open access

Vol 25, No 6 (2020)
Original research articles
Published online: 2020-11-01
Submitted: 2019-12-09
Get Citation

Critical success factors for implementation of an incident learning system in radiation oncology department

Lucas Augusto Radicchi, José Carlos Toledo, Dário Henrique Alliprandini
DOI: 10.1016/j.rpor.2020.09.014
·
Rep Pract Oncol Radiother 2020;25(6):994-1000.

open access

Vol 25, No 6 (2020)
Original research articles
Published online: 2020-11-01
Submitted: 2019-12-09

Abstract

Aim

The aim of this study was to analyze critical success factors (CSFs) for implementation of an incident learning system (ILS) in a radiation oncology department (ROD) and evaluate the perception of the staff members along this process.

Background

Implementing an ILS is a way to leverage learning from incidents and is a tool for improving patient safety, consisting of a cycle of reporting and analyzing events as well as taking preventive actions. ILS implementation is challenging, requiring specific resources and cultural changes.

Materials and methods

An ILS was designed and implemented based on the CSF identified in the literature review. Before starting the ILS implementation, a structured survey was applied to assess dimensions of patient safety culture. After the period of implementation (7 months), the survey was applied again and compared with the initial assessment, and interviews were performed with staff members to evaluate the overall satisfaction with ILS and CSFs.

Results

Statistically significant improvements were observed in 5 dimensions (12 totals) of the safety culture survey, considering time points before and after the ILS implementation. According to interviewees, “Facilitating committee”, “Efficient data collection”, “Focus on improvement”, “Just culture” and “Feedback to users” were the most relevant CSFs.

Conclusions

The ILS designed and implemented at ROD was perceived as an important tool to support quality and safety initiatives, promoting the improvement in safety culture. The ILS implementation critical success factors were identified and have shown good agreement between the results of the literature and the users' practical perception.

Abstract

Aim

The aim of this study was to analyze critical success factors (CSFs) for implementation of an incident learning system (ILS) in a radiation oncology department (ROD) and evaluate the perception of the staff members along this process.

Background

Implementing an ILS is a way to leverage learning from incidents and is a tool for improving patient safety, consisting of a cycle of reporting and analyzing events as well as taking preventive actions. ILS implementation is challenging, requiring specific resources and cultural changes.

Materials and methods

An ILS was designed and implemented based on the CSF identified in the literature review. Before starting the ILS implementation, a structured survey was applied to assess dimensions of patient safety culture. After the period of implementation (7 months), the survey was applied again and compared with the initial assessment, and interviews were performed with staff members to evaluate the overall satisfaction with ILS and CSFs.

Results

Statistically significant improvements were observed in 5 dimensions (12 totals) of the safety culture survey, considering time points before and after the ILS implementation. According to interviewees, “Facilitating committee”, “Efficient data collection”, “Focus on improvement”, “Just culture” and “Feedback to users” were the most relevant CSFs.

Conclusions

The ILS designed and implemented at ROD was perceived as an important tool to support quality and safety initiatives, promoting the improvement in safety culture. The ILS implementation critical success factors were identified and have shown good agreement between the results of the literature and the users' practical perception.

Get Citation

Keywords

Incident learning system; Radiation oncology department; Quality in radiation oncology; Safety culture

About this article
Title

Critical success factors for implementation of an incident learning system in radiation oncology department

Journal

Reports of Practical Oncology and Radiotherapy

Issue

Vol 25, No 6 (2020)

Pages

994-1000

Published online

2020-11-01

DOI

10.1016/j.rpor.2020.09.014

Bibliographic record

Rep Pract Oncol Radiother 2020;25(6):994-1000.

Keywords

Incident learning system
Radiation oncology department
Quality in radiation oncology
Safety culture

Authors

Lucas Augusto Radicchi
José Carlos Toledo
Dário Henrique Alliprandini

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