UK Health Security Agency - 2023
The fundamental role of reporting and learning systems is to enhance patient safety by learning from failures of the healthcare system (1). It is imperative errors and near misses are learned from, and effective preventative measures are implemented (2). The Safer Radiotherapy publication series facilitates comparison of locally identified trends
against the national picture. The Patient Safety in Radiotherapy Steering Group (PSRT) recommends implementing learning from this analysis locally. In doing so it is expected that these events might be mitigated in the future
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