2b15022f-f548-49ed-aa40-864b7f999056 1 Pending 0001-01-01T00:00:00 1000 EUR 2022-11-15T15:00:22.766387 2023-02-27T14:51:42.4117977 175bcd66-6c4d-4b00-9d95-833a2ceb3ab8 2b15022f-f548-49ed-aa40-864b7f999056 a432dd9f-3898-4b0b-b10e-46d9fdbc0164 Dose calculation and plan selection 100 2 9 0001-01-01T00:00:00 2023-02-27T13:33:56.2855499 15a818ad-4484-4658-ba83-bd8ecabce532 175bcd66-6c4d-4b00-9d95-833a2ceb3ab8 Poor plan quality 7 8 10 7 10 f57ea140-ec3a-409d-b592-09f4bdd026f3 2022-11-15T15:00:22.8655781 2023-02-27T12:48:49.414118 2fed817a-8767-4d4a-9a48-c9aefde33805 15a818ad-4484-4658-ba83-bd8ecabce532 bab3a56c-171e-4716-bf37-c9afc89452c8 Prevention 0.01 55fb7088-9cfd-4e70-9956-1147c1553e1d 15a818ad-4484-4658-ba83-bd8ecabce532 8eded8ab-6d36-49fe-8aa8-9bb525513c9e Barrier 1 abbe046b-11b5-4e13-94f2-425d7c1e67df 15a818ad-4484-4658-ba83-bd8ecabce532 e678a4df-cb57-411b-9f64-d1bc9db3f421 Prevention 0.05 73324428-a456-4a65-9e79-0e05802e754f 15a818ad-4484-4658-ba83-bd8ecabce532 Lack of time; poor dose constraints 2022-11-15T15:00:22.8655806 2022-11-15T15:00:22.8655808 560 0 0 true false true 0 0 0 1 35318d3e-0f2a-4532-a836-38ed2a1564ee 175bcd66-6c4d-4b00-9d95-833a2ceb3ab8 Dose computation error 5 10 10 5 10 641fc40e-df31-47e0-8c9f-397d1d9a0e80 2022-11-15T15:00:22.863763 2023-02-27T14:51:01.9356857 5acd23d1-70af-494f-aede-239d3671f8ac 35318d3e-0f2a-4532-a836-38ed2a1564ee 506d3044-3822-4f62-a175-de78cde1b53e Barrier 0.3 9b684459-2f95-4c5c-bb75-85a7de177f26 35318d3e-0f2a-4532-a836-38ed2a1564ee 85c444da-c3d4-4bf4-ab24-3ef70d14130d Barrier 1 fc3f276c-22fb-4fff-9501-90fc4cf96e81 35318d3e-0f2a-4532-a836-38ed2a1564ee a693173a-3cba-4913-a4f7-fc57c4ec443e Prevention 0.002 969cad90-3b99-4e13-bde8-8e28bc6b9ce3 35318d3e-0f2a-4532-a836-38ed2a1564ee 0bb8b05e-2dfe-47d8-8ea2-3cdd980c2bab Prevention 0.2 c7ee3647-f78c-4932-b99e-6f9d618245eb 35318d3e-0f2a-4532-a836-38ed2a1564ee 6e9b758c-deb6-48cf-ab1c-70828c7013d3 Barrier 0.2 776f5c1d-9ce3-490c-893a-f623947d7a4e 35318d3e-0f2a-4532-a836-38ed2a1564ee TPS error; system crash; false base data; high plan modulation; false density overrides 2022-11-15T15:00:22.8637661 2022-11-15T15:00:22.8637663 500 0 0 true true true 0 0 0 5 7d512499-c126-4ed9-b3a8-d90b3f4a6b29 175bcd66-6c4d-4b00-9d95-833a2ceb3ab8 Change of fraction dose 8 8 10 8 10 f57ea140-ec3a-409d-b592-09f4bdd026f3 2022-11-15T15:00:22.8709987 2023-02-27T12:56:04.6812175 0b7a5c17-7558-4a5c-a1b9-80140bd9974a 7d512499-c126-4ed9-b3a8-d90b3f4a6b29 d4dfc4a8-7268-427c-91cc-2d30c52a4064 Prevention 0.02 2e573903-cf2e-4322-be8d-da987ffe64a2 7d512499-c126-4ed9-b3a8-d90b3f4a6b29 2b35c86b-ab95-4efd-b41c-93579804df19 Barrier 1 8c2b4826-2eed-496c-bedd-b84af4a56dcd 7d512499-c126-4ed9-b3a8-d90b3f4a6b29 03ed1f0c-843a-47de-9b35-9535d9fc81be Prevention 0.2 257b3f27-7b7d-4ae7-bf68-896a89d63bc9 7d512499-c126-4ed9-b3a8-d90b3f4a6b29 1760e914-832c-4725-a294-4c84f815e70c Barrier 0.2 3e45f269-f976-49c3-bf3e-df62952aabc5 7d512499-c126-4ed9-b3a8-d90b3f4a6b29 lack of attention due to time pressure 2022-11-15T15:00:22.8710012 2022-11-15T15:00:22.8710015 640 0 0 true true true 0 0 0 3 9f2360bb-f462-40aa-9fb9-665256ab6de8 175bcd66-6c4d-4b00-9d95-833a2ceb3ab8 The old plan is used instead of the optimized one 7 8 10 7 10 f57ea140-ec3a-409d-b592-09f4bdd026f3 2022-11-15T15:00:22.8692053 2023-02-27T12:49:48.3163736 5a4fd537-259c-42c6-88cb-a124bc24e784 9f2360bb-f462-40aa-9fb9-665256ab6de8 76b71d17-e845-49e0-a52a-1b5280772724 Prevention 0.01 5e6a1fda-4eb7-4e51-8054-a330365002f9 9f2360bb-f462-40aa-9fb9-665256ab6de8 989ae729-b478-41fa-bd82-fe2052881250 Barrier 0.05 9c3911ed-839e-4e91-8626-e55a4e5e29ff 9f2360bb-f462-40aa-9fb9-665256ab6de8 7fbf64ab-fec7-4796-9dc1-beb2b609380c Barrier 1 9c79fd0b-c1c4-4155-bc63-1a01b7285f9b 9f2360bb-f462-40aa-9fb9-665256ab6de8 Lack of attention due to time pressure 2022-11-15T15:00:22.8692079 2022-11-15T15:00:22.8692081 560 0 0 true true false 0 0 0 2 c16937df-7168-4604-ae65-8c3b04c6010a 175bcd66-6c4d-4b00-9d95-833a2ceb3ab8 False fraction and/or total dose due to intended prescription change 7 8 10 7 10 f57ea140-ec3a-409d-b592-09f4bdd026f3 2022-11-15T15:00:22.8727983 2023-02-27T13:01:39.3361212 0099a72a-e8c8-479b-9bd2-2c033f92cd89 c16937df-7168-4604-ae65-8c3b04c6010a ebe6063e-f143-4259-80e4-1406138cc1f3 Barrier 1 3d5a67a2-85e2-49b1-99a0-2de86d464ec8 c16937df-7168-4604-ae65-8c3b04c6010a 12cadc99-0619-4627-8a8f-aa435af5cecf Prevention 0.01 42c02bdb-ca0b-4fdb-bc5d-cde644406bb5 c16937df-7168-4604-ae65-8c3b04c6010a 03ed1f0c-843a-47de-9b35-9535d9fc81be Prevention 0.1 82d08ab6-b281-4bfa-b9bf-457d92d48dd7 c16937df-7168-4604-ae65-8c3b04c6010a 1760e914-832c-4725-a294-4c84f815e70c Barrier 0.2 7b361c13-53ed-447b-bf66-5631509b5b37 c16937df-7168-4604-ae65-8c3b04c6010a Lack of attention due to time pressure 2022-11-15T15:00:22.8728009 2022-11-15T15:00:22.8728011 560 0 0 true true true 0 0 0 4 27c11077-b122-4523-89e3-b436874b7fb7 2b15022f-f548-49ed-aa40-864b7f999056 a432dd9f-3898-4b0b-b10e-46d9fdbc0164 Plan Approval 100 2 10 0001-01-01T00:00:00 2022-11-15T15:40:30.6615321 0efc767d-42dc-4333-a6b8-6324ee37b85e 27c11077-b122-4523-89e3-b436874b7fb7 Plan approval without plan QA 7 8 10 7 10 f57ea140-ec3a-409d-b592-09f4bdd026f3 2022-11-15T15:00:22.8886109 2022-11-15T15:00:22.8886112 855411c8-0cba-4417-a5e8-f5e9f3c312b3 0efc767d-42dc-4333-a6b8-6324ee37b85e d7428a6c-0e81-4942-b35e-3426ae9b8fa6 Prevention 0.3 aef980d8-e278-4dd7-9f90-d414d0770197 0efc767d-42dc-4333-a6b8-6324ee37b85e f74f8ee9-7baf-4ba5-8dc8-b60f1c1e31dc Barrier 1 cdaa60f1-403f-404e-a040-ab702bca239e 0efc767d-42dc-4333-a6b8-6324ee37b85e 86353e0c-1cae-4eff-8a4b-ce1dbe05ddd1 Prevention 0.01 ec719de3-81df-45e2-9d9d-c37d5431e5a7 0efc767d-42dc-4333-a6b8-6324ee37b85e 6e9b758c-deb6-48cf-ab1c-70828c7013d3 Barrier 0.2 65da781e-e52e-4337-b125-a601bfe95c25 0efc767d-42dc-4333-a6b8-6324ee37b85e Generic Cause 2022-11-15T15:00:22.8886134 2022-11-15T15:00:22.8886136 560 0 0 true true true 0 0 0 1 33c48394-69fe-4754-b2f4-1145ea9b173f 2b15022f-f548-49ed-aa40-864b7f999056 Simulation 100 1 1 0001-01-01T00:00:00 0001-01-01T00:00:00 1c2cfac6-3553-4a33-81aa-9c4afa46eaf8 33c48394-69fe-4754-b2f4-1145ea9b173f MRI noncompliance due to bad patient selection 9 9 10 9 10 adcc46a2-f5d0-41e2-98ac-85b3b61f5674 2022-11-15T15:00:22.7664961 2023-02-27T09:51:13.7371067 49f2ea50-84de-4596-87d7-4ca74ef1b627 1c2cfac6-3553-4a33-81aa-9c4afa46eaf8 3a35d4d8-088a-4000-ac7b-891516dd83d7 Prevention 0.3 dd4bc203-585b-4100-8c28-47e2b6eb9f62 1c2cfac6-3553-4a33-81aa-9c4afa46eaf8 