Evidence map›Paper›PMID 39278640›Full record

ArticleJournal of medical radiation sciences2025

Learning in radiation oncology: 12-month experience with a new incident learning system.

Krystle Crouch, Laura Adamson, Rachael Beldham-Collins, Jonathan Sykes, David Thwaites

Abstract read
In one paragraph

Article in Journal of medical radiation sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Krystle CrouchSydney West Radiation Oncology Network, Sydney, Australia.ORCID https://orcid.org/0009-0001-1723-6306
Laura AdamsonSydney West Radiation Oncology Network, Sydney, Australia.ORCID https://orcid.org/0000-0002-4518-2413
Rachael Beldham-CollinsSydney West Radiation Oncology Network, Sydney, Australia.ORCID https://orcid.org/0000-0002-0040-4772
Jonathan SykesSydney West Radiation Oncology Network, Sydney, Australia.ORCID https://orcid.org/0000-0002-3823-3892
David ThwaitesSydney West Radiation Oncology Network, Sydney, Australia.ORCID https://orcid.org/0000-0002-9633-6259

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSafety and quality improvement are essential to clinical practice in radiation therapy as planning and treatment increase in complexity and sophistication. An incident learning system (ILS) is a safety and quality improvement tool that can aid risk mitigation to improve patient safety and quality of care. The aim of this study was to quantify the impact of implementing a new e-ILS, Learning In Radiation ONcology (LIRON), on reporting and safety culture within a local health district (LHD).

methodsThe ILS (LIRON) was implemented in 2020 with the intent of tracking actual incidents, near misses and procedural non-compliances for analysis of root causes and contributing factors. A survey was conducted after 12 months of LIRON use, and distributed to radiation oncologists, radiation therapists and radiation oncology medical physicists within the LHD. Results were compared with the responses to a pre-ILS implementation survey, to review changes in staff perceptions of safety culture, barriers to reporting and ILS understanding.

resultsSurvey response rates were similar at baseline and at the 12-month follow-up, 64% and 63%, respectively. Findings showed increased ILS participation (49-71%), increased perception of no barriers to reporting (34-43%) and increased encouragement to report (37-43%). Greater confidence in the department's ability to learn from the ILS was evident (24-46%).

conclusionInitial findings of LIRON implementation show positive impact but warrant further long-term review for greater understanding of its impact on staff perceptions, safety culture and improving departmental processes.

Indexed as

LearningRadiation OncologyRisk ManagementHumansPatient SafetyQuality ImprovementSurveys and QuestionnairesIncident reportingquality and safetyradiation therapysafety culture

Identifiers

PMID39278640
PMCPMC11909703

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.