not only maintain patient safety, but aims to improve patient safety within this rapidly evolving and vital service.
References 1.
2.
Berwick D. A promise to learn – a commitment to act. Improving the safety of patients in England. National Advisory Group on the Safety of Patients in England. 2013. Available at https://www government/publications/berwick-review-into-patient-safety (last accessed March 2015).
.gov .gov
.uk/
Public Health England. Radiotherapy errors and near misses: biennial report. (December 2011 – November 2014). Patient Safety in Radiotherapy Steering Group. HMSO, London, 2014. Available at https://www
accessed March 2015).
3. Francis R. Report of the Mid Staffordshire NHS Foundation T Available at www
.gov 4. trust-public-inquiry (last accessed April 2015).
The Scottish Government. Report of an investigation by the Inspector appointed by the Scottish Ministers under Ionising Radiation (Medical Exposure) Regulations – IR(ME)R. 2006. Available at http://www scot/Publications/2006/10/27084909/0 (last accessed March 2015).
.gov
5. Royal College of Radiologists. T of Radiology
.rcr 6. 7. 8. owards Safer Radiotherapy , the Institute of Physics and Engineering in Medicine, the National Patient Safety Agency
the Society and College of Radiographers and The Royal College of Radiologists. 2008. London: RCR. Available at www
.ac.uk/index.asp?PageID=149&PublicationID=281 (last accessed March 2015).
Public Health England. Safer Radiotherapy: quarterly radiotherapy error analysis. Issue 15. HMSO, London 2015. Available at https://www analysis-report (last accessed March 2015).
.gov .gov supplementary-survey-analysis (last accessed March 2015).
The Council of the European Union. Directives. Council Directive 2013/59/Euratom. Official Journal of the European Union. 2014. Available at
http://ec.europa.eu/energy/sites/ener/files/documents/CELEX 32013L0059-EN-
TXT .pdf (last accessed March 2015). - .uk/government/publications/safer-radiotherapy-error-data-
Public Health England. Safer radiotherapy: supplementary survey analysis (report 3): December 2014. HMSO, London, 2014. Available at https://www
.uk/government/publications/safer-radiotherapy- .
. Joint report published by the British Institute ,
It is imperative that radiotherapy error trends continue to be reported, analysed and monitored on a cyclical basis
rust public enquiry . HMSO, London,2013. .uk/government/publications/report-of-the-mid-staffordshire-nhs-foundation-
.uk/government/publications/radiotherapy-errors-and-near-misses-data-report (last
ABOUT THE AUTHOR Helen Best is an experienced Therapeutic Radiographer who joined the Health Protection Agency (HPA), as a Senior Clinical Radiotherapy Officer in November 2012. In 2013 HPA merged into Public Health England, where the work of the radiotherapy team continues. She is Editor of the newsletter Safer Radiotherapy, which disseminates learning from the analysis of radiotherapy errors.
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