The Experts below are selected from a list of 18 Experts worldwide ranked by ideXlab platform
Stephanie A Terezakis - One of the best experts on this subject based on the ideXlab platform.
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real time management of Incident learning reports in a radiation oncology department
Practical radiation oncology, 2018Co-Authors: Jean L Wright, Arti Parekh, Byunghan Rhieu, Valentina Opris, A N Souranis, A Choflet, Akila N Viswanathan, Theodore L Deweese, Todd Mcnutt, Stephanie A TerezakisAbstract:Abstract Purpose The optimal approach to Managing Incident learning system (ILS) reports remains unclear. Here, we describe our experience with prospective coding of events reported to the ILS with comparisons of risk scores on the basis of event type and process map location. Methods and materials Reported events were coded by type, origin, and method of discovery. Events were given a risk priority number (RPN) and near-miss risk index (NMRI) score. We compared workflow versus near-miss events with respect to origin and detection in the process map and by risk scores. A χ2 test was used to compare the differences between workflow and near-miss events. A comparison of RPN scores was done by independent t test. Results During 2016, 1351 events were reported. Of these events, 1300 (96.2%) were workflow and 51 (3.8%) near-miss events. Workflow events were more likely to both originate (1041 of 1300 events; 81.2%) compared with near-miss events (31 of 51 events; 62.7%; P = .005) and be detected in pre-treatment (997 of 1300 events; 76.7%) compared with near-miss events (24 of 51 events; 47%; P Conclusions Our experience demonstrates that workflow event reports are far more common than near-misses and that near-miss events are more likely to both originate and be discovered in later treatment phases. The frequency of workflow reports highlights the imperative need for safety and operational teams to work collaboratively to maximize the benefit of ILS. We suggest a potential utility of the RPN system to guide mitigation strategies for future near-miss events.
Jean L Wright - One of the best experts on this subject based on the ideXlab platform.
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real time management of Incident learning reports in a radiation oncology department
Practical radiation oncology, 2018Co-Authors: Jean L Wright, Arti Parekh, Byunghan Rhieu, Valentina Opris, A N Souranis, A Choflet, Akila N Viswanathan, Theodore L Deweese, Todd Mcnutt, Stephanie A TerezakisAbstract:Abstract Purpose The optimal approach to Managing Incident learning system (ILS) reports remains unclear. Here, we describe our experience with prospective coding of events reported to the ILS with comparisons of risk scores on the basis of event type and process map location. Methods and materials Reported events were coded by type, origin, and method of discovery. Events were given a risk priority number (RPN) and near-miss risk index (NMRI) score. We compared workflow versus near-miss events with respect to origin and detection in the process map and by risk scores. A χ2 test was used to compare the differences between workflow and near-miss events. A comparison of RPN scores was done by independent t test. Results During 2016, 1351 events were reported. Of these events, 1300 (96.2%) were workflow and 51 (3.8%) near-miss events. Workflow events were more likely to both originate (1041 of 1300 events; 81.2%) compared with near-miss events (31 of 51 events; 62.7%; P = .005) and be detected in pre-treatment (997 of 1300 events; 76.7%) compared with near-miss events (24 of 51 events; 47%; P Conclusions Our experience demonstrates that workflow event reports are far more common than near-misses and that near-miss events are more likely to both originate and be discovered in later treatment phases. The frequency of workflow reports highlights the imperative need for safety and operational teams to work collaboratively to maximize the benefit of ILS. We suggest a potential utility of the RPN system to guide mitigation strategies for future near-miss events.
Graham G. Giles - One of the best experts on this subject based on the ideXlab platform.
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Brain stem gliomas: patterns of care in Victoria from 1998-2000.
Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia, 2008Co-Authors: Mark Rosenthal, David M. Ashley, Katharine J. Drummond, Michael Dally, Michael Murphy, Lawrence Cher, Vicky Thursfield, Graham G. GilesAbstract:This study describes the management of and outcomes for adult and paediatric patients with newly diagnosed brain stem gliomas during 1998-2000 in Victoria. Adult patients were identified in a retrospective cohort study conducted by surveying doctors involved in Managing Incident brainstem glioma cases identified from the population-based Victorian Cancer Registry. Paediatric cases were identified from a retrospective analysis of the Victorian Paediatric Brain tumour database for the same period. Ten adult and 14 paediatric patients were considered eligible for this study. Nine (38%) did not have a histologic diagnosis but were diagnosed on the basis of radiological appearance. Complete macroscopic resection was performed in two patients (8%). A variety of tumour types and grades were observed with surgery and radiotherapy the mainstays of therapy. No adult patients and only eight (57%) paediatric patients received chemotherapy. The median survivals for adult patients, paediatric patients with pontine lesions and paediatric patients with non-pontine lesions were: 57, 10 and 60+ months respectively.
