Engineering Patient Safety in Radiation Oncology

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Opis: Engineering Patient Safety in Radiation Oncology - Robert Adams, Bhishamjit Chera, Lukasz Mazur

Because radiation is a central curative and palliative therapy for many patients, it is essential to have safe and efficient systems for planning and delivering radiation therapy. Factors such as rapid technological advances, financial reorganization, an aging population, and evolving societal expectations, however, may be compromising our ability to deliver highly reliable and efficient care. Engineering Patient Safety in Radiation Oncology describes proven concepts and examples, borrowed from organizations known for high reliability and value creation, to guide radiation oncology centers towards achieving patient safety and quality goals. It portrays the authors' efforts at the University of North Carolina to address the challenges of keeping patients safe while continuously improving care delivery processes. * Reviews past and current challenges of patient safety issues within radiation oncology * Provides an overview of best practices from high reliability organizations * Explains how to optimize workplaces and work processes to minimize human error * Offers methods for engaging and respecting people during their transition to safety mindfulness Requiring no prior knowledge of high reliability and value creation, the book is divided into two parts. Part one introduces the basic concepts, methods, and tools that underlie the authors' approach to high reliability and value creation. In addition, it provides an overview of key safety challenges within radiation oncology. In part two, the authors supply an in-depth account of their journey to high reliability and value creation at the University of North Carolina. This is a timely and important book that speaks from the experiences and the hearts of prominent radiation oncologists who fought for a structure that better serves patient safety. Its starting point is not deficient practitioners or their errors, but instead the realization that 'we put workers into suboptimal environments and then wonder why things go wrong.' In tracing what is responsible for things going wrong, rather than who is responsible, the book examines the organizational, workplace and people levels, taking time to stop and reflect on what works and what doesn't. What makes this book so powerful is that it is not just an argument, but a narrative about the experiences of trying to make this work in a large hospital system. Many who are in similar positions as the authors-as well as those at the receiving or approving ends of their kind of ideas-will quickly recognize the many possibilities, frustrations, twists, turns and elations in the journey toward greater patient safety. -Sidney Dekker, PhD, Professor Safety Innovation Lab, Griffith University, and Royal Children's Hospital, Brisbane, Australia The solution to risky complexity lies in simple processes, teamwork, repetition, verification, and a culture of safety. These authors bring a much needed framework to the increasingly complex and dangerous field of radiation therapy. -Anthony L. Zietman, MD FASTRO, Jenot W. and William U. Shipley Professor of Radiation Oncology, Department of Radiation Oncology, Harvard Medical School; Associate Director, Radiation Oncology Residency Program, Massachusetts General Hospital With his signature common sense approach and clarity of purpose, Larry Marks and his team have produced a new must-read addition to the canon of radiation oncology literature. As recognized experts in the field, they have created a living laboratory for quality improvement in the UNC Department of Radiation Oncology that now serves as a leading exemplar of a workplace culture of safety. This book provides a blueprint for how to emulate their success and should be read by radiation oncologists, radiation oncology residents, medical physicists, radiation therapists, radiation therapy nurses, dosimetrists, radiation oncology department managers, and anyone else who is involved in the care of patients receiving any form of radiation therapy. In fact, anyone studying the burgeoning new discipline of the science of patient safety will find not only an excellent review of basic principles but also many wonderful case study-type practical examples of applied patient safety science. -Brian D Kavanagh, MD, MPH, FASTRO, Professor, Vice-chairman, Clinical Practice Director, Department of Radiation Oncology, University of Colorado School of Medicine The new textbook Engineering Patient Safety in Radiation Oncology by Marks and Mazur is a very interesting textbook that covers key aspects of safety for radiation medicine professionals. Section I, chapters 1-3, sets the scene with background on radiation oncology and a detailed discussion of high reliability organizations. Section II, chapters 4-8, begins with an in-depth presentation of change management at the