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Incident learning systems to improve patient safety in nuclear medicine across Europe: results of the MARLIN study

2026-05-30Artigo científico Acesso embargado
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datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorPrieto, Carlos
dc.contributor.authorGeao, Ana
dc.contributor.authorNekolla, Stephan G.
dc.contributor.authorMille, Erik Björn
dc.contributor.authorIsrael, Ora
dc.contributor.authorBrusadin, Gianfranco
dc.contributor.authorAndersson, Jonas
dc.contributor.authorKearney, Maeve
dc.contributor.authorRogers, Andy
dc.contributor.authorAkata, Deniz
dc.contributor.authorPourel, Nicolas
dc.contributor.authorPaulo, Graciano
dc.contributor.authorPellerin, Olivier
dc.contributor.authorHallinan, Barry
dc.contributor.authorHierath, Monika
dc.contributor.authorPeld, Nathan
dc.contributor.authorKelly, Colin
dc.date.accessioned2026-06-25T08:36:14Z
dc.date.available2026-06-25T08:36:14Z
dc.date.issued2026-05-30
dc.descriptionThis project has received funding from the European Commission under Service Contract No. ENER/2022/NUCL/SI2.880751.
dc.description.abstractPurpose: 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.eng
dc.description.sponsorshipThis project has received funding from the European Commission under Service Contract No. ENER/2022/NUCL/SI2.880751.
dc.identifier.citationPrieto C, Geao A, Nekolla SG, Mille EB, Israel O, Brusadin G, Andersson J, et al. Incident learning systems to improve patient safety in nuclear medicine across Europe: results of the MARLIN study. Eur J Nucl Med Mol Imaging. 2026 May 30. Epub ahead of print.
dc.identifier.doi10.1007/s00259-026-07973-5
dc.identifier.issn1619-7070
dc.identifier.issn1619-7089
dc.identifier.urihttp://hdl.handle.net/10400.21/22922
dc.language.isoeng
dc.peerreviewedyes
dc.publisherSpringer Science and Business Media LLC
dc.relationEuropean Commission No. ENER/2022/NUCL/SI2.880751
dc.relation.hasversionhttps://link.springer.com/article/10.1007/s00259-026-07973-5
dc.relation.ispartofEuropean Journal of Nuclear Medicine and Molecular Imaging
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectIncident learning system
dc.subjectNuclear medicine
dc.subjectPatient safety
dc.subjectQuality management
dc.subjectRadiation protection
dc.titleIncident learning systems to improve patient safety in nuclear medicine across Europe: results of the MARLIN studyeng
dc.typejournal article
dcterms.referenceshttps://doi.org/10.1007/s00259-026-07973-5
dspace.entity.typePublication
oaire.citation.titleEuropean Journal of Nuclear Medicine and Molecular Imaging
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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