the role I play as a radiotherapy physicist to regularly stop, assess and promote a safety culture within my institution.”

- Aquila Sharif | Milton Keynes, UK -

• Understand the principles of reactive management to incidents (registration, analysis and feed back to the Quality Management System) and of pro-active management of safety (incident prevention) • Knowhow to communicate around radiotherapy incidents, with the patient and his/her relatives, within the department itself and with themedia. COURSE CONTENT • What is risk? Psychology of making mistakes • Ethics for radiation medicine professionals. A just reporting culture • Example of the genesis of an accident (take a recent example, relevant to radiotherapy of today) • ROSIS: the precursor in Europe. Frequency of incidents (who reports andwhat type of incidents are reported) • Taxonomy and classification, distinction between incident and accident • Analysis and return on experience (root cause analysis) • Failure mode and effect analysis • PRISMA as example (The Netherlands) • Benchmarking • Health failure mode and effect analysis (HFMEA), a prospective risk management method • Practical exercises (hands on) • Communication: - to the patient - to the media - to the organisation (departmental, hospital level) • Specific training of staff, internal and external (team management) • National systems for reporting to regulatory authorities (France) • Comprehensive quality management in radiotherapy

• Legal aspects of incident reporting • Performance indicators.

ROADMAP

BEST PRACTICE

PREREQUISITES The two courses on Quality Management have been designed to be complementary and it is recommended to attend both to get a complete picture of Quality Management. However the order in which they are taken does not matter. To fully profit from the course it is recommended that participants have at least three years experience in a radiation oncology or medical physics department in order to fully understand of the radiotherapy process.

RADIATION ONCOLOGIST, MEDICAL PHYSICIST, RADIATION THERAPIST

FACULTY COURSE DIRECTOR Pierre Scalliet, Radiation Oncologist, UCL Cliniques Universitaires St.Luc, Brussels (BE) TEACHERS • Peter Dunscombe, Medical Physicist, Tom Baker Cancer Centre, Calgary (CA) • Tommy Knöös, Medical Physicist, Skäne University Hospital, Lund (SE) • Nicolas Pourel, Radiation Oncologist, Institut Sainte-Catherine, Avignon (FR) • Petra Reijnders-Thyssen, Manager Patient Safety, Maastro Clinic, Maastricht (NL) • Aude Vaandering, Radiation Technologist, UCL Cliniques Universitaires St.Luc, Brussels (BE) Teaching faculty is being updated, please visit www.estro.org/school for the latest information. LOCAL ORGANISERS Efi Koutsouveli, Medical Physicist, Hygeia Hospital, Athens Vassilios Kouloulias , Radiation Oncologist, University of Athens

TEACHINGMETHODS • 23 hours of lectures • 6 hours of practical workshops.

SCHOOL

METHODS OF ASSESSMENT Evaluation form.

KEYWORDS Patient safety, incident management.

ACCREDITATION Application for CME recognitionwill be submitted to the European Accreditation Council for Continuing Medical Education (EACCME), an institution of the European Union of Medical Specialists (UEMS). EACCME credits are recognised by the AmericanMedical Association towards the Physician’s Recognition Award (PRA). Information on the status of the applications can be obtained from the ESTRO office.

Pierre Scalliet

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