A Reference Guide for Learning from Incidents in Radiation Treatment

Alberta Heritage Foundation for Medical Research (AHFMR) HTA Initiative #22.

We present a model process that will assist health care organizations in developing and implementing a formal management system for learning from incidens. Developed specifically for the Radiation Treatment (RT) Program at the Tom Baker Cancer Centre, a major cancer treatment centre in Calgary, Alberta, Canada, the incident learning system described in this reference guide is built on sound safety management principles. It will contribute to the Alberta Cancer Board's development of organization wide patient safety programs. It can easily be adapted for use at other health care institutions.

NOTE: In 2006 the Alberta Heritage Foundation for Medical Research HTA unit moved to IHE. Documents produced in and prior to 2006 have different formats; the format was determined by the agency for which the document was produced.