organizational, workplace, and people levels. This is followed by research aspects of patient safety including future possible research directions related to patient safety in radiation oncology for interested academicians. The book draws on years of academic and practical experience of the authors. Many examples are taken out of the authors' clinical experience, which makes this textbook required reading for practicing clinicians interested in improving safety for their patients. The text is clear and concise making the concepts accessible to all members of the radiation oncology team. Both basic and advanced concepts are covered in detail with practical examples. Anyone interested in learning about safety in radiation oncology or moving the safety knowledge to the advanced level should read this book. Even radiation oncology safety experts will benefit from the authors' experience shared in Engineering Patient Safety in Radiation Oncology. -Todd Pawlicki, PhD, FAAPM, Professor and Vice-Chair of Medical Physics, Division Director, Department of Radiation Medicine and Applied Sciences, University of California, San Diego The safe delivery of high-quality radiation treatment for cancer patients relies on a multidisciplinary team of highly skilled professionals performing complex tasks in a technology-rich, yet patient friendly and compassionate environment. This outstanding book provides a comprehensive overview of cultural, leadership, organizational and systematic issues and challenges while offering sound, practical, industrial engineering based approaches to optimizing the delivery of radiation. This must read book for anyone on the radiation oncology team not only promotes a culture of the safe delivery of radiation, but demonstrates the potential barriers and offers practical, reproducible long term solutions. It demonstrates the importance of embracing the concept of patient safety mindfulness throughout the entire organizational structure. The book provides a unique perspective as to how human behavior, leadership styles, and the workplace environment contribute to the culture of safety in radiation oncology, and most importantly insights as to how to modify these factors to optimize and reliably deliver high quality safe radiation treatment. Organizational leaders, hospital/health care administrators, and all of the professionals involved in the specialty of radiation oncology will benefit from the messages delivered in this practical book. The book provides practical and reliable solutions to manage effective processes and communication in the safe delivery of quality radiation therapy. -Bruce G. Haffty, MD, Professor and Chair, Dept. Radiation Oncology, Rutgers, Cancer Institute of New Jersey; Robert Wood Johnson Medical School, New Jersey Medical School The book demonstrates a critical point in maintaining a culture of safety in the delivery of radiation-the requirement that a culture of safety depends not only on technical and procedural factors, but attention to infrastructure, attitude, human and environmental factors. Driven by rapidly evolving technology, increasing demand for services and new treatment An Introduction and Guide to This Book Learning Objectives A Brief Overview of the Safety Challenges Within Radiation Oncology The Focus of Safety Initiatives on Technical/ Education versus Organizational/Workplace/ Behavioral Issues The Challenge in Promoting Safety in Radiation Oncology: Lessons from High-Reliability and Value Creation Organizations Organizational Level Leadership Culture of Safety Improvement Cycles Workplace Level Human Factors Engineering People Level Safety Mindfulness References Broad Overview of "Past" and "Current" Challenges of Patient Safety Issues in Radiation Oncology Learning Objectives Brief Introduction to Radiation Therapy Processes Rates and Types of Events Reported and the Need for Better Reporting Population/Registry Data Institutional Data Type of Events The Need for Better Reporting The Changing Practice of Radiation Oncology 2D to 3D to IMRT 2D to 3D 3D to IMRT Reliance on Image Segmentation Collisions Evolving Role of the Radiation Therapists Image-Guided Therapy and Tighter Margins Time Demands/Expectations Increased Time Demands of the Changing Work Flow Addressing Expectations Shorter Treatment Schedules Additional Factors that Affect Medicine/Society More Broadly Electronic Health Records Sicker Patients Combined-Modality Therapy Guidelines Societal Expectations Administrative Concerns Summary References Best Practices from High-Reliability and Value Creation Organizations: Their Application to Radiation Oncology Learning Objectives High Reliability and Value Creation Normal Accident Theory Linear versus Interactively Complex Systems Loosely Coupled versus Tightly Coupled Systems How Complexity and Coupling Are Related to Risk? Applying These Constructs to Radiation Oncology An Additional Sobering Realization: Feta vs. Swiss Cheese A Related Construct: Mechanical-Based versus