A Reference Guide for Learning from Incidents in Radiation Treatment
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We present a model process that will assist health care organizations in developing and implementing a formal management system for learning from incidents. 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. HTA Initiative #22. ISBN 1-894927-29-X (online)
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http://purl.org/coar/resource_type/c_93fc
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en