2023-04-26 15:57:05
While they have some perspective on quality assurance procedures in their practices, radiotherapy professionals have been invited by the Nuclear Safety Authority to participate in a feedback seminar on the subject. Although they show a certain mastery of the quality-safety culture, these actors nevertheless point to the risks of routinization as well as documentary inflation which must be fought once morest.
Fifteen years following the regulatory provisions relating to the quality assurance of radiotherapy centers, the Nuclear Safety Authority (ASN) invited, on March 15, 2023, the players in the discipline to provide feedback.
A seminar dedicated to feedback from several years of quality assurance in radiotherapy centers
This event brought together some 250 radiotherapy professionals, institutional representatives and ASN radiation protection inspectors who took stock of the benefits of the procedures to which the radiotherapy centers are subjected to improving patient care pathways.
The representatives of these centers were able share their experience on the implementation of quality assurance systems, a priori risk analysis, procedures for feedback from adverse events and change management. It was also a question of the hopes aroused by the clinical audits by peers, the experimentation of which begins this year, as well as the methods of evaluation of the innovative techniques and practices which have been launched recently.
Actions to fight once morest routinization and documentary inflation
Although health professionals in general have little taste for the quality-safety culture, it must be said that, for several years, the players in the radiotherapy departments have learned to assimilate it and to restore it in a relevant way for the benefit of the patients. This seminar also showed the risk of routinization and running out of steam in continuous improvement initiatives, initiatives having been taken in a few centers to restore meaning and maintain the interest of professionals in these sometimes restrictive approaches.
As for the ASN’s control, it allows risk managers, according to the testimonies collected, to re-question their quality-safety procedures and to find new ways of working to maintain the collective dynamic. The limits of quality approaches, in particular the tendency to document inflation, were however also highlighted, which invites the actors of the discipline to question themselves collectively on the simplification of these approaches and on the choice of indicators.
Bruno Benque with ASN
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