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MAASTRO’s experience

Starting FMEA in 2003 pilot brachytherapy,

presentation management resulted in further

implementation in 2004:

4 big process analyses

Criteria: new and en high risk processes which

are selected by management

phase of design, phase of implementation and

phase of process redesign

Now: every year on average 10 HFMEA’s and

several updates of older HFMEA’s