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