dcb16293-dc67-440e-a4ce-243679d3a4b4 Barrier 1 de02192f-d53f-4b4b-906e-fbb7e05100d8 1c2cfac6-3553-4a33-81aa-9c4afa46eaf8 79035d0b-7686-41f9-a54a-49ce18253059 Prevention 0.05 8d7e1b59-6a72-448c-9826-8c24cc01cf91 1c2cfac6-3553-4a33-81aa-9c4afa46eaf8 6b91d5ee-305b-4ace-a033-06249955c1fb Barrier 0.2 70adc180-9a5d-409a-ab88-8c2ba96695d6 1c2cfac6-3553-4a33-81aa-9c4afa46eaf8 Suboptimal SOP 2022-11-15T15:00:22.7665012 2022-11-15T15:00:22.7665014 810 0 0 true true true 0 0 0 1 34f76cb7-8f33-403b-b044-3370cec9ade9 2b15022f-f548-49ed-aa40-864b7f999056 a432dd9f-3898-4b0b-b10e-46d9fdbc0164 Re-Optimization 100 2 8 0001-01-01T00:00:00 2022-11-15T15:40:14.3183591 4cb3e87d-ddae-4715-b0f3-f2613463144e 34f76cb7-8f33-403b-b044-3370cec9ade9 TPS re-optimization issues 5 10 8.33 5 8.33 adcc46a2-f5d0-41e2-98ac-85b3b61f5674 2023-02-27T13:16:32.3237882 2023-02-27T14:51:29.8988525 6fd34d21-29f8-414c-a08d-0241e15d6e22 4cb3e87d-ddae-4715-b0f3-f2613463144e 2555c499-61cd-450e-a4f8-ddcca6fafb41 Prevention 0.002 c9c04547-83fc-4b65-a2ff-30ecfd5418f7 4cb3e87d-ddae-4715-b0f3-f2613463144e 72caa862-cc69-444b-a63e-51776e23a49e Barrier 0.29900000000000004 0bda55e1-ce72-4853-9a8b-7e33edf0dfff 4cb3e87d-ddae-4715-b0f3-f2613463144e 25e6965e-4371-4768-a524-068ef13654ba Barrier 0.3 24c7069e-eecd-4d96-874e-dd0772d858fd 4cb3e87d-ddae-4715-b0f3-f2613463144e 506d3044-3822-4f62-a175-de78cde1b53e Barrier 0.3 5093d637-652e-4049-b6e8-ca8b2761e812 4cb3e87d-ddae-4715-b0f3-f2613463144e TPS error or system crash 2023-02-27T13:16:32.3311124 2023-02-27T13:16:32.3311125 416.5 0 0 true true false 0 0 0 3 60341a53-5d30-4c95-8dba-1e655f98f833 34f76cb7-8f33-403b-b044-3370cec9ade9 Suboptimal re-optimization 5 3 10 5 10 d628fa42-e604-45a4-920b-d983890cd782 2022-11-15T15:00:22.861882 2023-02-27T12:41:18.9679712 64582cbf-5416-4a57-8f17-cfd6f1f16413 60341a53-5d30-4c95-8dba-1e655f98f833 34f94780-9562-41e9-afb4-dda5d0d281bd Barrier 1 79ff1984-5e6f-40f1-b0ad-e8770af2d5ca 60341a53-5d30-4c95-8dba-1e655f98f833 b76d5b1f-648d-421f-94b9-40068fc4695d Prevention 0.002 3c1faf1d-32c8-46d5-b2b0-d24d85e269da 60341a53-5d30-4c95-8dba-1e655f98f833 lack of time; missing constraints for relevant OAR; missing contours 2022-11-15T15:00:22.8618844 2022-11-15T15:00:22.8618846 150 0 0 false false false 0 0 0 1 79df2d5c-dea8-4d64-9c1f-ab5328be3906 2b15022f-f548-49ed-aa40-864b7f999056 Treatment Planning 100 1 2 2022-11-15T15:00:22.7685396 2022-11-15T15:00:22.7685403 167e17ce-d322-4049-b622-d229adab56b0 79df2d5c-dea8-4d64-9c1f-ab5328be3906 wrong plan parameter: PTV, CTV & GTV set to deformable 7 8 10 7 10 adcc46a2-f5d0-41e2-98ac-85b3b61f5674 2022-11-15T15:00:22.7725764 2023-02-27T09:35:51.2882613 2a4113c1-61d9-45e2-9b65-be9c1c80d0ba 167e17ce-d322-4049-b622-d229adab56b0 954669d6-4585-461e-80fe-96cf9242773d Prevention 0.1 79a1a56b-7309-4a74-b230-f2c0fd6812ad 167e17ce-d322-4049-b622-d229adab56b0 95f27f48-9294-4914-8b60-36cc76011e13 Prevention 0.01 f7be016d-7234-4640-a920-a37f7f25be54 167e17ce-d322-4049-b622-d229adab56b0 b6d90d32-3ca1-49e8-850d-883251c34cb9 Barrier 1 907111f9-1b1d-4937-a5c0-2ffc30ced952 167e17ce-d322-4049-b622-d229adab56b0 Lack of attention due to stress and heavy workload 2022-11-15T15:00:22.7725796 2022-11-15T15:00:22.7725798 560 0 0 true false true 0 0 0 3 e6b7985d-6dff-4e56-94a8-2e73a6071d74 79df2d5c-dea8-4d64-9c1f-ab5328be3906 ITV or gating boundary wrongly defined 4 9 10 4 10 f57ea140-ec3a-409d-b592-09f4bdd026f3 2022-11-15T15:00:22.7688574 2023-02-27T09:51:39.0037605 67ea041e-6f62-4a58-8a51-4e5055689689 e6b7985d-6dff-4e56-94a8-2e73a6071d74 da8b3e4e-bd3f-4fc3-9951-cd93fbe93f77 Barrier 1 8b02c8b0-4afc-433e-b781-db56cc4ceb40 e6b7985d-6dff-4e56-94a8-2e73a6071d74 629644bd-432f-448f-8926-b631cde5fa85 Prevention 0.001 a5e80d83-624f-4f98-bd09-c683571b5090 e6b7985d-6dff-4e56-94a8-2e73a6071d74 519a8c67-1c1e-4706-b709-853843a18abf Barrier 0.1 3c957dd7-2548-444a-905d-eed3ae52151b e6b7985d-6dff-4e56-94a8-2e73a6071d74 Uncertainty due to target motion 2022-11-15T15:00:22.7689795 2022-11-15T15:00:22.7689804 360 0 0 true true false 0 0 0 1 fd8518ca-e102-4812-bee2-d2f973ba2af9 79df2d5c-dea8-4d64-9c1f-ab5328be3906 wrong plan parameter: electron density from CT not set to “deformable” for adaption 7 6 10 7 10 af29c43c-7b53-4840-9fcb-1d02cd6f44ba 2022-11-15T15:00:22.7708239 2023-02-27T09:34:37.430992 086a3d68-c9a2-4007-ad94-f7505a4534ec fd8518ca-e102-4812-bee2-d2f973ba2af9 a9a69fe6-d6df-4a85-893c-b749e9278cbd Prevention 0.1 40983fd5-9db0-4fd3-b786-31a3cef81ee5 fd8518ca-e102-4812-bee2-d2f973ba2af9 a0263969-e81a-41b2-86cc-1992f0d579f4 Barrier 1 bbdc34f8-c007-4f94-9f18-820c30b49a58 fd8518ca-e102-4812-bee2-d2f973ba2af9 6fc22f50-a38a-4bdb-bbb3-4fa6642dc102 Prevention 0.01 a8979293-a4d9-4096-a95b-b117d2a70ab8 fd8518ca-e102-4812-bee2-d2f973ba2af9 Lack of attention due to stress and work overload 2022-11-15T15:00:22.7708265 2022-11-15T15:00:22.7708267 420 0 0 true false true 0 0 0 2 930e278e-dda7-4591-bc7d-7fe28bbf4a98 2b15022f-f548-49ed-aa40-864b7f999056 a432dd9f-3898-4b0b-b10e-46d9fdbc0164 Gating Target Definition 100 3 6 2022-11-15T15:00:22.8541711 2022-11-15T15:39:23.5375423 25c6f0b2-99cc-42fa-96f4-206bfee37c94 930e278e-dda7-4591-bc7d-7fe28bbf4a98 Target is enlarged in neighbouring slices 4.5 5 10 4.5 10 af29c43c-7b53-4840-9fcb-1d02cd6f44ba 2022-11-15T15:00:22.8524139 2023-02-27T11:16:19.3304887 a669288f-34d7-4260-bd66-fd191bfa9ce5 25c6f0b2-99cc-42fa-96f4-206bfee37c94 13f98aef-f257-4d33-870a-16fa782dfe00 Barrier 1 d1a46a56-7822-43d1-84d5-4a7dc33e11c2 25c6f0b2-99cc-42fa-96f4-206bfee37c94 c71f7c86-8e14-49db-9cbe-43122759251e Prevention 0.0015 e3c8d453-6524-4439-8857-ef524718dc3c 25c6f0b2-99cc-42fa-96f4-206bfee37c94 41d3e04c-d961-4676-875c-ce57790296c4 Prevention 0.3 3b982cfd-eb3b-499b-ba96-80ccd84cbd52 25c6f0b2-99cc-42fa-96f4-206bfee37c94 Generic Cause 2022-11-15T15:00:22.8524167 2022-11-15T15:00:22.8524169 225 0 0 true false true 0 0 0 1 4cc97307-0fe4-447d-a1b8-c2a1a12e7cfc 930e278e-dda7-4591-bc7d-7fe28bbf4a98 Old target is not removed prior to re-contouring 1 1 10 1 10 573f3c04-d306-4b93-9dd1-abc986afadab 2022-11-15T15:00:22.8541949 2023-02-27T11:17:04.1985876 4353b6dd-fa31-4cb6-a3ee-576d016b9e39 4cc97307-0fe4-447d-a1b8-c2a1a12e7cfc 52da9b2a-393d-4477-a3f7-7ce5b3b5f3bc Barrier 1 ecd4eeb3-e931-4036-aa4c-661b8d9c17e3 4cc97307-0fe4-447d-a1b8-c2a1a12e7cfc c6821374-b024-4bcb-96ad-1d66236e793b Prevention 0.0001 b788a2e0-dd52-41c6-a362-1f52cb2be8d6 4cc97307-0fe4-447d-a1b8-c2a1a12e7cfc Lack of attention due to time pressure 