Software-Based World High-Reliability Organization Theory Broad Overview of Our Application of These High-Reliability and Value Creation Concepts to Radiation Oncology Organizational Level Leadership Style and Behaviors Infrastructure for Culture of Safety Improvement Cycles Workplace Level Hierarchy of Effectiveness Standardization Workload and Situational Awareness Electronic Health Records People Level Transitioning People to Safety Mindfulness Transitioning from Quick Fixing to Initiating Developing Enhancing Behavior Beyond Formal Leaders: Who Does All of This Apply to? References Driving Change at the Organizational Level Learning Objectives Larry's Personal Reflection: A Selfish Desire for Order and Reliability Order and Reliability Rediscovering Human Factors Engineering Getting Started at the University of North Carolina Timing and Serendipity Reliability versus Autonomy Altruism versus Selfishness Promoting High Reliability and Value Creation Promoting a Leadership Infrastructure for Formal Improvement Activities Promoting a Process Infrastructure for Formal Improvement Activities Promoting High Reliability and Value Creation by Leadership Actions If We Could Do It Over Again Summary References Driving Change at the Workplace Level Learning Objectives Creating Safe and Efficient Environments: Two Critical Core Concepts Human Factors Engineering Hierarchy of Effectiveness Moving Processes to the "Top" of the Hierarchy of Effectiveness: Examples Applying Automation and Forcing Functions Consistent Naming of Radiation Treatment Plans Goal Sheets Pacemaker, Pregnancy, Prior Radiation Detailed Simulation Instructions Patient Self-Registration Encouraging Staff to Wear Their UNC ID Badges Moving Processes "Up" the Hierarchy of Effectiveness: Examples of Applying Standardization Defining a Standard Way for Communication Regarding Patient Status in Our "Holding Area" Standard Work Space for Providers (the "Physician Cockpit") Standardizing/Clarifying Clinic Cross Coverage Electronic Templates Moving Processes Onto the Hierarchy of Effectiveness: Examples of Applying Policy/Procedures and Training/Education Workplace Changes Intended to Facilitate Desired Behaviors and Outcomes Monitors in the Treatment Room Maze to Facilitate Patient Self-Identification Communication among Staff and between Patients and Staff Patient Discharge Instructions in the Rooms Color Coding Supplies in the Nursing Room Retrieving the Self-Registration Cards from Patients at the End of Therapy (to Prevent Them from Trying to Use Them at a Follow-up Visit) Lobby versus Waiting Room Mirrors in Hallways to Prevent Collision Example Changes Aimed to Improve Workload and Reduce Stressors HDR Brachytherapy Workload Reducing the Frequency and Sources of Stressors "Going Paperless": Example Changes Instigated by Our Adoption of a Radiation Oncology Electronic Health Record System Clinic Work Flow Using Electronic Work Lists to Help Track Work Flow and Tasks Summary References Driving Change at the People Level Learning Objectives People Level The Importance of "People" Formalizing People-Driven Quality Initiatives: A3 Thinking and Plan-Do-Study-Act Training Coaching Approval Process and Implementation Sustainability Visual Management Rewards and Recognition Challenges with the A3 Program Ordering Laboratory Studies Coordinating Chemotherapy Encouraging People to Report "Good Catches" Integration of Good Catch and A3 Programs: Case Study with Common Challenges Patient Safety Culture: Our People's Perception of Organizational Culture Safety Mindfulness, Behaviors, and Decision Making Transforming Quick Fixing Behaviors to Initiating Behaviors Reducing Expediting Behaviors Transforming Conforming Behaviors to Enhancing Behaviors Initiatives Aimed to Promote Safety Mindfulness...196 Departmental, Clinical Team, and Physics/Dosimetry Huddles Safety Rounds Daily Metric Physicist of the Day (POD) and Doctor of the Day (DOD) Patient Engagement Summary References Research Learning Objectives Background Workload during Information Processing Factors Influencing Workload Research Endpoints and Broad Overview of Results Research Performed in the Clinical Environment Subjective Evaluation of Mental Workload Relationship between Mental Workload and Performance Stressors Research Performance in the Simulated Environment Subjective Evaluation of Mental Workload Objective Evaluation of Mental Workload Planned Future Research on Workload and Performance "Laundry List" of Potential Research Projects Personal Transformation to Safety Mindfulness Leadership Style and Behaviors Plan, Do, Study, Act (PDSA) Facility and Work Space Design Interface Design and Usability Lessons from Computer Science and UNC's Experience with Our Treatment-Planning Software Lessons from Advertising and Education: Comprehension Capitalization Color Figure Labeling Context The Need for Rapid Action References Conclusion Summary of the Book Context of the Book Concluding Remarks References Glossary Appendix Index


