Radiation Oncology Safety Information System
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ROSIS Publications
Cunningham J, Coffey M, Knöös T, Holmberg O: Radiation Oncology Safety Information System (ROSIS) - Profiles of participants and the first 1074 incident reports. Radiotherapy and Oncology 2010, 97(3):601-607. doi:10.1016/j.radonc.2010.10.023
Cunningham J. Radiation Oncology Safety Information System (ROSIS): A Reporting and Learning System for Radiation Oncology. PhD Thesis. Trinity College Dublin, Ireland, 2011. Click here to download pdf.
Holmberg, O, Cunningham, J, Coffey, M, Knöös, T. ROSIS network. Radiother. Oncol. 2006;81:S125.
Cunningham, J, Coffey, M, Holmberg, O, Knoos, T. A global standard for incident reporting in radiation therapy using the rosis classification system. (ROSIS = Radiation Oncology Safety Information System). Radiother. Oncol. 2007;84:S59.
Cunningham, J, Coffey, M, Holmberg, O, Knöös, T. The ROSIS project. Radiother. Oncol. 2003;68:S78.
Cunningham, J, Coffey, M, Holmberg, O, Knöös, T. ROSIS (Radiation Oncology Safety Information System) Recognising risk, enhancing safety. Radiother. Oncol. 2004;73:S220.
do Carmo Lopes, M. To become an active department in the ROSIS project: process and evaluation. Radiother. Oncol. 2004;73:S220.
Cunningham, J, Coffey, M, Knöös, T, Holmberg, O. Introduction to ROSIS. ROSIS Newsletter 1: Available at: http://www.clin.radfys.lu.se/reports/ROSIS_Newsletter_1_Intro%20to%20ROSIS.pdf; Accessed on 1st July 2009. 2006.
Knöös, T, Holmberg, O, Cunningham, J, Coffey, M. Spotlight on In-vivo dosimetry. ROSIS Newsletter 2: Available at: http://www.clin.radfys.lu.se/reports/ROSIS_Newsletter_2_In_vivo_dosimetry.pdf; Accessed 1st July 2009. 2006.
Coffey, M, Cunningham, J, Knöös, T, Holmberg, O. Spotlight on Patient Identification. ROSIS Newsletter 3: Available at: http://www.clin.radfys.lu.se/reports/ROSIS_Newsletter_3_Patient_identification.pdf; Accessed 1st July 2009. 2006.
Cunningham, J, Holmberg, O, Coffey, M, Knöös, T. Spotlight on Data Transfer. ROSIS Newsletter 4: Available at: http://www.clin.radfys.lu.se/reports/ROSIS_Newsletter_4_Data_Transfer.pdf; Accessed 1st July 2009. 2007.
Cunningham, J, Holmberg, O, Coffey, M, Knöös, T. Spotlight on Record and Verify. ROSIS Newsletter 5: Available at: http://www.clin.radfys.lu.se/reports/ROSIS_Newsletter_5_Record_and_Verify.pdf; Accessed 1st July 2009. 2007.
Cunningham, J, Holmberg, O, Coffey, M, Knöös, T. ROSIS in the Scientific Literature. RoSIS Newsletter 6: Available at: http://www.clin.radfys.lu.se/reports/ROSIS_Newsletter_6_ROSIS_lit.pdf; Accessed 1st July 2009. 2009.
André, L, Aebersold, D, Kann, R, Moeckli, R, Seelentag, W, Wessels, C. www.ROSIS.ch: A Swiss knowledge database of critical incidences. Available at: http://www.sgsmp.ch/2008/Andre-96.pdf; Accessed 1st July 2009.
Cooney, L. An Evaluation of The ROSIS Database and Local Reporting Practice: A Cross-Sectional Survey of ROSIS Users. Division of Radiation Therapy, School of Medicine: Trinity College Dublin. 2007; unpublished.

Other publications where ROSIS is highlighted

ICRP: Preventing accidental exposures from new external beam radiation therapy technologies A Task Group of the International Commission of Radiological Protection has drafted a report on new technologies in radiotherapy and the impact of these on safety in radiotherapy. A number of recommendations are given on how to achieve safer treatment of patients. As a basis for these recommendations, among other items, a number of ROSIS reports are highlighted and referred to. In the main text, reports submitted to ROSIS related to virtual simulation and intra-operative radiotherapy are used to exemplify potential pitfalls with these technologies. In the Appendix, there are many more ROSIS reports exemplifying safety issues involving e.g. record and verify systems, soft wedges, multileaf collimators, computerized treatment planning system tools, imaging for treatment planning and virtual simulation. The draft report is posted on the ICRP website for public consultation until 24 April 2009: http://www.icrp.org/docs/Accidental_exposure_new_RT_techniques.pdf
WHO: Radiotherapy Risk Profile – Technical Manual A risk profile for radiotherapy was developed by the World Health Organisation World Alliance for Patient Safety where an assessment of the extent of harm caused by radiotherapy internationally has been made. When performing an evidence-based review of current practice, ROSIS was utilized as a “major source (N=854) of the recent incidents”. The full report is available online: http://www.who.int/patientsafety/activities/technical/radiotherapy_risk_profile.pdf
The Royal College of Radiologists. Towards Safer Radiotherapy. The Royal College of Radiologists, BCFO(08)1. London. 2008. A multidisciplinary working party, consisting of several organizations in the UK, was set up by the RCR to review safety in radiotherapy and make recommendations to make the treatment safer. ROSIS is mentioned in this report as an example of a “current voluntary reporting system in the UK”. The full report is available online: https://www.rcr.ac.uk/docs/oncology/pdf/Towards_saferRT_final.pdf
Williams, MV. Improving patient safety in radiotherapy by learning from near misses, incidents and errors. British Journal of Radiology 2007;80:297-301.
Williams, MV. Radiotherapy near misses, incidents and errors: Radiotherapy incident at Glasgow. Clinical Oncology 2007;19:1-3.
Ekaette, EU, Lee, RC, Cooke, DL, Kelly, KL, Dunscombe, PB. Risk analysis in radiation treatment: Application of a new taxonomic structure. Radiotherapy and Oncology 2006;80:282-287.
Tylko, K, Blennerhassett, M. How the NHS could better protect the safety of radiotherapy patients. Health Care Risk Rep 2006;12:18-19.
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