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32

Conclusion n°4

« Events/precursors likely to have possible effects on patients

:

need to improve notification by radiotherapy centres and to

develop error reporting and learning systems at national and

international level (ROSIS, SAFRAD) for analysis and feedback

experience. Need to further international efforts to harmonize

classification of events (taxonomy) to facilitate translation of

reporting into learning. »

Conclusion n

°

5

« Responsibilities of manufacturers and suppliers :

regulators have to clearly define the responsibilities of

manufacturers and suppliers on the commissioning of new

devices and on the integration of the user’s feedback

experience. Regulatory and standardisation bodies must pay

a specific attention to software associated to accelerators »