Quality Management 2017

Process Chart Check List on ‘Never Events’

Is a part of a treatment procedure Made by a dosimetrist controlling actions of the Physician! Short questions and few of them  Short and unequivoqual answers Typically, before the medical validation of a treatment plan Patient, Volume, Side, Dose (errors on those items : inacceptable) Interrupted check-list must be restarted from the beginning

‘Never Events’ (Potential errors on…)

Question

Answer

Patient

Patient « Name » ?

OK / Error

Volume

Volume « Name » ? OK / Error

Side

R/L/both/none ?

R/L/both/none

Dose

xx Gy/ yy fr./ zz d. ? xx Gy/ yy fr./ zz d.