2022-11-15T15:00:22.8541974 2022-11-15T15:00:22.8541976 10 0 0 false false false 0 0 0 2 965e1666-d92f-4f2f-a5ce-1e16ccb1a2da 2b15022f-f548-49ed-aa40-864b7f999056 a432dd9f-3898-4b0b-b10e-46d9fdbc0164 Check of Dose Prediction and Adaption Decision 100 3 7 2022-11-15T15:00:22.8568979 2022-11-15T15:39:34.0271413 50f825a9-d027-40b6-bb24-cb73013d8a86 965e1666-d92f-4f2f-a5ce-1e16ccb1a2da Dose constraint violation is carelessly permitted 7 8 10 7 10 f57ea140-ec3a-409d-b592-09f4bdd026f3 2022-11-15T15:00:22.8587306 2023-02-27T12:38:35.8704724 091cc2a7-ecc2-4b57-9005-702fedd4a370 50f825a9-d027-40b6-bb24-cb73013d8a86 8aeada52-cb17-4944-bc41-29680227dc83 Barrier 1 2cd62c9d-9503-41b4-9728-4f5ce1b90b34 50f825a9-d027-40b6-bb24-cb73013d8a86 c7bf3f28-e29b-444f-8f07-f2470ea31f44 Prevention 0.05 7c0a360a-43c0-4496-8df7-d32f7742fdc1 50f825a9-d027-40b6-bb24-cb73013d8a86 89ee3e89-79f6-48d2-9348-65912d26e310 Prevention 0.01 17c386bc-878e-4abb-94a3-5530a26270dd 50f825a9-d027-40b6-bb24-cb73013d8a86 Lack of attention due to time pressure 2022-11-15T15:00:22.8587338 2022-11-15T15:00:22.858734 560 0 0 true false true 0 0 0 3 ae292ae7-c2d2-4181-9814-cae415c624f3 965e1666-d92f-4f2f-a5ce-1e16ccb1a2da No adaption executed due to dose constraint violation oversight 7 8 10 7 10 f57ea140-ec3a-409d-b592-09f4bdd026f3 2022-11-15T15:00:22.8551114 2023-02-27T12:36:59.4370537 0e14c481-f104-4daa-9fb0-a548b6bd372e ae292ae7-c2d2-4181-9814-cae415c624f3 34d25980-32f6-4190-80b0-2bcc14fcfc6a Prevention 0.05 474b9995-1d3c-4571-86e8-bb4c0a97118f ae292ae7-c2d2-4181-9814-cae415c624f3 e68c7fac-1319-4a6e-b561-4aa77b2218bd Prevention 0.01 95a77e5b-3ecf-4766-812f-2beac9b6c014 ae292ae7-c2d2-4181-9814-cae415c624f3 cbe2a779-7327-4028-860a-ae5dbb365cc2 Barrier 1 f0189a9f-2d59-4032-9514-41adfdd670b7 ae292ae7-c2d2-4181-9814-cae415c624f3 Lack of attention due to time pressure 2022-11-15T15:00:22.8551138 2022-11-15T15:00:22.8551141 560 0 0 true false true 0 0 0 1 b5775a97-92d1-4375-b831-5f7a9383fdd9 965e1666-d92f-4f2f-a5ce-1e16ccb1a2da No adaption executed due to hot spot oversight in healthy tissue 7 8 10 7 10 f57ea140-ec3a-409d-b592-09f4bdd026f3 2022-11-15T15:00:22.8569354 2023-02-27T12:37:41.7465739 5ec4894b-8d27-435f-a60d-be17e3aad67f b5775a97-92d1-4375-b831-5f7a9383fdd9 961f3cfd-c50d-4cf5-acf4-a2922db3667e Barrier 1 99409dc3-7b1c-434e-8b4f-df13c0f2d3f7 b5775a97-92d1-4375-b831-5f7a9383fdd9 e17e1bc9-60b8-426d-88ee-965671a1c407 Prevention 0.05 db127dbc-0cc6-4ada-a4d6-450730dd561c b5775a97-92d1-4375-b831-5f7a9383fdd9 05219a2e-3ffb-4bc7-844d-4bc98df765be Prevention 0.01 cf18e2a5-20e2-4a91-916a-a5576f433041 b5775a97-92d1-4375-b831-5f7a9383fdd9 Lack of attention due to time pressure 2022-11-15T15:00:22.8569378 2022-11-15T15:00:22.856938 560 0 0 true false true 0 0 0 2 a432dd9f-3898-4b0b-b10e-46d9fdbc0164 2b15022f-f548-49ed-aa40-864b7f999056 Treatment delivery 100 1 3 2022-11-15T15:00:22.7743985 2023-02-27T09:01:22.7721727 100 2-3 a9c82e9c-a1ce-42c4-b639-4a920f14aefc 2b15022f-f548-49ed-aa40-864b7f999056 a432dd9f-3898-4b0b-b10e-46d9fdbc0164 Daily 3D MR-imaging 100 3 3 2022-11-15T15:00:22.8233374 2022-11-15T15:39:03.2701284 065d26e9-f427-4136-b2e2-2db380946dfe a9c82e9c-a1ce-42c4-b639-4a920f14aefc Bad matching of MRIs 4 6 10 4 10 af29c43c-7b53-4840-9fcb-1d02cd6f44ba 2022-11-15T15:00:22.82794 2023-02-27T10:51:40.8565415 2631105c-5326-46da-ac80-5a2f8266bf6e 065d26e9-f427-4136-b2e2-2db380946dfe b094dbea-85c6-490d-a3d4-e8cb8eace5ab Prevention 0.4 8434e9ba-927d-4351-8a72-a7dfc280d13c 065d26e9-f427-4136-b2e2-2db380946dfe 13fc355d-2586-4d0f-a21b-cd420beda8a2 Barrier 1 960892a8-7564-40e0-82b1-dcc0bf62702a 065d26e9-f427-4136-b2e2-2db380946dfe 580109b8-c79a-4a74-9b17-d572b4ccd93d Prevention 0.001 031c57d4-9c48-4721-802d-4296180e93b2 065d26e9-f427-4136-b2e2-2db380946dfe Time pressure 2022-11-15T15:00:22.8279424 2022-11-15T15:00:22.8279427 240 0 0 true false true 0 0 0 5 399d1aa6-a476-4e59-bef7-baff50b4472f a9c82e9c-a1ce-42c4-b639-4a920f14aefc MRIs do not match due to extremely long delay during plan adaption 7 1 10 7 10 573f3c04-d306-4b93-9dd1-abc986afadab 2022-11-15T15:00:22.83158 2022-11-15T15:00:22.8315803 1d627df9-5afd-455e-a493-c802e83bcdc3 399d1aa6-a476-4e59-bef7-baff50b4472f cd5e1146-c1bb-474b-86c8-c0cb339c379e Barrier 0.1 a13958b7-d24d-45d4-8210-2b65fc87433c 399d1aa6-a476-4e59-bef7-baff50b4472f 198e8e3c-c3d9-49c1-8940-72fedd404804 Prevention 0.01 d3b4d205-0eee-40d7-847d-61f69c46a72e 399d1aa6-a476-4e59-bef7-baff50b4472f a16a6853-4f27-4658-b5c3-03a27c030679 Barrier 1 aa3ddad1-57e7-4bc7-9c9a-27430f12b678 399d1aa6-a476-4e59-bef7-baff50b4472f Generic Cause 2022-11-15T15:00:22.8315826 2022-11-15T15:00:22.8315828 70 0 0 true true false 0 0 0 7 402d3d75-c15d-4742-88e0-dfce54f5794b a9c82e9c-a1ce-42c4-b639-4a920f14aefc The FOV does not include the entire patient 5 8 10 5 10 f57ea140-ec3a-409d-b592-09f4bdd026f3 2022-11-15T15:00:22.8215995 2023-02-27T10:45:38.0808047 26d23d30-06ff-4fcd-b125-ffaabc309ff9 402d3d75-c15d-4742-88e0-dfce54f5794b dc347af5-e315-43f6-b79e-122d1d4094ad Barrier 1 8e1e7b19-7132-440e-8041-637e757c0c58 402d3d75-c15d-4742-88e0-dfce54f5794b c2626d17-2c90-4ab0-89a3-04a016cd6309 Prevention 0.002 f6ece435-a508-4545-8744-09c39e9b2e82 402d3d75-c15d-4742-88e0-dfce54f5794b a0bd0959-18b2-4c8f-95d8-52b8b5af49aa Prevention 0.2 29883593-e70e-48ef-8b80-95b83cdf802c 402d3d75-c15d-4742-88e0-dfce54f5794b Lack of attention due to heavy workload 2022-11-15T15:00:22.8216026 2022-11-15T15:00:22.8216029 400 0 0 true false true 0 0 0 1 712e1d0f-5e70-40a3-b72b-e79f91f5f26b a9c82e9c-a1ce-42c4-b639-4a920f14aefc A wrong pulse sequence was chosen for MR-imaging 5 8 9 5 9 f57ea140-ec3a-409d-b592-09f4bdd026f3 2022-11-15T15:00:22.8233617 2023-02-27T10:46:58.6546686 27f2667e-0c3b-4cc8-a69d-40743194cc27 712e1d0f-5e70-40a3-b72b-e79f91f5f26b 4259da8d-be39-49e8-8524-22ea45459ece Prevention 0.002 37bc66fc-aa9a-4427-a76c-c7223dac5266 712e1d0f-5e70-40a3-b72b-e79f91f5f26b 3d5d982a-c1ec-49d6-aabc-98c7e0be059e Barrier 0.5 6a42faaf-55cc-4cc8-914a-dd72519710f0 712e1d0f-5e70-40a3-b72b-e79f91f5f26b 438f05c0-4567-4a1e-951c-909f273e8189 Prevention 0.2 d1ec43fa-601c-4c2a-be52-b6bdff5104d0 712e1d0f-5e70-40a3-b72b-e79f91f5f26b lack of attention due to heavy workload 2022-11-15T15:00:22.8233648 2022-11-15T15:00:22.823365 360 0 0 true false true 0 0 0 2 a65d2b2f-61fa-471c-9775-bfa864b663b2 a9c82e9c-a1ce-42c4-b639-4a920f14aefc MRIs do not match due to not reproducible breathing of the patient 4.5 6 10 4.5 10 af29c43c-7b53-4840-9fcb-1d02cd6f44ba 