Percorrer por autor "Geao, Ana"
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- Incident learning systems to improve patient safety in nuclear medicine across Europe: results of the MARLIN studyPublication . Prieto, Carlos; Geao, Ana; Nekolla, Stephan G.; Mille, Erik Björn; Israel, Ora; Brusadin, Gianfranco; Andersson, Jonas; Kearney, Maeve; Rogers, Andy; Akata, Deniz; Pourel, Nicolas; Paulo, Graciano; Pellerin, Olivier; Hallinan, Barry; Hierath, Monika; Peld, Nathan; Kelly, ColinPurpose: To enhance patient safety in nuclear medicine (NM) across Europe by operationalising MARLIN recommendations for implementing incident learning systems (ILSs), including barriers/enablers and practical implementation guidance. Methods: A mixed‑methods study (combining a survey, semi‑structured interviews, and a targeted literature review) was performed within the MARLIN project. This was a 24‑month initiative conducted under the European Commission's Strategic Agenda for Medical Ionising Radiation Applications (SAMIRA) Action Plan, involving European organisations such as EANM, EIBIR, ESTRO, and EFOMP. Surveys were distributed to Clinical Facilities (CFs), Competent Authorities (CAs), and professional societies (PSs). Interviews were used to explore implementation barriers and examples of good practice. Data were analysed using descriptive statistics and thematic analysis. Results: The study revealed significant variability in the criteria used to define and report significant radiation events in NM across Europe. While all surveyed countries had designated authorities for managing reported events, only 11 of 23 had specific criteria for NM. The study identified key enablers and barriers to ILS implementation, including the need for a just culture to encourage reporting without fear of punitive measures. The guidelines recommended criteria for significant radiation events in NM and the organisation of ILSs. Conclusion: The MARLIN study provides a comprehensive framework for the systematic implementation of ILSs in NM, highlighting the importance of standardised reporting criteria in several categories, multidisciplinary involvement, and a culture of safety. Addressing the identified barriers and promoting a coordinated effort among stakeholders are crucial for enhancing patient safety in NM across Europe.
- Strengthening incident learning in radiotherapy practice: insights from the MARLIN studyPublication . Prieto, C.; Kelly, C.; Brusadin, G.; Kearney, M.; Pourel, N.; Rogers, A.; Geao, Ana; Akata, D.; Andersson, J.; Paulo, Graciano; Nekolla, S. G.; Mille, E.; Pellerin, O.; Israel, O.; Hallinan, B.; Peld, N.; Hierath, M.Background and purpose: Incident Learning Systems (ILSs) are central to patient safety in radiotherapy, enabling learning from adverse events and near misses. Despite EU regulatory requirements, substantial variability persists across Europe in the implementation and effectiveness of ILSs in radiotherapy. This paper presents radiotherapy-specific recommendations derived from the MARLIN study to support harmonised, risk-informed implementation of ILSs. Methods: The 24-month MARLIN study, conducted under the SAMIRA Action Plan, employed a structured literature review, an online European survey of clinical facilities, competent authorities and professional societies, expert interviews, and a multi-stakeholder consensus workshop. Survey data from 172 respondents in 28 countries were analysed to identify current practices, barriers and enabling factors for ILS implementation in radiotherapy. Results: Although all responding countries reported transposition of the Directive, substantial variability was observed in criteria for reporting significant radiotherapy events, feedback mechanisms and use of international databases. Fear of punitive actions, limited resources, lack of training in incident analysis, and insufficient dissemination of lessons learned were identified as key barriers. External-beam radiotherapy showed more mature ILS implementation than brachytherapy. Findings from the MARLIN study informed recommendations on category-based event classification, radiotherapy-specific taxonomies, multidisciplinary incident-learning committees, and collaboration between clinical facilities, competent authorities, and professional societies. Conclusion: The MARLIN recommendations provide a practical framework to strengthen ILS implementation in radiotherapy, promote a just culture, enhance learning from incidents and support regulatory compliance, ultimately improving patient safety and quality of care across Europe, while the broader RP-208 report extends these principles to all medical fields using ionising radiation, supporting cross-disciplinary harmonisation.