2017 AAPM Annual Meeting
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Session Title: Strategies for Quality Improvement Based On RO-ILS Information
Question 1: Any patient information uploaded into the ROILS system is:
Reference:https://www.astro.org/RO-ILS.aspx
Choice A:Accessible to the patient.
Choice B:Privileged and confidential.
Choice C:Available to AAPM or ASTRO.
Choice D:Subject to Freedom of Information Act.
Question 2: Implementation of RO-ILS system requires:
Reference:https://www.astro.org/RO-ILS.aspx
Choice A:A Contract with the PSO.
Choice B:An application to AAPM and ASTRO.
Choice C:An agreement to submit all incidents to PSO.
Choice D:An agreement to release patient information to other participants.
Question 3: Event reports uploaded to the national database:
Reference:Hoopes DJ, et al. RO-ILS: Radiation Oncology Incident Learning System: A report from the first year of experience. PRO (2015) 5, 312-318.
Choice A:Are reviewed for completeness by the Clarity PSO staff.
Choice B:Are randomly selected for distribution to all RO-ILS participants.
Choice C:Have all patient and staff identifiers removed from the narrative information.
Choice D:Are reviewed by a panel of experts (RO-HAC) for quarterly reports to participants.
Question 4: The practice setting with the most participants in RO-ILS is:
Reference:RO-ILS: 2016 Year in Review. https://www.astro.org/uploadedFiles/_MAIN_SITE/Patient_Care/Patient_Safety/RO-ILS/2016YIR.pdf
Choice A:Private Practice/Community-based system.
Choice B:Academic/University setting.
Choice C:Hospital.
Choice D:Free-standing clinic.
Question 5: The external beam technique most commonly involved in reports submitted to RO-ILS is:
Reference:RO-ILS: 2016 Year in Review. https://www.astro.org/uploadedFiles/_MAIN_SITE/Patient_Care/Patient_Safety/RO-ILS/2016YIR.pdf
Choice A:Electrons.
Choice B:3D conformal.
Choice C:IMRT/VMAT.
Choice D:SRS/SBRT.
Choice E:Protons or other particles.
Question 6: Which of the following is NOT a common contributing factor for reported radiation incidents?
Reference:Ganesh, T. Incident reporting and learning in radiation oncology: Need of the hour. Journal of Medical Physics. 2014; 39: 203-205.
Choice A:Communication failures.
Choice B:Lack of understanding policy.
Choice C:Rapidly advancing technology.
Choice D:Haste.
Question 7: For every one critical incident, how many minor incidents are expected to have occurred?
Reference:Bird F.E., and Kirkwood, G.L. Practical loss control leadership. Loganville, GA: Institute Publishing, A Division of the International Loss Control Institute; 1986
Choice A:100.
Choice B:300.
Choice C:500.
Choice D:600.
Question 8: Which group of event reporters contributed the largest number of RO-ILS events in 2016?
Reference:Radiation Oncology Incident Learning System. Sponsored by American Society for Radiation Oncology and American Association of Physicists in Medicine: 2016 Year in review. https://www.astro.org/uploadedFiles/_MAIN_SITE/Patient_Care/Patient_Safety/RO-ILS/2016YIR.pdf. Accessed March 28, 2017.
Choice A:Physicians.
Choice B:Physicists.
Choice C:Therapists.
Choice D:Dosimetrists.
Question 9: According to the study “the utility of safety barriers was highest for those embedded into the pretreatment quality assurance checks performed by:
Reference:The association between event learning and continuous quality improvement programs and culture of patient safety. Mazur et al. Prac. Radiat. Oncol (2015)5, 286-295
Choice A:Pre-treatment quality checks by physics & dosimetry, New start check by therapists.
Choice B:Therapist weekly checks.
Choice C:Physics weekly chart checks.
Choice D:Physics, Dosimetry and therapy weekly checks.
Choice E:Chart rounds.
Question 10: Which of the following resulted in reduction of errors in the MD treatment planning order design?
Reference:Eliminating Inconsistencies in Simulation and Treatment Planning Orders in Radiation Therapy, Santanam et al. Int.J.Radiat Oncol. Phys 2013,85(2),484-491
Choice A:Automation.
Choice B:Standardization.
Choice C:Mandatory fields & Context sensitive logic.
Choice D:Ability to store templates.
Choice E:All of the above.
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