2022-11-15T15:00:22.8297642 2022-11-15T15:00:22.8297645 0cc51f01-e9ff-4ffe-983b-696a1293e5d1 a65d2b2f-61fa-471c-9775-bfa864b663b2 a2ff5c3a-fd56-41c6-a493-2f948abc09c4 Barrier 1 3fe31419-ead9-4b25-8f69-d6224b2ba2d4 a65d2b2f-61fa-471c-9775-bfa864b663b2 a5dc79ce-c696-48a4-9ee6-1c144ede5a1f Barrier 0.3 d65fe0ef-0a4f-4754-b668-52d1369ede91 a65d2b2f-61fa-471c-9775-bfa864b663b2 2d3dda47-fabe-47fa-86c0-8c576be87337 Prevention 0.0015 229ca0d7-90b7-4ecf-83e1-3bb0410d467c a65d2b2f-61fa-471c-9775-bfa864b663b2 Generic Cause 2022-11-15T15:00:22.8297666 2022-11-15T15:00:22.8297668 270 0 0 true true false 0 0 0 6 adb26172-6193-4357-99fb-1ab9f34327b9 a9c82e9c-a1ce-42c4-b639-4a920f14aefc Wrong breathing commands are used for breathhold-MRI 4 1 10 4 10 573f3c04-d306-4b93-9dd1-abc986afadab 2022-11-15T15:00:22.8260794 2023-02-27T10:48:40.1895427 03cb29dc-9d55-41bd-aed4-c1f6556d5cf1 adb26172-6193-4357-99fb-1ab9f34327b9 78f8460b-19d5-4150-ab58-1df30e674569 Prevention 0.001 a328f26c-4715-43d2-a744-1272184373ef adb26172-6193-4357-99fb-1ab9f34327b9 714c4ff7-548b-408a-805f-1d40701d23b2 Barrier 1 5a347c2b-bc42-4e78-b477-b40683057996 adb26172-6193-4357-99fb-1ab9f34327b9 lack of attention due to heavy workload 2022-11-15T15:00:22.8260818 2022-11-15T15:00:22.826082 40 0 0 false false false 0 0 0 3 fe0caa0b-b60c-4fde-83d6-61af3c58c51a a9c82e9c-a1ce-42c4-b639-4a920f14aefc breathing commands are formulated differently than the patient is used to 5 3 10 5 10 d628fa42-e604-45a4-920b-d983890cd782 2022-11-15T15:00:22.8270177 2023-02-27T10:49:50.3627635 07152e83-5475-4c85-917d-675dedb6b790 fe0caa0b-b60c-4fde-83d6-61af3c58c51a ed57fbff-22c1-4492-bb0e-08c49b21997a Barrier 1 8c229265-5e1a-4255-9fdf-f51ba11c2225 fe0caa0b-b60c-4fde-83d6-61af3c58c51a 7a40b5a6-fb38-4004-bb63-7103721f9860 Prevention 0.002 f4e45604-1c17-4e0e-8c62-e3ffe3998550 fe0caa0b-b60c-4fde-83d6-61af3c58c51a Staff turnover 2022-11-15T15:00:22.8270202 2022-11-15T15:00:22.8270205 150 0 0 false false false 0 0 0 4 b66eb134-bfea-4d36-b4c2-828983f93d63 2b15022f-f548-49ed-aa40-864b7f999056 a432dd9f-3898-4b0b-b10e-46d9fdbc0164 Electron density check 100 3 5 2022-11-15T15:00:22.8469493 2022-11-15T15:39:17.6673206 58bd8989-06b7-41c8-ab84-d95561f10328 b66eb134-bfea-4d36-b4c2-828983f93d63 Wrong density override is applied 7 9 10 7 10 adcc46a2-f5d0-41e2-98ac-85b3b61f5674 2022-11-15T15:00:22.8506042 2023-02-27T11:13:36.3976974 46953cf7-d322-4050-b968-e4326ecf591b 58bd8989-06b7-41c8-ab84-d95561f10328 361fcae9-3881-4388-aeb6-abad9f7fe49a Prevention 0.02 b0991175-6d1c-4c42-bde7-8d6fc343ad29 58bd8989-06b7-41c8-ab84-d95561f10328 dab4e5a6-e4bf-4daf-9673-21496073c663 Barrier 1 b97082fe-6f9c-43f4-8883-b95ea1631c7b 58bd8989-06b7-41c8-ab84-d95561f10328 38f60bc4-5dd1-438f-854a-a174a64a8536 Prevention 0.01 53ef9922-58cd-471f-be13-ff5f4137cf2f 58bd8989-06b7-41c8-ab84-d95561f10328 989ae729-b478-41fa-bd82-fe2052881250 Barrier 0.2 e54e62a0-e2dd-48ad-bac1-773c32925a00 58bd8989-06b7-41c8-ab84-d95561f10328 1760e914-832c-4725-a294-4c84f815e70c Barrier 0.2 a12ce8d4-1d8b-40c8-a2c9-98adf648a77c 58bd8989-06b7-41c8-ab84-d95561f10328 6e9b758c-deb6-48cf-ab1c-70828c7013d3 Barrier 0.2 5da3e4f0-c38d-4722-a364-e1694a0d4038 58bd8989-06b7-41c8-ab84-d95561f10328 lack of attention due to time pressure 2022-11-15T15:00:22.8506066 2022-11-15T15:00:22.8506068 630 0 0 true true true 0 0 0 4 9949313e-7721-431b-8591-e8164ee87172 b66eb134-bfea-4d36-b4c2-828983f93d63 Wrong electron densities due to an imaging artefact 4.5 6 10 4.5 10 af29c43c-7b53-4840-9fcb-1d02cd6f44ba 2022-11-15T15:00:22.8469738 2023-02-27T11:10:52.535819 47737026-9a71-4d29-a1b7-dffe7bb111b5 9949313e-7721-431b-8591-e8164ee87172 33a3b953-3591-47af-8c4d-8b1a9ec6727d Barrier 1 4f80cd5f-6bd5-436d-a4ac-0d5871111ef5 9949313e-7721-431b-8591-e8164ee87172 b540a1de-3e69-42ff-a460-f4c134683b5b Barrier 0.3 a4c18572-98a7-44d0-a57d-8abc07828842 9949313e-7721-431b-8591-e8164ee87172 ca8fe5de-4f63-4a61-93bd-734aeb4fdf8a Prevention 0.0015 1f03a005-635d-43b5-8864-bb38b5ff62f2 9949313e-7721-431b-8591-e8164ee87172 sub-optimal image quality 2022-11-15T15:00:22.8469768 2022-11-15T15:00:22.846977 270 0 0 true true false 0 0 0 2 a99778b0-0152-4c25-a89a-cf1d625b8fc1 b66eb134-bfea-4d36-b4c2-828983f93d63 Wrong electron densities due to large changes in anatomy 8 6 10 8 10 af29c43c-7b53-4840-9fcb-1d02cd6f44ba 2022-11-15T15:00:22.8451131 2023-02-27T11:08:11.9339315 4679cbf7-8962-4e1a-a3d4-73fd6b253588 a99778b0-0152-4c25-a89a-cf1d625b8fc1 c00dc735-4131-471b-92c2-5d354e6403c7 Prevention 0.02 4bc4f72c-b1d9-46b6-8180-7e56dfb45fad a99778b0-0152-4c25-a89a-cf1d625b8fc1 1898e485-a3e4-4fb3-9cfc-8c4664b91771 Prevention 0.05 7d76565c-f858-4f3b-83c2-7ad0b584fd94 a99778b0-0152-4c25-a89a-cf1d625b8fc1 11b5fc7b-2400-4f61-ad29-c82bb3c7a6c1 Barrier 1 02fdf495-2b72-4b2e-a87b-abcdcac944be a99778b0-0152-4c25-a89a-cf1d625b8fc1 Changes in anatomy 2022-11-15T15:00:22.8451167 2022-11-15T15:00:22.8451169 480 0 0 true false true 0 0 0 1 e0d970fa-5e66-4ae0-a482-03848ffaaecb b66eb134-bfea-4d36-b4c2-828983f93d63 Wrong electron densities in hollow organs 7 8 10 7 10 f57ea140-ec3a-409d-b592-09f4bdd026f3 2022-11-15T15:00:22.8487936 2023-02-27T11:12:40.332627 07b60acd-122e-4e9d-a15f-0f91262ab68f e0d970fa-5e66-4ae0-a482-03848ffaaecb 407693a1-7b6f-4104-9763-f9ae10878797 Barrier 1 979a34e8-709c-4188-8d78-caa4cb65f46a e0d970fa-5e66-4ae0-a482-03848ffaaecb 308e2c5a-4e6c-4834-a94f-4fab5a4fd47f Prevention 0.01 bf0b0ed3-dfab-4546-bdf1-fc894204ad4a e0d970fa-5e66-4ae0-a482-03848ffaaecb 361fcae9-3881-4388-aeb6-abad9f7fe49a Prevention 0.2 a157f97f-0fe7-41e2-af8c-0f6bda3c28ff e0d970fa-5e66-4ae0-a482-03848ffaaecb 989ae729-b478-41fa-bd82-fe2052881250 Barrier 0.2 381c0b52-894f-4a9f-ad82-13d51b253bcf e0d970fa-5e66-4ae0-a482-03848ffaaecb 1760e914-832c-4725-a294-4c84f815e70c Barrier 0.2 4ba78e0b-5a7e-40b3-a1b7-188f1ae7deca e0d970fa-5e66-4ae0-a482-03848ffaaecb 6e9b758c-deb6-48cf-ab1c-70828c7013d3 Barrier 0.2 ecbc5079-aa22-454a-90a5-221ccfaee13c e0d970fa-5e66-4ae0-a482-03848ffaaecb lack of attention due to time pressure 2022-11-15T15:00:22.8487961 2022-11-15T15:00:22.8487963 560 0 0 true true true 0 0 0 3 c0bd2647-09cd-4e1d-9505-45ea98783b07 2b15022f-f548-49ed-aa40-864b7f999056 a432dd9f-3898-4b0b-b10e-46d9fdbc0164 Re-contouring 100 3 4 2022-11-15T15:00:22.8351424 2022-11-15T15:39:11.1335575 428bb955-740e-4bae-8404-702734c47aaf c0bd2647-09cd-4e1d-9505-45ea98783b07 OARs are wrongly re-contoured 7 8 10 7 10 f57ea140-ec3a-409d-b592-09f4bdd026f3 