From reporting incidents in a radiation therapy department to enterprise risk management (ERM) based on the European Foundation for Quality Management philosophy (EFQM)

摘要

The radiation therapy department (RTD) initiated in2009 a policy of open and transparent reporting ofevents not harming (near incidents) and potentiallyharming patients (incidents and accidents). Thisapproach was immediately followed by theleader’s decision to engage towards the EuropeanFoundation for Quality Management (EFQM) excellencemodel. The EFQM approach structured thejourney of the RTD to enterprise risk management.We intend to demonstrate in the five main fieldsof the EFQM approach (leadership, policy and strategy,people/personnel, partnership and resources,processes), how the journey to continuous improvementin quality and safety did evolve and was acceleratedin RTD. The assessment made by externalevaluators evolved from a minimum of 90 points(basic requirement for level 1 in 2009) to a at least180 points (basic requirement for level 2 in 2011),to reach 400 points in 2013 (270 required forlevel 3 and 450 required for level 4).