ArticleRadiation oncology (London, England)2015
Multi-institutional application of Failure Mode and Effects Analysis (FMEA) to CyberKnife Stereotactic Body Radiation Therapy (SBRT).
Article in Radiation oncology (London, England), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 4 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
26 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Failure modes and effects analysis for clinical implementation of online adaptive radiotherapy: A systematic review.Journal of applied clinical medical physics · 2026Pooled it
- Systematic review of prospective hazard analysis in radiation therapy.Medical physics · 2025Pooled it
- Impact assessment of current knowledge gaps and mitigation strategies in clinical FLASH proton therapy through a systematic review.Frontiers in oncology · 2025Pooled it
- The report of Task Group 100 of the AAPM: Application of risk analysis methods to radiation therapy quality management.Medical physics · 2016Guideline
- A group-based hands-on seminar for teaching failure mode and effects analysis in CyberKnife stereotactic radiotherapy.Journal of applied clinical medical physics · 2026Article
- Healthcare Application of Failure Mode and Effect Analysis (FMEA): Is There Room in the Infectious Disease Setting? A Scoping Review.Healthcare (Basel, Switzerland) · 2025Article
- Clinical effects of re-evaluating a lung SBRT failure mode and effects analysis in a radiotherapy department.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024Article
- Dosimetric impact of the respiratory motion of the liver dome in stereotactic body radiotherapy for spine metastasis: A planning study.Journal of applied clinical medical physics · 2024Article
- Process failure mode and effects analysis for external beam radiotherapy: Introducing a literature-based template and a novel action priority.Zeitschrift fur medizinische Physik · 2024Article
- Prospective risk analysis of the online-adaptive artificial intelligence-driven workflow using the Ethos treatment system.Zeitschrift fur medizinische Physik · 2024Article
- Development and clinical implementation of a digital system for risk assessments for radiation therapy.Zeitschrift fur medizinische Physik · 2024Article
- Safety and efficiency of a fully automatic workflow for auto-segmentation in radiotherapy using three commercially available deep learning-based applications.Physics and imaging in radiation oncology · 2024Article
- Determining the quality control frequency of an MR-linac using risk matrix (RM) analysis.Journal of applied clinical medical physics · 2023Article
- Fuzzy analytic hierarchy process-based risk priority number for risk assessments of commissioning process of a ring gantry LINAC.Journal of applied clinical medical physics · 2022Article
- Identifying risk characteristics using failure mode and effect analysis for risk management in online magnetic resonance-guided adaptive radiation therapy.Physics and imaging in radiation oncology · 2022Article
- Failure mode and effect analysis for linear accelerator-based paraspinal stereotactic body radiotherapy.Journal of applied clinical medical physics · 2021Article
- A bi-institutional multi-disciplinary failure mode and effects analysis (FMEA) for a Co-60 based total body irradiation technique.Radiation oncology (London, England) · 2021Article
- Evaluation of failure modes and effect analysis for routine risk assessment of lung radiotherapy at a UK center.Journal of applied clinical medical physics · 2021Article
- A Modular System for Treating Moving Anatomical Targets With Scanned Ion Beams at Multiple Facilities: Pre-Clinical Testing for Quality and Safety of Beam Delivery.Frontiers in oncology · 2021Article
- Role of phosphatidylinositol 3-kinase signaling pathway in radiation-induced liver injury.The Kaohsiung journal of medical sciences · 2020Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA multidisciplinary and multi-institutional working group applied the Failure Mode and Effects Analysis (FMEA) approach to assess the risks for patients undergoing Stereotactic Body Radiation Therapy (SBRT) treatments for lesions located in spine and liver in two CyberKnife® Centres.
methodsThe various sub-processes characterizing the SBRT treatment were identified to generate the process trees of both the treatment planning and delivery phases. This analysis drove to the identification and subsequent scoring of the potential failure modes, together with their causes and effects, using the risk probability number (RPN) scoring system. Novel solutions aimed to increase patient safety were accordingly considered.
resultsThe process-tree characterising the SBRT treatment planning stage was composed with a total of 48 sub-processes. Similarly, 42 sub-processes were identified in the stage of delivery to liver tumours and 30 in the stage of delivery to spine lesions. All the sub-processes were judged to be potentially prone to one or more failure modes. Nineteen failures (i.e. 5 in treatment planning stage, 5 in the delivery to liver lesions and 9 in the delivery to spine lesions) were considered of high concern in view of the high RPN and/or severity index value.
conclusionsThe analysis of the potential failures, their causes and effects allowed to improve the safety strategies already adopted in the clinical practice with additional measures for optimizing quality management workflow and increasing patient safety.
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