2022-11-15T15:00:22.8333771 2023-02-27T10:57:03.6037547 034b2f27-cd85-459a-9d21-326fc382e7fc 428bb955-740e-4bae-8404-702734c47aaf 1fb61cf2-e1f2-4c84-ad92-ccbc7a0764c7 Prevention 0.01 24dcae86-7338-4c07-a5a8-360b78d794a3 428bb955-740e-4bae-8404-702734c47aaf ee8de391-897a-4943-8dfd-1475c175b1ca Prevention 0.2 7d8da30d-e98a-4b64-8b42-cad99a6f41ad 428bb955-740e-4bae-8404-702734c47aaf 58b05818-1488-4e94-a978-fa947b33caa7 Barrier 1 88061ec5-22f0-4906-bfeb-67a367467dc7 428bb955-740e-4bae-8404-702734c47aaf 989ae729-b478-41fa-bd82-fe2052881250 Barrier 0.3 30c34c13-b368-48ed-a37f-091d1dcb7e85 428bb955-740e-4bae-8404-702734c47aaf 1760e914-832c-4725-a294-4c84f815e70c Barrier 0.2 d0810b48-e683-4d2e-95e1-c6e62c4c5b3d 428bb955-740e-4bae-8404-702734c47aaf Time pressure 2022-11-15T15:00:22.8333871 2022-11-15T15:00:22.8333873 560 0 0 true true true 0 0 0 1 99e40303-cfdb-4cfe-9325-d03a121757ed c0bd2647-09cd-4e1d-9505-45ea98783b07 Wrong adaption of GTV 7 8 10 7 10 f57ea140-ec3a-409d-b592-09f4bdd026f3 2022-11-15T15:00:22.8351717 2023-02-27T11:00:32.25911 03033b3b-163f-44b0-88e9-2a4f004ce3bf 99e40303-cfdb-4cfe-9325-d03a121757ed 15caa5fd-8567-44f0-9fec-a16e35daa37c Barrier 1 69490b30-0b74-4cd1-ae00-7fa00aff6b20 99e40303-cfdb-4cfe-9325-d03a121757ed 170209f0-980e-495d-9deb-b0b2ec775e49 Prevention 0.01 e9c526b9-1fc9-4baa-83aa-e5952e92b629 99e40303-cfdb-4cfe-9325-d03a121757ed c205a199-f149-4db0-bf7f-5b22e12b2bcf Prevention 1 dfc01a5f-29b2-47b1-92a4-23d443d2c9eb 99e40303-cfdb-4cfe-9325-d03a121757ed 0542bcb3-0098-4b2d-a835-4158e18cf823 Barrier 0.05 21085292-3971-43db-ba1d-add3d5d59a0a 99e40303-cfdb-4cfe-9325-d03a121757ed Bad imaging; new physician in treatment course; supplementary imaging information is disregarded 2022-11-15T15:00:22.835175 2022-11-15T15:00:22.8351752 560 0 0 true true false 0 0 0 2 9d4df3f2-f26f-4fed-aec6-fc315fefb340 c0bd2647-09cd-4e1d-9505-45ea98783b07 Skin is not correctly defined 7 9 10 7 10 adcc46a2-f5d0-41e2-98ac-85b3b61f5674 2022-11-15T15:00:22.8433285 2023-02-27T11:05:14.8810583 35f02eee-5de4-4f16-b7c2-f22252283d75 9d4df3f2-f26f-4fed-aec6-fc315fefb340 df386d95-1045-4052-aef0-58f78bb9601c Prevention 0.02 7656f3a5-f186-4a2a-93bc-4332c0904df7 9d4df3f2-f26f-4fed-aec6-fc315fefb340 0916dd0e-345c-41cd-8273-1ea3d60a0b70 Prevention 0.01 8ba4035b-7009-474f-9651-7c0600ea1ad8 9d4df3f2-f26f-4fed-aec6-fc315fefb340 e8f72d94-e8cd-4f6b-83e4-cf0370b61e11 Barrier 1 b70230c4-2676-4a80-8cb3-2dd37e78187c 9d4df3f2-f26f-4fed-aec6-fc315fefb340 1760e914-832c-4725-a294-4c84f815e70c Barrier 0.2 1231d1da-4b18-4a17-b499-776b2c06a8f6 9d4df3f2-f26f-4fed-aec6-fc315fefb340 lack of attention due to time pressure 2022-11-15T15:00:22.8433309 2022-11-15T15:00:22.8433311 630 0 0 true true true 0 0 0 4 b918c1e2-dd1d-4585-a046-12628019711b c0bd2647-09cd-4e1d-9505-45ea98783b07 Structure is accidently deleted in one slice 8 8 5 8 5 f57ea140-ec3a-409d-b592-09f4bdd026f3 2022-11-15T15:00:22.8415527 2023-02-27T11:02:23.0355608 e0737531-03f0-4876-8add-fa7a0a3cdcb2 b918c1e2-dd1d-4585-a046-12628019711b 392634d4-2281-40ab-97d5-7d3d904a12b9 Barrier 0.02 f542460d-2581-4b42-a08e-a0dc3c392a4d b918c1e2-dd1d-4585-a046-12628019711b d8145bbb-b829-4e71-ae57-c4ab6ff2f4c3 Prevention 0.02 70222779-08c5-4351-8725-f112330b24e6 b918c1e2-dd1d-4585-a046-12628019711b Lack of attention due to time pressure 2022-11-15T15:00:22.8415551 2022-11-15T15:00:22.8415554 320 0 0 false false false 0 0 0 3 c20bf454-a51f-44bd-ab83-b01af62184de 2b15022f-f548-49ed-aa40-864b7f999056 a432dd9f-3898-4b0b-b10e-46d9fdbc0164 Patient positioning 100 3 2 0001-01-01T00:00:00 2022-11-15T15:38:57.6383047 08d9b72e-8aec-47d8-bfbc-7cacd025a998 c20bf454-a51f-44bd-ab83-b01af62184de Mixed up positioning aid 4 4 10 4 10 d628fa42-e604-45a4-920b-d983890cd782 2022-11-15T15:00:22.8092495 2023-02-27T10:31:04.143458 13d466cd-be47-4ce1-9e4b-e90f60e8d125 08d9b72e-8aec-47d8-bfbc-7cacd025a998 d300dced-2e33-43db-b4c8-7db3b70e8d1c Barrier 1 dc1bd40c-f2e7-47b4-b5c6-7d71d2140667 08d9b72e-8aec-47d8-bfbc-7cacd025a998 bace66d6-a1c4-4381-a7c2-962d76934371 Prevention 0.001 029cb60f-6bce-4352-aaeb-bf510faf3121 08d9b72e-8aec-47d8-bfbc-7cacd025a998 Missing information/documnetation (e.g. information prepared under stress) 2022-11-15T15:00:22.809252 2022-11-15T15:00:22.8092522 160 0 0 false false false 0 0 0 2 3f187a24-1071-43ce-947f-fdcfad1477e6 c20bf454-a51f-44bd-ab83-b01af62184de Poor positioning aid selection 4 1 10 4 10 573f3c04-d306-4b93-9dd1-abc986afadab 2022-11-15T15:00:22.817067 2023-02-27T10:36:28.0009255 043778f9-8594-4f53-b009-59cd042f1e70 3f187a24-1071-43ce-947f-fdcfad1477e6 dd97bc7d-4d71-4c7a-b19e-4e1a5dfd1378 Barrier 1 99b3c241-02c5-4623-8f59-029e2bf951c9 3f187a24-1071-43ce-947f-fdcfad1477e6 9467e770-3b40-4d43-830b-3c70a86d13d6 Prevention 0.001 6b7a6870-b77c-42ab-8a92-b14cba3145fd 3f187a24-1071-43ce-947f-fdcfad1477e6 Lack of attention due to heavy workload 2022-11-15T15:00:22.8170695 2022-11-15T15:00:22.8170697 3d824db9-d726-4853-bd6c-e7efd54cb9a9 3f187a24-1071-43ce-947f-fdcfad1477e6 This failure increases the difficulty of adaption 2023-02-27T10:36:48.3557205 2023-02-27T10:36:48.355747 40 0 0 false false false 0 0 0 5 4c625e5d-bba1-4148-8366-aa30b44e1ae7 c20bf454-a51f-44bd-ab83-b01af62184de Wrong positioning of coils 5 3 10 5 10 d628fa42-e604-45a4-920b-d983890cd782 2022-11-15T15:00:22.8111151 2023-02-27T10:33:11.5329873 1ca4a9e8-9e3e-4ff6-950e-3ebc9a24071f 4c625e5d-bba1-4148-8366-aa30b44e1ae7 8ba26b95-9e84-4884-b62f-71610764f064 Barrier 1 1e88ada7-f897-496b-b371-16fd68960336 4c625e5d-bba1-4148-8366-aa30b44e1ae7 f1db5990-4cf7-4a43-9372-7e42787938d4 Prevention 0.002 ec265d2f-b062-4150-aa88-486640025d7e 4c625e5d-bba1-4148-8366-aa30b44e1ae7 Wrong estimation; several target points; setup photo not considered, or missing setup photo 2022-11-15T15:00:22.8111176 2022-11-15T15:00:22.8111178 150 0 0 false false false 0 0 0 3 599997f9-d24c-4f46-b9bb-b51536959251 c20bf454-a51f-44bd-ab83-b01af62184de Patient becomes unsettled 5 8 10 5 10 f57ea140-ec3a-409d-b592-09f4bdd026f3 2022-11-15T15:00:22.8180116 2023-02-27T10:38:48.9119836 42289782-20c0-4b39-8c79-8513021ef175 599997f9-d24c-4f46-b9bb-b51536959251 40e51b73-f509-4ede-b7ba-bcfa5121334e Prevention 0.3 77bd3288-290f-4fef-a350-7645181b661a 599997f9-d24c-4f46-b9bb-b51536959251 1e1ee786-47b4-44d9-804a-17fe00c234d1 Prevention 0.002 9b7a87e5-4162-45ec-b705-5b6f9650c9ac 599997f9-d24c-4f46-b9bb-b51536959251 f82a024a-86b3-4477-8b22-82698819544a Barrier 1 40cb0d0f-fae0-4b97-83c0-3179832bfa95 