Szczegóły: Engineering Patient Safety in Radiation Oncology - Robert Adams, Bhishamjit Chera, Lukasz Mazur

Tytuł: Engineering Patient Safety in Radiation Oncology
Autor: Robert Adams, Bhishamjit Chera, Lukasz Mazur
Producent: Apple
ISBN: 9781482233643
Rok produkcji: 2015
Ilość stron: 312
Oprawa: Twarda
Waga: 0.57 kg


Recenzje: Engineering Patient Safety in Radiation Oncology - Robert Adams, Bhishamjit Chera, Lukasz Mazur

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Engineering Patient Safety in Radiation Oncology

, ,

  • Producent: Apple
  • Oprawa: Twarda

Because radiation is a central curative and palliative therapy for many patients, it is essential to have safe and efficient systems for planning and delivering radiation therapy. Factors such as rapid technological advances, financial reorganization, an aging population, and evolving societal expectations, however, may be compromising our ability to deliver highly reliable and efficient care. Engineering Patient Safety in Radiation Oncology describes proven concepts and examples, borrowed from organizations known for high reliability and value creation, to guide radiation oncology centers towards achieving patient safety and quality goals. It portrays the authors' efforts at the University of North Carolina to address the challenges of keeping patients safe while continuously improving care delivery processes. * Reviews past and current challenges of patient safety issues within radiation oncology * Provides an overview of best practices from high reliability organizations * Explains how to optimize workplaces and work processes to minimize human error * Offers methods for engaging and respecting people during their transition to safety mindfulness Requiring no prior knowledge of high reliability and value creation, the book is divided into two parts. Part one introduces the basic concepts, methods, and tools that underlie the authors' approach to high reliability and value creation. In addition, it provides an overview of key safety challenges within radiation oncology. In part two, the authors supply an in-depth account of their journey to high reliability and value creation at the University of North Carolina. This is a timely and important book that speaks from the experiences and the hearts of prominent radiation oncologists who fought for a structure that better serves patient safety. Its starting point is not deficient practitioners or their errors, but instead the realization that 'we put workers into suboptimal environments and then wonder why things go wrong.' In tracing what is responsible for things going wrong, rather than who is responsible, the book examines the organizational, workplace and people levels, taking time to stop and reflect on what works and what doesn't. What makes this book so powerful is that it is not just an argument, but a narrative about the experiences of trying to make this work in a large hospital system. Many who are in similar positions as the authors-as well as those at the receiving or approving ends of their kind of ideas-will quickly recognize the many possibilities, frustrations, twists, turns and elations in the journey toward greater patient safety. -Sidney Dekker, PhD, Professor Safety Innovation Lab, Griffith University, and Royal Children's Hospital, Brisbane, Australia The solution to risky complexity lies in simple processes, teamwork, repetition, verification, and a culture of safety. These authors bring a much needed framework to the increasingly complex and dangerous field of radiation therapy. -Anthony L. Zietman, MD FASTRO, Jenot W. and William U. Shipley Professor of Radiation Oncology, Department of Radiation Oncology, Harvard Medical School; Associate Director, Radiation Oncology Residency Program, Massachusetts General Hospital With his signature common sense approach and clarity of purpose, Larry Marks and his team have produced a new must-read addition to the canon of radiation oncology literature. As recognized experts in the field, they have created a living laboratory for quality improvement in the UNC Department of Radiation Oncology that now serves as a leading exemplar of a workplace culture of safety. This book provides a blueprint for how to emulate their success and should be read by radiation oncologists, radiation oncology residents, medical physicists, radiation therapists, radiation therapy nurses, dosimetrists, radiation oncology department managers, and anyone else who is involved in the care of patients receiving any form of radiation therapy. In fact, anyone studying the burgeoning new discipline of the science of patient safety will find not only an excellent review of basic principles but also many wonderful case study-type practical examples of applied patient safety science. -Brian D Kavanagh, MD, MPH, FASTRO, Professor, Vice-chairman, Clinical Practice Director, Department of Radiation Oncology, University of Colorado School of Medicine The new textbook Engineering Patient Safety in Radiation Oncology by Marks and Mazur is a very interesting textbook that covers key aspects of safety for radiation medicine professionals. Section I, chapters 1-3, sets the scene with background on radiation oncology and a detailed discussion of high reliability organizations. Section II, chapters 4-8, begins with an in-depth