Exam 2

Question 1

Asking a co-workerm “Mr. Smith treatment is being delayed by a week per the physician, is that correct?” is an example of:

• Expectation bias
• Human factor engineering
• peer review
• quality assurance

Answer 1

Peer review

Question 2

Asking a patient their name and date of birth as well as treatment site before any treatment procedure is an example of:

• Expectation bias
• Confirmation bias
• a good catch
• standard work procedure

Answer 2

standard work procedure

Question 3

Physics machine QAS must be performed:

1. Initially after acceptance
2. Monthly
3. Directly after a repair is made

Answer 3

All of the above

Question 4

______ is a key performance indicator that measures the performance within a department. Results can yield where room for improvements exists and where a department excels.

Answer 4

Operational Metrics

Question 5

Dosimetry is sometimes required to create comparison plans to show insurance companies that it is medically necessary to treat a patient with a specific treatment technique

Answer 5

True

Question 6

Pick one example of a human factor error and explain how it could contribute to a potential event in a radiation oncology department. (List the error and apply it to a scenario)

Answer 6

Lack of knowledge, therapist not knowing how to use calipers and creating wrong dosage, depth and distance

Question 7

A medical reportable event must be submitted when the administration of a dose for therapy identified in a written directive that differed from the prescribed dose for the treatment site or any other organ from the intended prescribed dose by one of the following:

• More than 20% of the total prescribed dose
• exceeds 30% of the weekly prescribed dose
• exceeds 50% of a single fraction dose of a multi-fraction plan
• exceeds 10% of a single fraction treatment

Answer 7

top 3

Question 8

a set of values, beliefs and artifacts allowing workers to feel comfortable in raising concerns about safety, efficiency, quality and reliability without concern of retaliation/reprimand is

Answer 8

culture of safety

Question 9

a physician intent was to treat a breast patient with 266 cGy for 15 fractions. before the dosimetrist started planning, she did not check the prescription. she used 200 cGy for 20 fractions to plan. The mistake was caught early and rectified. This is an example of:

Answer 9

Confirmation bias

Question 10

Requiring a radiation prescription and signed consent before bringing any patient in for simulation is an example of:

• Confirmation Bias
• clear policies and procedures
• a delay in patient treatment
• expectation bias

Answer 10

clear policies and procedures

Question 11

When a medical reportable event occurs, the department of environmental protection requires

Answer 11

notice within 24 hours of discovery and a written report within 15 days