599997f9-d24c-4f46-b9bb-b51536959251 Poor positioning aid selection 2022-11-15T15:00:22.818014 2022-11-15T15:00:22.8180142 400 0 0 true false true 0 0 0 6 61c9e5d2-4f80-4070-b3f5-dcb4676af971 c20bf454-a51f-44bd-ab83-b01af62184de Patient becomes scared due to claustrophobia 5 8 10 5 10 f57ea140-ec3a-409d-b592-09f4bdd026f3 2022-11-15T15:00:22.8198469 2022-11-15T15:00:22.8198473 561ebcb3-efcb-4bb7-b987-18340c4afff0 61c9e5d2-4f80-4070-b3f5-dcb4676af971 94228852-4087-41e5-b3b4-5208ab2e3b7c Prevention 0.002 e42120e7-b335-4450-91ac-b0d0ab1bdd93 61c9e5d2-4f80-4070-b3f5-dcb4676af971 c855e76a-9606-4f33-9924-a598ce6aa25d Barrier 1 5aa58bcd-0ba3-4a84-8d16-64d9481457a7 61c9e5d2-4f80-4070-b3f5-dcb4676af971 f0d6cb8e-7c72-43b7-bffb-3a4838a21dae Prevention 0.2 d3833656-d0b7-4b5c-b51d-4ba754347106 61c9e5d2-4f80-4070-b3f5-dcb4676af971 Generic Cause 2022-11-15T15:00:22.8198494 2022-11-15T15:00:22.8198496 400 0 0 true false true 0 0 0 7 8479d3ba-a985-4bdb-96d6-927e65d9bbca c20bf454-a51f-44bd-ab83-b01af62184de Wrong patient positioning 7 1 10 7 10 573f3c04-d306-4b93-9dd1-abc986afadab 2022-11-15T15:00:22.8073719 2023-02-27T10:34:40.2110152 09c6754f-4c28-4e31-84eb-0ded04f663ca 8479d3ba-a985-4bdb-96d6-927e65d9bbca 4d736d6a-d0a3-4a77-85e0-3b00968749f8 Barrier 1 1381503f-2e70-4dd1-84d6-39d5f2bba120 8479d3ba-a985-4bdb-96d6-927e65d9bbca c5f2bda6-3825-427b-acef-07f55b4d460f Prevention 0.01 2098e041-2061-402d-8c86-7ff509b32428 8479d3ba-a985-4bdb-96d6-927e65d9bbca Wrong indexing of positioning aids; careless due to heavy workload 2022-11-15T15:00:22.8073745 2022-11-15T15:00:22.8073747 70 0 0 false false false 0 0 0 1 c71e0de3-fbf5-4fbd-8b56-a65b36ab3fbe c20bf454-a51f-44bd-ab83-b01af62184de Incompliance of patient 7 1 10 7 10 573f3c04-d306-4b93-9dd1-abc986afadab 2022-11-15T15:00:22.8161293 2023-02-27T10:35:17.7762588 702cb555-0c8a-463d-a7eb-1d55f1bb7a72 c71e0de3-fbf5-4fbd-8b56-a65b36ab3fbe 775a2e5e-7df4-4776-8387-c2d03714bed2 Barrier 1 cd781732-08f8-43ce-97fb-853977f85593 c71e0de3-fbf5-4fbd-8b56-a65b36ab3fbe 43ea853f-20c6-416d-96dd-a1357cd78e43 Prevention 0.01 50381899-5804-4f08-85f3-e3d99ef8107f c71e0de3-fbf5-4fbd-8b56-a65b36ab3fbe Insufficient patient training 2022-11-15T15:00:22.8161317 2022-11-15T15:00:22.8161319 70 0 0 false false false 0 0 0 4 ea7d0b31-3c38-4e29-ba7e-698bcac48513 2b15022f-f548-49ed-aa40-864b7f999056 a432dd9f-3898-4b0b-b10e-46d9fdbc0164 Treatment with cine-MRI based gating 100 3 11 0001-01-01T00:00:00 0001-01-01T00:00:00 2f829448-e65b-4bfd-bc93-fe30879b2001 ea7d0b31-3c38-4e29-ba7e-698bcac48513 Dose deviation due to undetected patient movement 5 9 10 5 10 f57ea140-ec3a-409d-b592-09f4bdd026f3 2022-11-15T15:00:22.8904457 2023-02-27T14:16:31.2341015 1c3935f0-3020-4e7d-b2a2-e4e8b5304018 2f829448-e65b-4bfd-bc93-fe30879b2001 5baaedb5-7830-4186-bec7-42fc6332d100 Barrier 1 340b446f-db93-480b-b2ba-ff4a33e229a0 2f829448-e65b-4bfd-bc93-fe30879b2001 3e2b3122-1e0d-41a8-85cf-853cc1c16736 Prevention 0.1 799aa2a3-ddac-4746-9b1c-a63423ae9886 2f829448-e65b-4bfd-bc93-fe30879b2001 05c072ff-cf9f-4a94-be55-527e5561e816 Prevention 0.002 642d2b09-5a27-4692-839e-9901f552b05e 2f829448-e65b-4bfd-bc93-fe30879b2001 53ee8834-4f68-4060-8b8c-78d6409c5589 Prevention 0.2 4607314e-d091-4811-b832-08ca3a57403d 2f829448-e65b-4bfd-bc93-fe30879b2001 Patient discomfort; insufficient patient training 2022-11-15T15:00:22.8904489 2022-11-15T15:00:22.8904491 6783e92e-41ce-47f0-b8aa-ca8e59ceb483 2f829448-e65b-4bfd-bc93-fe30879b2001 Patient movement could have occurred even in case of successful target tracking. 2023-02-27T14:36:49.9493073 2023-02-27T14:36:49.9493086 450 0 0 true false true 0 0 0 1 a0d4296b-e944-4d2e-b0d7-d8bd17b76419 ea7d0b31-3c38-4e29-ba7e-698bcac48513 Treatment delay due to undeliverable plan 5 4 10 5 10 573f3c04-d306-4b93-9dd1-abc986afadab 2022-11-15T15:00:22.8978029 2023-02-27T13:47:58.7630886 3552b7bf-c7de-49a0-9300-33e1abf18126 a0d4296b-e944-4d2e-b0d7-d8bd17b76419 d6e7c6c9-a330-4e2e-a4ca-955395ffae48 Barrier 0.4 512b18b9-6697-49ae-92b1-91e6bc28ac68 a0d4296b-e944-4d2e-b0d7-d8bd17b76419 6278c744-29df-4edd-9aea-d999d3a389ae Prevention 0.002 97d75194-2b79-4642-802e-9343b5e0e6ea a0d4296b-e944-4d2e-b0d7-d8bd17b76419 9b290074-c0a6-4753-af76-4ce42fcb9c34 Barrier 1 dd9bc27b-8264-4d46-a623-7c0e829d2905 a0d4296b-e944-4d2e-b0d7-d8bd17b76419 Lack of experience in adaptive treatment planning 2022-11-15T15:00:22.8978052 2022-11-15T15:00:22.8978054 200 0 0 true true false 0 0 0 4 ac646ba7-1661-401a-97b6-7ea3305691a0 ea7d0b31-3c38-4e29-ba7e-698bcac48513 Dose deviation due to undetected tracking error 8 8 5 8 5 f57ea140-ec3a-409d-b592-09f4bdd026f3 2022-11-15T15:00:22.9050698 2023-02-27T13:54:13.214302 c15c4db4-5f6a-411b-a4a1-f9e71acefecb ac646ba7-1661-401a-97b6-7ea3305691a0 746a0ce3-e9d0-4a7e-be06-3e4e647d2cdb Barrier 0.02 d8a6f63d-e266-46e6-8847-ebb6407c3b54 ac646ba7-1661-401a-97b6-7ea3305691a0 349654ef-ff70-4d45-8788-b3de3a642ee7 Prevention 0.02 d303d2c1-61df-4a9d-93e3-a0875eeb5e62 ac646ba7-1661-401a-97b6-7ea3305691a0 Distractions; misjudgement 2022-11-15T15:00:22.9050729 2022-11-15T15:00:22.9050732 3470e90d-fde2-4767-a347-3c5a0193f198 ac646ba7-1661-401a-97b6-7ea3305691a0 I merged 2 failure modes which were different only for the cause. As a consequence, I multiplied the occurrence rate by a factor 2. 2022-11-15T16:01:18.4031615 2022-11-15T16:01:18.4031628 320 0 0 false false false 0 0 0 5 b89ce792-5394-4322-b833-8bc64d987725 ea7d0b31-3c38-4e29-ba7e-698bcac48513 Dose deviation due to undetected organ movement 7 8 10 7 10 f57ea140-ec3a-409d-b592-09f4bdd026f3 2022-11-15T15:00:22.8940988 2023-02-27T14:16:39.9636104 a8fa388f-f096-4d37-908b-a42719e9a08c b89ce792-5394-4322-b833-8bc64d987725 07b9c5b7-3c0d-40e6-87e5-0d8dfc039215 Prevention 0.01 e4f5c075-8487-4f6f-9dcd-9477f5dccb9d b89ce792-5394-4322-b833-8bc64d987725 3e2b3122-1e0d-41a8-85cf-853cc1c16736 Prevention 0.05 f2c0847a-dc41-4a90-b1db-b14243450b27 b89ce792-5394-4322-b833-8bc64d987725 6daf7ccb-e569-4906-9f88-78c1a56e2f7e Barrier 1 7a94dd74-bcb3-4c31-86a7-2943b2a8d740 b89ce792-5394-4322-b833-8bc64d987725 Unpredictable organ movement 2022-11-15T15:00:22.8941013 2022-11-15T15:00:22.8941016 b5958c39-25bf-4516-b4f7-05ece0b7ac92 b89ce792-5394-4322-b833-8bc64d987725 Organ movement could have occurred even in case of successful target tracking. 