909 / 1024
Incident frequency in modern radiotherapy
3011 reported incidents from 2012-2015 in single institution
•
552 potentially severe or critical
Gopan et al Med Phys 2016
55/180
180/356
166
176/356
47/180
78/180
•
Majority of potentially severe incidents occure before physics
review (68%) – ~1/3 of them is detected by review
Pre-RT
review
(by
RTT’s)