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• Establish disease-specific clinical standards to minimize “medical arts”

and to follow ABS/ESTRO guidelines

• Create policies-and-procedures, have staff read, provide feedback,

and document understanding (annually)

• Establish workflow for all processes: identify tasks, frequency,

needed resources, responsible party(s)

• Develop safety standards and clinic-specific FMEAs,

share results with all stakeholders

• Staff training on HDR system (RAU, applicators, and TPS) usage,

emergency procedures, and common expectations

Commissioning: General