• 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