Radiation oncology safety information system (ROSIS) : a reporting and learning system for radiation oncology

Abstract

Background and Purpose: Incident reporting is a recognised tool for learning from incidents. The Radiation Oncology Safety Information System (ROSIS) was established in 2001, to collate and share information on incidents and near-incidents in radiotherapy, and to learn from these incidents in the context of departmental infrastructure and procedures. This work describes the development of ROSIS, analyses the data collected in the first five years of the reporting system, defines a classification system for reporting and learning from incidents in radiation oncology, and designs department and incident report forms to incorporate this classification.