Radiation Safety Flashcards

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1
Q

4 types of errors:

A
  1. Diagnostic
  2. Treatment
  3. Preventative
  4. Other
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2
Q

Errors are almost never isolated human errors, they have ___.

A

multiple factors

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3
Q

2 error types:

A
  1. active

2. latent

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4
Q

3 active errors:

A
  1. mistakes
  2. negligence
  3. incompetence
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5
Q

point of contact where error is made, involves frontline personnel – RTTs (treatment), dosimetrist (dose) plan, MD (area) dx, physicist (calibration)

A

active error

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6
Q

failures in design upstream in the process which allow inevitable active errors to cause harm (“setup to fail”)

A

latent error

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7
Q

failures of planned behavior or lapse in concentration; attentional failure
Occur during competing sensory or emotional distractions, fatigue, or stress (type of active error)

A

Slips

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8
Q

failures of memory

Often occur during routine tasks (type of active error)

A

lapses

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9
Q

Incorrect choices, lack of experience, insufficient training, negligence are all ____ mistakes (intentional or unintentional?)

A

unintentional

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10
Q

Violations are ___ mistakes (intentional or unintentional?)

A

intentional

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11
Q

2 types of mistakes

A

1, rule-based errors

2. knowledge-based errors

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12
Q

Misapply a good rule
Misread situation, apply wrong solution
Apply a bad rule
Rule has an undetected flaw are all ___ errors (a type of mistake)

A

rule-based errors

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13
Q

Didn’t notice bolus was not placed is an example of ___

A

skill-based slips and lapse

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14
Q

“I know this patient; I don’t need to read the prescription today.” is an example of a ___

A

rule-based error

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15
Q

Work arounds and lack of attention to the consequences are ___

A

rule-based errors

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16
Q
Society, Cultural, Regulatory Factors
Organization/Management
Team Factors
Environmental Factors
Individual Factors are all \_\_\_\_ errors.
A

latent

17
Q

Motion enable switch on couch pendant

Entering password to acknowledge messages are examples of ___

A

constraints and forcing functions