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Intramedullary spinal cord tumors: Patterns of care in Victoria from 1998–2000
Asia-Pacific Journal of Clinical Oncology, 2008Co-Authors: Mark Rosenthal, David M. Ashley, Katharine J. Drummond, Michael Dally, Michael Murphy, Lawrence Cher, Vicky Thursfield, Graham G. GilesAbstract:Aim: This study describes the management of and outcomes for adult patients with newly diagnosed intramedullary spinal cord tumors during 1998–2000 in Victoria. Methods: The adult patients were identified in a retrospective cohort study conducted by surveying doctors involved in Managing Incident glioma cases identified from the population-based Victorian Cancer Registry. Results: Sixteen patients were considered eligible for this review. Of these 15 (94%) had a histological diagnosis: an ependymoma was diagnosed in 13 patients (81%). A complete macroscopic resection was achieved in eight patients (50%). A variety of tumor types and grades were observed with surgery and radiotherapy the mainstays of therapy. One patient received chemotherapy (7%). One patient died from disease within six months of diagnosis. Of the remaining 15 patients, all were alive at 5 years and 10 (63%) remain disease free. Conclusion: This review documents characteristics of a rare condition and suggests that, overall, prognosis is excellent.
Theodore L Deweese - One of the best experts on this subject based on the ideXlab platform.
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real time management of Incident learning reports in a radiation oncology department
Practical radiation oncology, 2018Co-Authors: Jean L Wright, Arti Parekh, Byunghan Rhieu, Valentina Opris, A N Souranis, A Choflet, Akila N Viswanathan, Theodore L Deweese, Todd Mcnutt, Stephanie A TerezakisAbstract:Abstract Purpose The optimal approach to Managing Incident learning system (ILS) reports remains unclear. Here, we describe our experience with prospective coding of events reported to the ILS with comparisons of risk scores on the basis of event type and process map location. Methods and materials Reported events were coded by type, origin, and method of discovery. Events were given a risk priority number (RPN) and near-miss risk index (NMRI) score. We compared workflow versus near-miss events with respect to origin and detection in the process map and by risk scores. A χ2 test was used to compare the differences between workflow and near-miss events. A comparison of RPN scores was done by independent t test. Results During 2016, 1351 events were reported. Of these events, 1300 (96.2%) were workflow and 51 (3.8%) near-miss events. Workflow events were more likely to both originate (1041 of 1300 events; 81.2%) compared with near-miss events (31 of 51 events; 62.7%; P = .005) and be detected in pre-treatment (997 of 1300 events; 76.7%) compared with near-miss events (24 of 51 events; 47%; P Conclusions Our experience demonstrates that workflow event reports are far more common than near-misses and that near-miss events are more likely to both originate and be discovered in later treatment phases. The frequency of workflow reports highlights the imperative need for safety and operational teams to work collaboratively to maximize the benefit of ILS. We suggest a potential utility of the RPN system to guide mitigation strategies for future near-miss events.
Akila N Viswanathan - One of the best experts on this subject based on the ideXlab platform.
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real time management of Incident learning reports in a radiation oncology department
Practical radiation oncology, 2018Co-Authors: Jean L Wright, Arti Parekh, Byunghan Rhieu, Valentina Opris, A N Souranis, A Choflet, Akila N Viswanathan, Theodore L Deweese, Todd Mcnutt, Stephanie A TerezakisAbstract:Abstract Purpose The optimal approach to Managing Incident learning system (ILS) reports remains unclear. Here, we describe our experience with prospective coding of events reported to the ILS with comparisons of risk scores on the basis of event type and process map location. Methods and materials Reported events were coded by type, origin, and method of discovery. Events were given a risk priority number (RPN) and near-miss risk index (NMRI) score. We compared workflow versus near-miss events with respect to origin and detection in the process map and by risk scores. A χ2 test was used to compare the differences between workflow and near-miss events. A comparison of RPN scores was done by independent t test. Results During 2016, 1351 events were reported. Of these events, 1300 (96.2%) were workflow and 51 (3.8%) near-miss events. Workflow events were more likely to both originate (1041 of 1300 events; 81.2%) compared with near-miss events (31 of 51 events; 62.7%; P = .005) and be detected in pre-treatment (997 of 1300 events; 76.7%) compared with near-miss events (24 of 51 events; 47%; P Conclusions Our experience demonstrates that workflow event reports are far more common than near-misses and that near-miss events are more likely to both originate and be discovered in later treatment phases. The frequency of workflow reports highlights the imperative need for safety and operational teams to work collaboratively to maximize the benefit of ILS. We suggest a potential utility of the RPN system to guide mitigation strategies for future near-miss events.