2023-02-27T14:36:56.8730682 2023-02-27T14:37:04.5816926 560 0 0 true false true 0 0 0 2 de1c44d4-37e1-4455-b960-6486b466cbbc ea7d0b31-3c38-4e29-ba7e-698bcac48513 Dose deviation due to incomplete plan transfer 5 10 10 5 10 adcc46a2-f5d0-41e2-98ac-85b3b61f5674 2022-11-15T15:00:22.8959151 2023-02-27T13:42:50.8814085 387c85e3-5305-4885-ae9a-23a10789714e de1c44d4-37e1-4455-b960-6486b466cbbc 1310fda5-0d3b-459f-8b04-497cab1e59ff Prevention 0.002 6ed1bfb6-1fc2-4c8f-9ddc-41ca1ceeada0 de1c44d4-37e1-4455-b960-6486b466cbbc a6acdf8f-8105-45ed-8a93-51502fda5afe Barrier 1 aada198a-180c-4e25-b06c-e475dd1d3ee2 de1c44d4-37e1-4455-b960-6486b466cbbc d6e7c6c9-a330-4e2e-a4ca-955395ffae48 Barrier 0.3 961ad47a-9926-4b30-a3e8-d6a913140ea5 de1c44d4-37e1-4455-b960-6486b466cbbc 25e6965e-4371-4768-a524-068ef13654ba Barrier 0.3 bbc6ba3a-c488-424e-a85f-fe0fe0db99f7 de1c44d4-37e1-4455-b960-6486b466cbbc SW malfunctioning 2022-11-15T15:00:22.8959176 2022-11-15T15:00:22.8959178 500 0 0 true true false 0 0 0 3 f4350390-7d3e-4409-9a66-433db78d7ac6 2b15022f-f548-49ed-aa40-864b7f999056 a432dd9f-3898-4b0b-b10e-46d9fdbc0164 Documentation 100 3 12 0001-01-01T00:00:00 2022-11-15T15:40:43.0711631 a188ff0b-4387-42fd-8982-e0d4afef1d7f f4350390-7d3e-4409-9a66-433db78d7ac6 Evaluation of re-irradiation of a patient with a previous adaptive treatment course 5 8 10 5 10 f57ea140-ec3a-409d-b592-09f4bdd026f3 2022-11-15T15:00:22.9088022 2023-02-27T14:43:20.4478677 3145611d-43f5-4416-a054-b4fb4f246f35 a188ff0b-4387-42fd-8982-e0d4afef1d7f 69aea992-ef6f-44a5-b67e-30e955f2e25a Prevention 0.2 7b987964-5518-4f43-b03c-a94bf8fc24ca a188ff0b-4387-42fd-8982-e0d4afef1d7f 0ec97cae-2272-4ca1-93e2-c79d948da899 Prevention 0.002 a9a092bd-5d84-4334-a698-b085ab948357 a188ff0b-4387-42fd-8982-e0d4afef1d7f 69374ffa-39f6-4590-b94d-58b766d1c8d3 Barrier 1 b3f4ee48-375e-4930-afdf-dbd663ee02ab a188ff0b-4387-42fd-8982-e0d4afef1d7f b7212ff1-fb3b-408b-9ea5-2c0d1e4421b4 Prevention 0.2 4dbb5e68-2089-4f35-9121-51f12d7d1608 a188ff0b-4387-42fd-8982-e0d4afef1d7f Lack of attention due to heavy workload 2022-11-15T15:00:22.9088046 2022-11-15T15:00:22.9088048 400 0 0 true false true 0 0 0 1 f491b6c5-3167-4eef-9a27-6c5940df911a 2b15022f-f548-49ed-aa40-864b7f999056 a432dd9f-3898-4b0b-b10e-46d9fdbc0164 Preparations before treatment 100 3 1 0001-01-01T00:00:00 0001-01-01T00:00:00 1d50f6d5-2b81-4916-9a43-855f873f5104 f491b6c5-3167-4eef-9a27-6c5940df911a Wrong patient plan is loaded with a "wrong click" 5 8 10 5 10 f57ea140-ec3a-409d-b592-09f4bdd026f3 2022-11-15T15:00:22.7882965 2023-02-27T10:09:37.2442141 5d9c7058-d41d-4b86-8b7c-4064cafe4504 1d50f6d5-2b81-4916-9a43-855f873f5104 33fbcc02-6fa8-4d2a-8b76-2e959437b717 Barrier 1 bf0be89b-90c8-47bd-ae3c-f00ffb74c22a 1d50f6d5-2b81-4916-9a43-855f873f5104 240a7d7e-ad94-4b19-8922-bb06d40125de Prevention 0.002 f755fdc0-8369-463c-8482-1f0d10f01984 1d50f6d5-2b81-4916-9a43-855f873f5104 51f6ae9f-3f0c-4300-8577-320060b91dca Prevention 0.2 b0f88c8f-d39a-475f-b1c7-7095d8da9c2a 1d50f6d5-2b81-4916-9a43-855f873f5104 Lack of attention due to stress and heavy workload 2022-11-15T15:00:22.7882989 2022-11-15T15:00:22.7882992 400 0 0 true false true 0 0 0 8 2ba51d7e-0df2-4a23-ac4f-d24171ec670e f491b6c5-3167-4eef-9a27-6c5940df911a RT informed consent is not checked 4 8 10 4 10 f57ea140-ec3a-409d-b592-09f4bdd026f3 2022-11-15T15:00:22.7780827 2023-02-27T09:38:49.1997302 1faa9697-a8a0-4427-819b-ada65c4ba130 2ba51d7e-0df2-4a23-ac4f-d24171ec670e fa1c4345-ae78-4c94-b555-d516cee472f7 Prevention 0.1 78deac49-5028-4fea-bfa9-b3144446c9ef 2ba51d7e-0df2-4a23-ac4f-d24171ec670e 61cc7934-0c59-4c74-b20e-8fc502598ecf Prevention 0.001 89c6aa3b-fe74-4b5e-9bac-c3483a4faa47 2ba51d7e-0df2-4a23-ac4f-d24171ec670e 00dfc303-a816-4624-b264-96d30bea0675 Barrier 1 ebfac574-e387-4e98-8945-2a385d62b8e9 2ba51d7e-0df2-4a23-ac4f-d24171ec670e Lack of attention due to stress and heavy workload 2022-11-15T15:00:22.7780852 2022-11-15T15:00:22.7780854 320 0 0 true false true 0 0 0 3 36b55aa9-9de4-4f07-8a6f-2432247a218a f491b6c5-3167-4eef-9a27-6c5940df911a Wrong patient is loaded in treatment system due to miscommunication between both RTTs 5 8 10 5 10 f57ea140-ec3a-409d-b592-09f4bdd026f3 2022-11-15T15:00:22.7901308 2023-02-27T10:12:03.6857415 0ad7d23f-e976-4020-9805-170356243c57 36b55aa9-9de4-4f07-8a6f-2432247a218a b881720f-9fb4-498b-8685-09a18a50a89a Barrier 1 2ab4ca41-c098-489a-ac99-c2343471f4f6 36b55aa9-9de4-4f07-8a6f-2432247a218a 51f6ae9f-3f0c-4300-8577-320060b91dca Prevention 0.2 42ccde43-5cb7-494e-892c-a417b0625bf2 36b55aa9-9de4-4f07-8a6f-2432247a218a c254003f-07bc-43f5-aff2-3e14c4440db5 Prevention 0.002 94e54447-5773-4799-9e98-6b67b9a4c069 36b55aa9-9de4-4f07-8a6f-2432247a218a heavy workload 2022-11-15T15:00:22.7901333 2022-11-15T15:00:22.7901335 400 0 0 true false true 0 0 0 9 5027ec73-bd42-4f50-bb23-40691501d35c f491b6c5-3167-4eef-9a27-6c5940df911a Wrong plan is selected 5 8 10 5 10 f57ea140-ec3a-409d-b592-09f4bdd026f3 2022-11-15T15:00:22.7863367 2023-02-27T10:08:49.1195622 656466b4-56fd-4f6f-94ee-59d558152bbc 5027ec73-bd42-4f50-bb23-40691501d35c 35b59cfd-06a1-4f7d-b383-6e2669bab1e1 Prevention 0.2 6da8126c-8fac-49e0-a345-fc108e61a13f 5027ec73-bd42-4f50-bb23-40691501d35c b89667e6-056e-4fa6-8db0-11dedac32826 Prevention 0.002 7cfc2963-1092-404c-bff6-9f11b7b916c5 5027ec73-bd42-4f50-bb23-40691501d35c bd50536a-6950-4f2c-acfd-c960a8fa5b46 Barrier 1 610bd06c-7e08-401d-a5bd-500c78ec1461 5027ec73-bd42-4f50-bb23-40691501d35c Several existing plans for different PTVs 2022-11-15T15:00:22.7863398 2022-11-15T15:00:22.78634 400 0 0 true false true 0 0 0 7 5ad1e6ca-8052-4a6c-bacb-5f086dfd0cf0 f491b6c5-3167-4eef-9a27-6c5940df911a Part of patient documentation cannot be found (e.g. positioning, patient specific issues) 7 6 10 7 10 af29c43c-7b53-4840-9fcb-1d02cd6f44ba 2022-11-15T15:00:22.7762277 2023-02-27T09:38:01.2149626 13008f13-448a-4359-9123-a6cb6ebd0e5c 5ad1e6ca-8052-4a6c-bacb-5f086dfd0cf0 e4062d97-7dc0-45f0-8ed9-ededa8cf096e Prevention 0.01 8d0c9295-02ea-406b-9ee6-c72d3c09e31d 5ad1e6ca-8052-4a6c-bacb-5f086dfd0cf0 623ebfaf-c09d-4778-ba18-9dcc6ce90293 Barrier 1 c86817f3-a57e-47f4-8124-eb573ed67f50 5ad1e6ca-8052-4a6c-bacb-5f086dfd0cf0 05b91045-a17e-4aa3-81ae-96322a5fe0df Prevention 0.1 32c5a31b-c3f7-4c85-82d3-a75c72a66b81 5ad1e6ca-8052-4a6c-bacb-5f086dfd0cf0 Suboptimal procedures 2022-11-15T15:00:22.7762303 2022-11-15T15:00:22.7762305 420 0 0 true false true 0 0 0 2 60f835d1-1ff1-45c9-9e68-adf4e4ef792e f491b6c5-3167-4eef-9a27-6c5940df911a Plan is not approved by physicist 4 8 10 4 10 f57ea140-ec3a-409d-b592-09f4bdd026f3 2022-11-15T15:00:22.7835907 2023-02-27T09:42:48.0326559 da85bbed-b5cb-4daf-a4fb-bf5be8b8e6f4 60f835d1-1ff1-45c9-9e68-adf4e4ef792e