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Quality and Safety in Radiation Oncology

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Quality and Safety in Radiation Oncology

SKU# 9781620700747

Implementing Tools and Best Practices for Patients, Providers, and Payers


  • Adam P. Dicker MD, PhD
  • Tim R. Williams MD
  • Eric C. Ford PhD

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Quality and Safety in Radiation Oncology provides an authoritative and evidence-based guide to the understanding and implementation of quality and safety procedures in radiation oncology practice. A detailed exploration and review of these standards is a necessary part of a radiation oncology professional’s competency, both in the clinical setting and at the study table while preparing for board review and MOC exams. This book is also essential for other members of the radiotherapy team, including for medical physicists implementing procedures and working with wide-ranging technologies and equipment and for dosimetrists and radiation therapists tailoring and carrying out safe and effective treatment plans.

Chapter topics range from fundamental concepts of value and quality to specific technical consideration in the commissioning and use of equipment to the use of metrics to measure value. Chapters include perspectives on quality and safety from the patient, third-party payers, as well as from the federal government. Other chapters cover prospective testing of quality, training and education, error identification and analysis, incidence reporting, as well as special technology and procedures, including MRI-guided radiation therapy, proton therapy and stereotactic body radiation therapy (SBRT), quality and safety considerations in resource-limited environments, and more. Physicians, medical physicists, dosimetrists, radiation therapists, nurses, hospital administrators, vendors and other health care professionals will find this resource an invaluable compendium of best practices in radiation oncology.


  • Case examples illustrating best practices and pitfalls
  • Dozens of graphs, tables and figures which help illustrate and quantify the discussion of quality and safety throughout the text
  • Part II covers essential aspects of quality and safety procedures for the medical physicist
  • Includes examples of checklists to support best practices

Product Details 

  • Publication Date August 17, 2016
  • Page Count 352
  • Product Form Paperback / softback
  • ISBN 13 9781620700747

Table of Contents 





Part I. Basic Concepts in Quality, Value, and Safety

Tim R. Williams

1. Introduction to Concepts in Quality, Value, and Safety for Health Care Systems

Tim R. Williams and Alex Bastian

2. Defining Value, American Style

Alex Bastian, Yohan Cho, and Tim R. Williams

3. Defining Value in European Health Care Systems

Alex Bastian, Yohan Cho, and Tim R. Williams

4. Systems Engineering and Process Control

Ajay Kapur and Louis Potters

5. Error Prevention and Risk Management

Suzanne B. Evans and Derek Brown

6. Quality, Value, and the Assessment of New Technology

Ronald C. Chen, James R. Broughman, and Jeff M. Michalski

Part II. Quality in Radiation Physics

Eric C. Ford

7. Equipment and Software: Commissioning From the Quality and Safety Perspective

Indra J. Das and Aaron Andersen

8. Equipment, Software, and Techniques for Quality Assurance

Baozhou Sun and Eric E. Klein

9. Quality Considerations in External Beam Radiotherapy Simulation and Treatment Planning

Eric C. Ford

10. Quality Considerations in Brachytherapy

R. Adam B. Bayliss and Bruce R. Thomadsen

11. Quality Considerations in Proton and Particle Therapy

Brian Winey, Benjamin Clasie, and Yuting Lin

12. Quality Assurance and Verification of Treatment

Bernard L. Jones and Moyed Miften

13. Plan Quality: The Good, the Bad, and the Ugly

Kevin L. Moore

14. Special Procedures and Equipment

H. Harold Li, Michael B. Altman, and H. Omar Wooten

15. Individual Patient-Based Peer Review for Photon and Proton Therapy

Genevieve M. Maquilan, Henry K. Tsai, and Hiral P. Fontanilla

16. Technical Issues of Safety in a Resource-Limited Environment

Mary Coffey and Ola Holmberg

Part III. Quality in the Clinical Practice Setting

Adam P. Dicker

17. Creating a Culture of Safety and Empowerment

Dennis R. Delisle and Nicholas A. Thompson

18. Clinical Testing of Quality and Safety Measures

Kevin L. Moore and Arno J. Mundt

19. Quality and Safety Training in Graduate Medical Education

Erin F. Gillespie, Derek Brown, and Arno J. Mundt

20. Training: How to Teach Quality and Safety

Laura A. Doyle, Amy S. Harrison, and Yan Yu

21. Making Metrics Matter

Amy S. Harrison, Laura A. Doyle, and Yan Yu

22. The Patient Perspective on Quality and the Role of the Patient in Safety

Suzanne B. Evans and Sharon Rogers

23. The Impact of Incidents: Reporting, Investigating, and Improving

Jennifer L. Johnson and Suzanne B. Evans

24. Medical Error Disclosure

John Banja and Suzanne B. Evans

25. Error Identification and Analysis

Yan Yu, Laura A. Doyle, and Amy S. Harrison

26. Introduction and History of Patient Safety Organizations: The Formation of a National Safety Program

Tom Piotrowski

27. Quality Assurance and Safety Requirements for Clinical Trials

Ying Xiao, Stephen F. Kry, and David S. Followill

28. Incident Learning Systems

Gary Ezzell, Stephanie Terezakis, and Courtney Buckey

29. Quality and the Role of the Dosimetrist and Therapist in Radiation Oncology

Joumana Dekmak and Kathy Lash

30. Quality and the Electronic Medical Record in Radiation Oncology

James Mechalakos and Sonja Dieterich

31. Quality and the Third-Party Payer

Heather A. Curry

Appendix: Quality Assurance and Patient Safety Checklists

Checklist for Peer Review Paper

External Beam Plan Checklist

Plan Checks and Pretreatment Physics Quality Assurance Checks

Checklist for Stereotactic Body Radiation Therapy Treatment

Time Out Checklist

Checklist of a Gamma Knife Perfexion Daily Quality Assurance Example

Checklist for Treatment Day Quality Assurance of Perfexion

Checklist for Gamma Knife Perfexion Pretreatment

Checklist for Treatment Delivery Quality Assurance of Perfexion Patients

Checklist for Gammamed HDR Treatment

Checklist for Commissioning


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