presentation of change management at the organizational, workplace, and people levels. This is followed by research aspects of patient safety including future possible research directions related to patient safety in radiation oncology for interested academicians. The book draws on years of academic and practical experience of the authors. Many examples are taken out of the authors' clinical experience, which makes this textbook required reading for practicing clinicians interested in improving safety for their patients. The text is clear and concise making the concepts accessible to all members of the radiation oncology team. Both basic and advanced concepts are covered in detail with practical examples. Anyone interested in learning about safety in radiation oncology or moving the safety knowledge to the advanced level should read this book. Even radiation oncology safety experts will benefit from the authors' experience shared in Engineering Patient Safety in Radiation Oncology. -Todd Pawlicki, PhD, FAAPM, Professor and Vice-Chair of Medical Physics, Division Director, Department of Radiation Medicine and Applied Sciences, University of California, San Diego The safe delivery of high-quality radiation treatment for cancer patients relies on a multidisciplinary team of highly skilled professionals performing complex tasks in a technology-rich, yet patient friendly and compassionate environment. This outstanding book provides a comprehensive overview of cultural, leadership, organizational and systematic issues and challenges while offering sound, practical, industrial engineering based approaches to optimizing the delivery of radiation. This must read book for anyone on the radiation oncology team not only promotes a culture of the safe delivery of radiation, but demonstrates the potential barriers and offers practical, reproducible long term solutions. It demonstrates the importance of embracing the concept of patient safety mindfulness throughout the entire organizational structure. The book provides a unique perspective as to how human behavior, leadership styles, and the workplace environment contribute to the culture of safety in radiation oncology, and most importantly insights as to how to modify these factors to optimize and reliably deliver high quality safe radiation treatment. Organizational leaders, hospital/health care administrators, and all of the professionals involved in the specialty of radiation oncology will benefit from the messages delivered in this practical book. The book provides practical and reliable solutions to manage effective processes and communication in the safe delivery of quality radiation therapy. -Bruce G. Haffty, MD, Professor and Chair, Dept. Radiation Oncology, Rutgers, Cancer Institute of New Jersey; Robert Wood Johnson Medical School, New Jersey Medical School The book demonstrates a critical point in maintaining a culture of safety in the delivery of radiation-the requirement that a culture of safety depends not only on technical and procedural factors, but attention to infrastructure, attitude, human and environmental factors. Driven by rapidly evolving technology, increasing demand for services and new treatment An Introduction and Guide to This Book Learning Objectives A Brief Overview of the Safety Challenges Within Radiation Oncology The Focus of Safety Initiatives on Technical/ Education versus Organizational/Workplace/ Behavioral Issues The Challenge in Promoting Safety in Radiation Oncology: Lessons from High-Reliability and Value Creation Organizations Organizational Level Leadership Culture of Safety Improvement Cycles Workplace Level Human Factors Engineering People Level Safety Mindfulness References Broad Overview of "Past" and "Current" Challenges of Patient Safety Issues in Radiation Oncology Learning Objectives Brief Introduction to Radiation Therapy Processes Rates and Types of Events Reported and the Need for Better Reporting Population/Registry Data Institutional Data Type of Events The Need for Better Reporting The Changing Practice of Radiation Oncology 2D to 3D to IMRT 2D to 3D 3D to IMRT Reliance on Image Segmentation Collisions Evolving Role of the Radiation Therapists Image-Guided Therapy and Tighter Margins Time Demands/Expectations Increased Time Demands of the Changing Work Flow Addressing Expectations Shorter Treatment Schedules Additional Factors that Affect Medicine/Society More Broadly Electronic Health Records Sicker Patients Combined-Modality Therapy Guidelines Societal Expectations Administrative Concerns Summary References Best Practices from High-Reliability and Value Creation Organizations: Their Application to Radiation Oncology Learning Objectives High Reliability and Value Creation Normal Accident Theory Linear versus Interactively Complex Systems Loosely Coupled versus Tightly Coupled Systems How Complexity and Coupling Are Related to Risk? Applying These Constructs to Radiation Oncology An Additional Sobering Realization: Feta vs. Swiss Cheese A Related Construct: Mechanical-Based versus Software-Based World High-Reliability Organization Theory Broad Overview of Our Application of These High-Reliability and Value Creation Concepts to Radiation Oncology Organizational Level Leadership Style and Behaviors Infrastructure for Culture of Safety Improvement Cycles