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Taxonomies and Severity Scales
Incident Learning Systems»
SAFRON and AAPM
» Taxonomy Review
Exercise 1: Roles
An error was discovered just as the patient was being
set-up. Who should be reporting (R)/analyzing (A) what?
RO MP RTT T
Who discovered the Incident?
R
How was the Incident discovered?
What phase in the process is the Incident associated with?
A
Where in the process was the Incident discovered?
Was anyone affected by the Incident?
Was any part of the prescribed treatment delivered incorrectly
If relevant please estimate the dose deviation from the prescribed dose per
fraction.
Clinical Incident Severity (actual or potential)
Describe the causes of the Incident.
What safety barrier failed to identify the incident?