Article (Scientific journals)
Comparison between the WHO-CFICPS and the PRISMA classification of safety-related events in a radiation oncology department.
Ben Mustapha, Selma; Cucchiaro, Séverine; GOREUX, Joëlle et al.
2023In Journal of Medical Imaging and Radiation Oncology
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Keywords :
medical errors/classification; medical errors/statistics and numerical data*; patient safety; radiation oncology/organization and administration*; risk management; Radiology, Nuclear Medicine and imaging; Oncology
Abstract :
[en] [en] INTRODUCTION: Describing Safety-Related Events (SREs) in a radiotherapy (RT) department and comparing WHO-CFICPS (World Health Organization's Conceptual Framework For The International Classification For Patient Safety) and PRISMA (Prevention and Recovery Information System for Monitoring and Analysis) methods for classifying SREs. METHODS: From February 2017 to October 2020, two Quality Managers (QMs) randomly classified 1173 SREs using 13 incident types of WHO-CFICPS. The same two QMs, reclassified the same SREs according to 20 PRISMA incident codes. Statistical analysis was performed to assess the association between the 13 incident types of WHO-CFICPS and the 20 PRISMA codes. The chi-squared and post-hoc tests using adjusted standardized residuals were applied to detect the association between the two systems. RESULTS: There was a significant association between WHO-CFICPS incident types and PRISMA codes (P < 0.001). Ninety-two percent of all SREs were categorized using 4 of 13 WHO-CFICPS incident types including Clinical Process/Procedure (n = 448, 38.2%), Clinical Administration (n = 248, 21.1%), Documentation (n = 226, 19.2%) and Resources/Organizational Management (n = 15,613.3%). According to PRISMA classification, 14 of the 20 codes were used to describe the same SREs. PRISMA captured 41 Humans Skill Slips from 226 not better defined WHO-CFICPS Documentation Incidents, 38 Human Rule-based behaviour Qualification from not better defined 447 Clinical Process/Procedure and 40 Organization Management priority events from 156 not better defined WHO-CFICPS Resources/Organizational Management events (P < 0.001). CONCLUSION: Although there was a significant association between WHO-CFICPS and PRISMA, The PRISMA method provides a more detailed insight into SREs compared to WHO-CFICPS in a RT department.
Disciplines :
Human health sciences: Multidisciplinary, general & others
Author, co-author :
Ben Mustapha, Selma  ;  Université de Liège - ULiège > Faculté de Médecine > Form. doct. sc. méd. (paysage)
Cucchiaro, Séverine  ;  Centre Hospitalier Universitaire de Liège - CHU > > Service médical de radiothérapie
GOREUX, Joëlle ;  Centre Hospitalier Universitaire de Liège - CHU > > Service médical de radiothérapie
Delgaudine, Marie ;  Centre Hospitalier Universitaire de Liège - CHU > > Département de Physique Médicale ; Department of Medical Imaging, Centre Hospitalier Chrétien, Liège, Belgium
Boga, Deniz ;  Centre Hospitalier Universitaire de Liège - CHU > > Service de valorisation de l'humanisation
Donneau, Anne-Françoise ;  Université de Liège - ULiège > Département des sciences de la santé publique
Diep, Anh Nguyet  ;  Université de Liège - ULiège > Santé publique : de la Biostatistique à la Promotion de la Santé
Coucke, Philippe  ;  Université de Liège - ULiège > Département des sciences cliniques > Radiothérapie
Language :
English
Title :
Comparison between the WHO-CFICPS and the PRISMA classification of safety-related events in a radiation oncology department.
Publication date :
03 May 2023
Journal title :
Journal of Medical Imaging and Radiation Oncology
ISSN :
1754-9477
eISSN :
1754-9485
Publisher :
Wiley, Australia
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 11 May 2023

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