| 基于FMEA的伽玛刀治疗计划质量改进 |
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| 引用本文： | 何 咏,邓印辉,梁舜尧,黄敏仪,李树炎,李 凯. 基于FMEA的伽玛刀治疗计划质量改进[J]. 南京医科大学学报(自然科学版), 2016, 0(3): 371-374 |
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| 作者姓名： | 何 咏 邓印辉 梁舜尧 黄敏仪 李树炎 李 凯 |
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| 作者单位： | 广州医科大学附属第二医院放射治疗科,广东 广州 510260,广州医科大学附属第二医院放射治疗科,广东 广州 510260,广州医科大学附属第二医院放射治疗科,广东 广州 510260,广州医科大学附属第二医院放射治疗科,广东 广州 510260,广州医科大学附属第二医院放射治疗科,广东 广州 510260,广州医科大学附属第二医院放射治疗科,广东 广州 510260 |
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| 摘 要： | 目的:运用先进的质控工具,前瞻性地对伽玛刀治疗计划设计的风险进行分析?评价,对关键事件进行改进?方法:由物理师?医师与技师组成的质量改进小组采用失效模式与效应分析(failure mode and effect analysis,FMEA),对200份伽玛刀治疗计划与100例计划设计过程进行失效风险评价,运用因果法与故障树法分析失效原因,找出改进对策?结果:对风险较高的9个失效模式?16个失效原因进行改进后,风险值明显降低,平均下降(61.125 ± 8.125)%?结论:FMEA是改进伽玛刀治疗计划设计质量的有效工具,有助于减少潜在风险的发生?
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| 关 键 词： | 放射治疗 伽玛刀 治疗计划 质量改进 FMEA |
| 收稿时间： | 2015-09-01 |
Quality improvements of gamma knife treatment plan based on FMEA |
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| He Yong,Deng Yinhui,Liang Shunyao,Huang Minyi,Li Shuyan and Li kai. Quality improvements of gamma knife treatment plan based on FMEA[J]. Acta Universitatis Medicinalis Nanjing, 2016, 0(3): 371-374 |
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| Authors: | He Yong Deng Yinhui Liang Shunyao Huang Minyi Li Shuyan Li kai |
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| Affiliation: | Radiotherapeutic Department,the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,China,Radiotherapeutic Department,the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,China,Radiotherapeutic Department,the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,China,Radiotherapeutic Department,the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,China,Radiotherapeutic Department,the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,China and Radiotherapeutic Department,the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,China |
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| Abstract: | Objective:By using the advanced quality control tools,we analyzed and evaluated the risk of planning designs of gamma knife treatment prospectively,and improved the key events. Methods:A quality reconstruction team of physicists,oncologists and therapists conducted failure risk assessment analysis toward 200 gamma knife treatment plans and 100 treatment designs were performed by using failure mode and effect analysis (FEMA),and failure cause and countermeasures were analyzed by using causal factor analysis and fault tree analysis. Results:The risk priority number was significantly decreased[ average of (61.125 ± 8.125)%] after conducting improvement on 9 potential failure modes and 16 potential causes of failure. Conclusion:FMEA is a effective tool to improve the quality of gamma knife treatment planning designs. It helps reduce the potential risks as well. |
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| Keywords: | radiotherapy gamma knife treatment plan quality improvement FMEA |
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