This publication describes a project to introduce a tool for
self-evaluation by radiotherapy services that allows the analysis
of errors or failures that might give rise to accidents. The
results of applying this tool to a generic radiotherapy service are
also presented. These results are used as a basis for a set of
recommendations to strengthen quality and safety programmes in
radiotherapy departments. Both operational experience (lessons
learned from accidental exposure) and the results of probability
safety assessment studies have been taken into account in applying
the tool and formulating these recommendations.
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