Taxonometric guidance for developing quality assurance

被引:6
作者
Thomadsen, Bruce [1 ,2 ,3 ,4 ]
Lin, She-Woei [5 ]
机构
[1] Univ Wisconsin, Dept Med Phys, Madison, WI 53706 USA
[2] Univ Wisconsin, Dept Human Oncol, Madison, WI USA
[3] Univ Wisconsin, Dept Biomed Engn, Madison, WI USA
[4] Univ Wisconsin, Dept Engn Phys, Madison, WI USA
[5] Yuan Ze Univ, Tainan, Taiwan
来源
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS | 2008年 / 71卷 / 01期
关键词
taxonomy; patient safety; radiotherapy safety; errors;
D O I
10.1016/j.ijrobp.2007.04.099
中图分类号
R73 [肿瘤学];
学科分类号
100214 [肿瘤学];
摘要
A taxonomy is an ordered classification system. In error reduction analysis, an examination of the human failures that lead to an event often uses a taxonomy to classify the failures according to some aspect of their characteristics. These classifications provide insights into the forces that kept the persons involved from achieving their intended actions. They also can provide guidance for changing the situation to prevent failure in the future. For example, the corrective action would be different if a therapist pressed the wrong button because several buttons looked alike or they forgot which button to press. Different types of failures lead to particular types of remediation. Taxonomies can provide guidance in selecting between possible corrective actions. (c) 2008 Elsevier Inc.
引用
收藏
页码:S204 / S209
页数:6
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