open access

Vol 24, No 4 (2019)
Original research articles
Published online: 2019-07-01
Submitted: 2018-10-04
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Adoption of an incident learning system in a regionally expanding academic radiation oncology department

Jean L. Wright, Arti Parekh, Byung-Han Rhieu, David Miller, Valentina Opris, Annette Souranis, Amanda Choflet, Akila N. Viswanathan, Theodore DeWeese, Todd McNutt, Stephanie A. Terezakis
DOI: 10.1016/j.rpor.2019.05.008
·
Rep Pract Oncol Radiother 2019;24(4):338-343.

open access

Vol 24, No 4 (2019)
Original research articles
Published online: 2019-07-01
Submitted: 2018-10-04

Abstract

Aim and Background

We describe a successful implementation of a departmental incident learning system (ILS) across a regionally expanding academic radiation oncology department, dovetailing with a structured integration of the safety and quality program across clinical sites.

Materials and methods m

Over 6 years between 2011 and 2017, a long-standing departmental ILS was deployed to 4 clinical locations beyond the primary clinical location where it had been established. We queried all events reported to the ILS during this period and analyzed trends in reporting by clinical site. The chi-square test was used to determine whether differences over time in the rate of reporting were statistically significant. We describe a synchronous development of a common safety and quality program over the same period.

Results

There was an overall increase in the number of event reports from each location over the time period from 2011 to 2017. The percentage increase in reported events from the first year of implementation to 2017 was 457% in site 1, 166.7% in site 2, 194.3% in site 3, 1025% in site 4, and 633.3% in site 5, with an overall increase of 677.7%. A statistically significant increase in the rate of reporting was seen from the first year of implementation to 2017 (p<0.001 for all sites).

Conclusions

We observed significant increases in event reporting over a 6-year period across 5 regional sites within a large academic radiation oncology department, during which time we expanded and enhanced our safety and quality program, including regional integration. Implementing an ILS and structuring a safety and quality program together result in the successful integration of the ILS into existing departmental infrastructure.

Abstract

Aim and Background

We describe a successful implementation of a departmental incident learning system (ILS) across a regionally expanding academic radiation oncology department, dovetailing with a structured integration of the safety and quality program across clinical sites.

Materials and methods m

Over 6 years between 2011 and 2017, a long-standing departmental ILS was deployed to 4 clinical locations beyond the primary clinical location where it had been established. We queried all events reported to the ILS during this period and analyzed trends in reporting by clinical site. The chi-square test was used to determine whether differences over time in the rate of reporting were statistically significant. We describe a synchronous development of a common safety and quality program over the same period.

Results

There was an overall increase in the number of event reports from each location over the time period from 2011 to 2017. The percentage increase in reported events from the first year of implementation to 2017 was 457% in site 1, 166.7% in site 2, 194.3% in site 3, 1025% in site 4, and 633.3% in site 5, with an overall increase of 677.7%. A statistically significant increase in the rate of reporting was seen from the first year of implementation to 2017 (p<0.001 for all sites).

Conclusions

We observed significant increases in event reporting over a 6-year period across 5 regional sites within a large academic radiation oncology department, during which time we expanded and enhanced our safety and quality program, including regional integration. Implementing an ILS and structuring a safety and quality program together result in the successful integration of the ILS into existing departmental infrastructure.

Get Citation

Keywords

Safety and quality; Incident learning; Regional expansion

About this article
Title

Adoption of an incident learning system in a regionally expanding academic radiation oncology department

Journal

Reports of Practical Oncology and Radiotherapy

Issue

Vol 24, No 4 (2019)

Pages

338-343

Published online

2019-07-01

DOI

10.1016/j.rpor.2019.05.008

Bibliographic record

Rep Pract Oncol Radiother 2019;24(4):338-343.

Keywords

Safety and quality
Incident learning
Regional expansion

Authors

Jean L. Wright
Arti Parekh
Byung-Han Rhieu
David Miller
Valentina Opris
Annette Souranis
Amanda Choflet
Akila N. Viswanathan
Theodore DeWeese
Todd McNutt
Stephanie A. Terezakis

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