RO-ILS: Radiation Oncology Incident Learning System: A report from the first year of experience.

Abstract

PURPOSE Incident learning is a critical tool to improve patient safety. The Patient Safety and Quality Improvement Act of 2005 established essential legal protections to allow for the collection and analysis of medical incidents nationwide. METHODS AND MATERIALS Working with a federally listed patient safety organization (PSO), the American Society for Radiation Oncology and the American Association of Physicists in Medicine established RO-ILS: Radiation Oncology Incident Learning System (RO-ILS). This paper provides an overview of the RO-ILS background, development, structure, and workflow, as well as examples of preliminary data and lessons learned. RO-ILS is actively collecting, analyzing, and reporting patient safety events. RESULTS As of February 24, 2015, 46 institutions have signed contracts with Clarity PSO, with 33 contracts pending. Of these, 27 sites have entered 739 patient safety events into local database space, with 358 events (48%) pushed to the national database. CONCLUSIONS To establish an optimal safety culture, radiation oncology departments should establish formal systems for incident learning that include participation in a nationwide incident learning program such as RO-ILS.

DOI: 10.1016/j.prro.2015.06.009

Cite this paper

@article{Hoopes2015ROILSRO, title={RO-ILS: Radiation Oncology Incident Learning System: A report from the first year of experience.}, author={David J Hoopes and A. Dicker and Nadine L Eads and Gary A. Ezzell and Benedick A. Fraass and Theresa M Kwiatkowski and Kathy Lash and Gregory A. Patton and Tom Piotrowski and Cindy Tomlinson and Eric Ford}, journal={Practical radiation oncology}, year={2015}, volume={5 5}, pages={312-8} }