| DENG Jun,FAN Yao-hua,YUE Bao-rong,WEI Ke-dao,REN Fu-li.Human reliability in high dose rate afterloading radiotherapy based on FMECA[J].Chinese Journal of Radiological Medicine and Protection,2012,32(3):314-317 |
| Human reliability in high dose rate afterloading radiotherapy based on FMECA |
| Received:November 21, 2011 |
| DOI：10.3760/cma.j.issn.0254-5098.2012.03.024 |
| KeyWords:High dose rate Afterloading radiotherapy Human error Failure mode, effects and criticality analysis method |
| FundProject:国家科技支撑计划项目(2006BAI06B03) |
| Author Name | Affiliation | E-mail | | DENG Jun | Key Laboratory of Radiological Protection and Nuclear Emergency, China CDC, National Institute for Radiological Protection, Chinese Center for Disease Control and Prevention, Beijing 100088, China | | | FAN Yao-hua | Key Laboratory of Radiological Protection and Nuclear Emergency, China CDC, National Institute for Radiological Protection, Chinese Center for Disease Control and Prevention, Beijing 100088, China | | | YUE Bao-rong | Key Laboratory of Radiological Protection and Nuclear Emergency, China CDC, National Institute for Radiological Protection, Chinese Center for Disease Control and Prevention, Beijing 100088, China | bryue@163.com | | WEI Ke-dao | Key Laboratory of Radiological Protection and Nuclear Emergency, China CDC, National Institute for Radiological Protection, Chinese Center for Disease Control and Prevention, Beijing 100088, China | | | REN Fu-li | 内蒙古自治区卫生厅卫生监督所 | |
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| Abstract:: |
| Objective To put forward reasonable and feasible recommendations against the procedure with relative high risk during the high dose rate (HDR) afterloading radiotherapy, so as to enhance its clinical application safety, through studying the human reliability in the process of carrying out the HDR afterloading radiotherapy.Methods Basic data were collected by on-site investigation and process analysis as well as expert evaluation. Failure mode, effect and criticality analysis (FMECA) employed to study the human reliability in the execution of HDR afterloading radiotherapy.Results The FMECA model of human reliability for HDR afterloading radiotherapy was established, through which 25 procedures with relative high risk index were found, accounting for 14.1% of total 177 procedures.Conclusions FMECA method in human reliability study for HDR afterloading radiotherapy is feasible. The countermeasures are put forward to reduce the human error, so as to provide important basis for enhancing clinical application safety of HDR afterloading radiotherapy. |
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