Lessons learned from Epinal
Potential errors
o
Wrong use of TPS due to lack of training + unsafe screen display #1
o
Dose due to verification imaging (MV portal) not taken into account #2
o
Calculation error due to in-house software, not tested, not qualified #3
o
Sole physicist
Prevention
o
Time and organisation for continuous training
o
Team of physicists (at least 2)
o
QA for software
o
Software with safe human-computer interaction
o
In vivo dosimetry and second independent calculation
Warsaw 2017
15