Medical and social consequences of the safety problems of oncological radiology
- PMID: 26695903
Medical and social consequences of the safety problems of oncological radiology
Abstract
Introduction: Actuality of the problem of patient safety in oncoradiology in Ukraineis grounded.
Objective: assessment of the safety of patients who performed radiation therapy, and extent of medical and social consequences of erroneous actions of personnel in this area.
Material and methods: The results of international audit TLD (IAEA / WHO) quality during dosimetry procedures cobalt telehamma vehicles in Ukraine are investigated, as well as legal and regulatory framework providing for the safety of radiotherapy care, scientific publications on patient safety.
Methods: statistical, analytical, bibliographi cal, systematic approach.
Results and discussion: On the example of radiation therapy using the results of the international program of the IAEA / WHO TLD audit quality dosimetry calibration devices for remote gamma therapy in Ukraine from 1998 to 2014 the attempt to assess the extent of medical and social consequences of underestimating of medical errors in oncoradiology is made. The problems of regulatory nature of medical errors in oncoradiology are preliminary identified.
Conclusions: The problem of medical errors in the treatment of cancer radiation methods in Ukraine is extremely important. Usually the problems of errors in onkoradiology are considered in organizational, technical, personnel and technical aspects, while medical and social consequences of problemare not covered. About 10 thousand of can cer patients in yearmay sufferfrom errors related only to dosecalculationaccording to the optimistic variant, while the number of patients for the same period on the pessimistic case can reach 15 thousand. There are a number of legal character problems in onkoradiology related to patient safety that require clarification. The first priority for improving the safety of patients in onkoradiology is the recording and analysis of radiation therapy defects and their consequences.
Meta doslidzhennia: otsinka stanu bezpeky patsiientiv, iakym provodyt'sia radiatsiyna terapiia, i masshtabiv medyko sotsial'nykh naslidkiv pomylkovykh diy personalu v tsiy sferi.Material i metody doslidzhennia. Doslidzhuvalys' rezul'taty mizhnarodnogo TLD audytu (MAGATE / VOOZ) iakosti dozymetriI pry provedenni protsedur na kobal'tovykh telegamma aparatakh v UkraIni, a takozh normatyvno pravo va baza shchodo zabezpechennia bezpeky nadannia radioterapevtychnoI dopomogy, naukovi publikatsiI z bezpeky patsiientiv. Metody doslidzhennia: statystychnyy, analitychnyy, bibliografichnyy, systemnogo pidkhodu.Rezul'taty doslidzhennia ta Ikh obgovorennia. Na prykladi promenevoI terapiI z vykorystanniam rezul'tativ mizhnarodnoI programy MAGATE/VOOZ po TLD audytu iakosti dozymetrychnogo kalibruvannia aparativ dystantsiynoI gamma terapiI v UkraIni z 1998 po 2014 roky zroblena sproba otsinyty masshtaby medyko sotsial'nykh naslidkiv nedootsinky likars'kykh pomylok v onkoradiologii. Poperedn'o identyfikovani problemy normatyvno pravovo go kharakteru medychnykh pomylok u onkoradiologii.Vysnovky. Problema medychnykh pomylok pry likuvanni onkokhvorykh radiatsiynymy metodamy v UkraIni ie nadzvy chayno aktual'noiu. Zazvychay problemy pomylok u onkoradiologiI rozgliadaiut'sia v organizatsiynomu, metodychno mu, kadrovomu ta tekhnichnomu aspektakh, pry ts'omu ne vysvitliuiut'sia medyko sotsial'ni naslidky problemy. Za op tymistychnym variantom vid pomylok, pov’iazanykh til'ky iz rozrakhunkom dozy, mozhut' strazhdaty blyz'ko 10 tys. onkokhvorykh na rik, a za pesymistychnym kil'kist' takykh khvorykh za takyy zhe period mozhe siagaty 15 tys. cholovik. U onkoradiologii z mirkuvan' bezpeky patsiientiv ie problemy pravovogo kharakteru, shcho potrebuiut' z’iasuvannia. Pershochergovym zavdanniam shchodo pidvyshchennia bezpeky khvorykh u onkoradiologii ie oblik i analiz defektiv prome nevoI terapiI ta Ikh naslidkiv.
Keywords: TLD audit; and radiolog ical accident; cobalt telegamma devices; medical care defects; medical faults; patient safety.
M. I. Pylypenko, L. L. Stadnyk, M. M. Rygan, Ju. M. Skaleckyj, O. Ju. Shalopa.