Engineering patient safety in radiation oncology : University of North Carolina's pursuit for high reliability and value creation

Because radiation is a central curative and palliative therapy for many patients, it is essential to have safe and efficient systems for planning and delivering radiation therapy. Factors such as rapid technological advances, financial reorganization, an aging population, and evolving societal expectations, however, may be compromising our ability Front Cover 1 Contents 7 Preface 15 Acknowledgments 17 About the Authors 19 Chapter 1: An Introduction and Guide to This Book 23 Chapter 2: Broad Overview of “Past” and “Current” Challenges of Patient Safety Issues in Radiation Oncology 45 Chapter 3: Best Practices from High-Reliability and Value Creation Organizations: Their Application to Radiation Oncology 69 Chapter 4: Driving Change at the Organizational Level 123 Chapter 5: Driving Change at the Workplace Level 153 Chapter 6: Driving Change at the People Level 191 Chapter 7: Research 227 Chapter 8: Conclusion 273 Glossary 283 Appendix A 289 Appendix B 291 Back Cover 297 An Introduction and Guide to This Book Learning ObjectivesA Brief Overview of the Safety Challenges Within Radiation Oncology The Focus of Safety Initiatives on Technical/ Education versus Organizational/Workplace/ Behavioral Issues The Challenge in Promoting Safety in Radiation Oncology: Lessons from High-Reliability and Value Creation Organizations Organizational Level Leadership Culture of Safety Improvement Cycles Workplace Level Human Factors Engineering People Level Safety Mindfulness ReferencesBroad Overview of ""Past"" an Content: An introduction and guide to this book -- Broad overview of "past" and "current" challenges of patient safety issues in radiation oncology -- Best practices from high reliability and value creation organizations : their application to radiation oncology -- Driving change at the organizational level -- Driving change at the workplace level -- Driving change at the people level -- Research.