Workplace Level Hierarchy of Effectiveness Standardization Workload and Situational Awareness Electronic Health Records People Level Transitioning People to Safety Mindfulness Transitioning from Quick Fixing to Initiating Developing Enhancing Behavior Beyond Formal Leaders: Who Does All of This Apply to? References Driving Change at the Organizational Level Learning Objectives Larry's Personal Reflection: A Selfish Desire for Order and Reliability Order and Reliability Rediscovering Human Factors Engineering Getting Started at the University of North Carolina Timing and Serendipity Reliability versus Autonomy Altruism versus Selfishness Promoting High Reliability and Value Creation Promoting a Leadership Infrastructure for Formal Improvement Activities Promoting a Process Infrastructure for Formal Improvement Activities Promoting High Reliability and Value Creation by Leadership Actions If We Could Do It Over Again Summary References Driving Change at the Workplace Level Learning Objectives Creating Safe and Efficient Environments: Two Critical Core Concepts Human Factors Engineering Hierarchy of Effectiveness Moving Processes to the "Top" of the Hierarchy of Effectiveness: Examples Applying Automation and Forcing Functions Consistent Naming of Radiation Treatment Plans Goal Sheets Pacemaker, Pregnancy, Prior Radiation Detailed Simulation Instructions Patient Self-Registration Encouraging Staff to Wear Their UNC ID Badges Moving Processes "Up" the Hierarchy of Effectiveness: Examples of Applying Standardization Defining a Standard Way for Communication Regarding Patient Status in Our "Holding Area" Standard Work Space for Providers (the "Physician Cockpit") Standardizing/Clarifying Clinic Cross Coverage Electronic Templates Moving Processes Onto the Hierarchy of Effectiveness: Examples of Applying Policy/Procedures and Training/Education Workplace Changes Intended to Facilitate Desired Behaviors and Outcomes Monitors in the Treatment Room Maze to Facilitate Patient Self-Identification Communication among Staff and between Patients and Staff Patient Discharge Instructions in the Rooms Color Coding Supplies in the Nursing Room Retrieving the Self-Registration Cards from Patients at the End of Therapy (to Prevent Them from Trying to Use Them at a Follow-up Visit) Lobby versus Waiting Room Mirrors in Hallways to Prevent Collision Example Changes Aimed to Improve Workload and Reduce Stressors HDR Brachytherapy Workload Reducing the Frequency and Sources of Stressors "Going Paperless": Example Changes Instigated by Our Adoption of a Radiation Oncology Electronic Health Record System Clinic Work Flow Using Electronic Work Lists to Help Track Work Flow and Tasks Summary References Driving Change at the People Level Learning Objectives People Level The Importance of "People" Formalizing People-Driven Quality Initiatives: A3 Thinking and Plan-Do-Study-Act Training Coaching Approval Process and Implementation Sustainability Visual Management Rewards and Recognition Challenges with the A3 Program Ordering Laboratory Studies Coordinating Chemotherapy Encouraging People to Report "Good Catches" Integration of Good Catch and A3 Programs: Case Study with Common Challenges Patient Safety Culture: Our People's Perception of Organizational Culture Safety Mindfulness, Behaviors, and Decision Making Transforming Quick Fixing Behaviors to Initiating Behaviors Reducing Expediting Behaviors Transforming Conforming Behaviors to Enhancing Behaviors Initiatives Aimed to Promote Safety Mindfulness...196 Departmental, Clinical Team, and Physics/Dosimetry Huddles Safety Rounds Daily Metric Physicist of the Day (POD) and Doctor of the Day (DOD) Patient Engagement Summary References Research Learning Objectives Background Workload during Information Processing Factors Influencing Workload Research Endpoints and Broad Overview of Results Research Performed in the Clinical Environment Subjective Evaluation of Mental Workload Relationship between Mental Workload and Performance Stressors Research Performance in the Simulated Environment Subjective Evaluation of Mental Workload Objective Evaluation of Mental Workload Planned Future Research on Workload and Performance "Laundry List" of Potential Research Projects Personal Transformation to Safety Mindfulness Leadership Style and Behaviors Plan, Do, Study, Act (PDSA) Facility and Work Space Design Interface Design and Usability Lessons from Computer Science and UNC's Experience with Our Treatment-Planning Software Lessons from Advertising and Education: Comprehension Capitalization Color Figure Labeling Context The Need for Rapid Action References Conclusion Summary of the Book Context of the Book Concluding Remarks References Glossary Appendix Index

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Cena 191,00 PLN
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Szczegóły: Engineering Patient Safety in Radiation Oncology - Robert Adams, Bhishamjit Chera, Lukasz Mazur

Tytuł: Engineering Patient Safety in Radiation Oncology
Autor: Robert Adams, Bhishamjit Chera, Lukasz Mazur
Producent: Apple
ISBN: 9781482233643
Rok produkcji: 2015
Ilość stron: 312
Oprawa: Twarda
Waga: 0.57 kg


Recenzje: Engineering Patient Safety in Radiation Oncology - Robert Adams, Bhishamjit Chera, Lukasz Mazur

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