d1f6a954-dc89-48a4-b430-95931b207b44 Barrier 1 eeb502f9-b407-4dcb-8f3b-e8e43cee6a00 60f835d1-1ff1-45c9-9e68-adf4e4ef792e f022bf31-0520-4637-955e-270189e1a3b2 Prevention 0.001 5b2d1f12-ef23-401e-a72d-860565a2718e 60f835d1-1ff1-45c9-9e68-adf4e4ef792e 5ebdccb4-1aaf-460e-be71-35ef23ae970b Barrier 0.1 93bbff14-6ac5-4320-a7fb-9d237c4bbce3 60f835d1-1ff1-45c9-9e68-adf4e4ef792e Lack of attention due to stress and heavy workload 2022-11-15T15:00:22.7835932 2022-11-15T15:00:22.7835934 320 0 0 true true false 0 0 0 6 73cc153c-af5f-444b-bd1d-c10b58a51214 f491b6c5-3167-4eef-9a27-6c5940df911a bladder or rectum filling is wrong 4 4 10 4 10 d628fa42-e604-45a4-920b-d983890cd782 2022-11-15T15:00:22.8054707 2023-02-27T10:25:41.3115894 22f8e228-942a-48f7-b436-5ef0fe93d449 73cc153c-af5f-444b-bd1d-c10b58a51214 d098d940-0727-48c5-aa83-37dfb890da2e Prevention 0.001 7e2e3b19-5688-4cdb-a935-58e613123bea 73cc153c-af5f-444b-bd1d-c10b58a51214 af37fb97-0425-45ed-a888-d43d89e4730d Barrier 1 7a759f1f-627f-43b9-8741-147a415accd7 73cc153c-af5f-444b-bd1d-c10b58a51214 Insufficient patient training 2022-11-15T15:00:22.8054739 2022-11-15T15:00:22.8054741 160 0 0 false false false 0 0 0 15 7487283b-73a0-4d93-845c-a99fda8d9590 f491b6c5-3167-4eef-9a27-6c5940df911a patient was not informed about breathing commands 5 3 10 5 10 d628fa42-e604-45a4-920b-d983890cd782 2022-11-15T15:00:22.8064147 2023-02-27T10:26:13.9260288 b54cca1e-718f-4bbc-8df9-c41a3364649d 7487283b-73a0-4d93-845c-a99fda8d9590 eee8cf30-9557-4ec2-8fec-40d272893758 Barrier 1 d64cb892-ec89-43c9-bd95-fce32f71f738 7487283b-73a0-4d93-845c-a99fda8d9590 dd1824d1-a7fe-41b9-96ec-25479e77dd27 Prevention 0.002 f73d53c7-731f-4ef5-9a63-16bf92f95e9f 7487283b-73a0-4d93-845c-a99fda8d9590 Generic Cause 2022-11-15T15:00:22.8064172 2022-11-15T15:00:22.8064174 150 0 0 false false false 0 0 0 16 915dd2b3-4c5b-4579-b3f8-33374915c9f2 f491b6c5-3167-4eef-9a27-6c5940df911a Wrong patient protocol is selected accidentally 5 8 10 5 10 f57ea140-ec3a-409d-b592-09f4bdd026f3 2022-11-15T15:00:22.7920124 2023-02-27T10:13:27.6015986 bc88cd4c-5ae1-43e0-8480-f17ccdd7da32 915dd2b3-4c5b-4579-b3f8-33374915c9f2 51f6ae9f-3f0c-4300-8577-320060b91dca Prevention 0.2 c37fac6b-fe6f-4ada-999c-8dfa58edc5c6 915dd2b3-4c5b-4579-b3f8-33374915c9f2 219e04ea-6935-4501-ba86-602387c3096f Prevention 0.002 c38b2583-3b7b-43f5-89aa-80820b9de7ad 915dd2b3-4c5b-4579-b3f8-33374915c9f2 2e21b17c-9390-41ef-bc75-db07ea56a06b Barrier 1 5ec3b78a-99b8-4ab4-b966-dbed12c93d6a 915dd2b3-4c5b-4579-b3f8-33374915c9f2 Lack of attention due to stress and heavy wrokload 2022-11-15T15:00:22.7920148 2022-11-15T15:00:22.7920151 400 0 0 true false true 0 0 0 10 92f9e68b-33a4-4505-9c64-62362863f73c f491b6c5-3167-4eef-9a27-6c5940df911a MRI informed consent is not re-checked 5 10 10 5 10 adcc46a2-f5d0-41e2-98ac-85b3b61f5674 2022-11-15T15:00:22.7817034 2023-02-27T09:41:51.3624943 6197dd46-e767-4fb3-8b11-603253cba8a5 92f9e68b-33a4-4505-9c64-62362863f73c cb111f89-d1ad-4083-ac7e-152d9cb77b2b Prevention 0.2 626496ca-cf10-4bc6-bc57-c191a27727c7 92f9e68b-33a4-4505-9c64-62362863f73c b3147683-e14b-47f7-ab32-a642dbab363e Prevention 0.002 f8c09ab1-fda8-40be-a376-f66c7cff32cd 92f9e68b-33a4-4505-9c64-62362863f73c 98d2f9f8-157d-488e-9ae2-80585564e049 Barrier 1 fc7e7096-af94-4ff3-ba9b-c30b4f21df76 92f9e68b-33a4-4505-9c64-62362863f73c 94371a0d-615d-4d82-9a27-437234223068 Prevention 0.02 0dc8b5e0-8756-4685-b485-34484236c8fd 92f9e68b-33a4-4505-9c64-62362863f73c Lack of attention due to stress and sense of urgency 2022-11-15T15:00:22.7817122 2022-11-15T15:00:22.7817124 500 0 0 true false true 0 0 0 5 974529ec-1da6-46f6-bdee-9b1305aea001 f491b6c5-3167-4eef-9a27-6c5940df911a A non-approved plan is selected 7 8 10 7 10 adcc46a2-f5d0-41e2-98ac-85b3b61f5674 2022-11-15T15:00:22.7744041 2023-02-27T09:37:39.0954095 358e46ee-95fe-42de-9c75-b7b00f065c70 974529ec-1da6-46f6-bdee-9b1305aea001 7b9debf7-c812-42fb-bae7-c1fc805a6112 Barrier 1 4f1789b5-348f-44fe-8f1f-52b4d6597a22 974529ec-1da6-46f6-bdee-9b1305aea001 1dee17d6-867f-4bf8-84a2-91fe5edf4554 Prevention 0.05 81551b68-8475-4243-85e7-b98e8de78b28 974529ec-1da6-46f6-bdee-9b1305aea001 a8115eac-ebf0-42a1-88d5-c6d55beef5ab Prevention 0.01 efbc1014-4570-4e1a-a86a-09d2730859d6 974529ec-1da6-46f6-bdee-9b1305aea001 Lack of attention due to stress and heavy workload 2022-11-15T15:00:22.7744064 2022-11-15T15:00:22.7744066 560 0 0 true false true 0 0 0 1 ba19197d-a903-44de-89fa-42050c1d067e f491b6c5-3167-4eef-9a27-6c5940df911a Patient is not introduced to cine-MRI 5 4 10 5 10 d628fa42-e604-45a4-920b-d983890cd782 2022-11-15T15:00:22.8036563 2023-02-27T10:23:04.5121234 01f8a1c2-995f-494b-b7f7-cf57717ce581 ba19197d-a903-44de-89fa-42050c1d067e e800e0f4-0e58-478e-986f-1de4b67a0084 Barrier 1 5a0dcf3d-020c-4545-a547-537731bb957a ba19197d-a903-44de-89fa-42050c1d067e 499517da-63af-48ae-a5b4-b78d21fc4234 Prevention 0.002 ba35256a-3266-42a9-96cb-df0f3f00aa46 ba19197d-a903-44de-89fa-42050c1d067e 0fe90b07-cf92-4d9f-9926-a0ea2bcd2698 Prevention 0.2 c018613a-908a-4f66-b270-9a47cd8a14d6 ba19197d-a903-44de-89fa-42050c1d067e Lack of time or carelessness 2022-11-15T15:00:22.8036597 2022-11-15T15:00:22.8036599 200 0 0 true false true 0 0 0 14 c2eaf459-2d2b-4b3b-b42b-25c8b956d66d f491b6c5-3167-4eef-9a27-6c5940df911a Patient misidentification due to wrong/missing ID-photo 5 8 10 5 10 f57ea140-ec3a-409d-b592-09f4bdd026f3 2022-11-15T15:00:22.7961077 2023-02-27T10:20:03.8268088 04963a26-d172-4afe-805d-92a48cedde7c c2eaf459-2d2b-4b3b-b42b-25c8b956d66d d3dd1af1-2ea8-45d9-bc8b-b1142b30e35c Barrier 1 fb3c550f-f565-45ea-8f6a-c30b44a5f638 c2eaf459-2d2b-4b3b-b42b-25c8b956d66d 51f6ae9f-3f0c-4300-8577-320060b91dca Prevention 0.2 fdafc5fa-5dc2-41bd-9006-56ff3761d3e2 c2eaf459-2d2b-4b3b-b42b-25c8b956d66d c1ddaba0-9472-4f72-bc8b-0e9f78a0dc0c Prevention 0.002 74abb3b9-89fd-4d0c-bdac-6f428da260a8 c2eaf459-2d2b-4b3b-b42b-25c8b956d66d 6f858dc1-8b5f-4015-9ca3-4ff5e56d64ea Barrier 0.05 3c127b6d-6702-4e20-ad4d-1b95bbf37312 c2eaf459-2d2b-4b3b-b42b-25c8b956d66d Lack of attention due to stress and heavy workload 2022-11-15T15:00:22.7961102 2022-11-15T15:00:22.7961104 400 0 0 true true true 0 0 0 12 d6aeb53d-f906-46cf-a866-9914394e2a50 f491b6c5-3167-4eef-9a27-6c5940df911a Patient misidentification due to wrong patient RT protocol 5 8 10 5 10 f57ea140-ec3a-409d-b592-09f4bdd026f3 2022-11-15T15:00:22.7980026 2023-02-27T10:17:31.7230877 349b71e6-f083-4bda-808d-e4f69318fd74 d6aeb53d-f906-46cf-a866-9914394e2a50 51f6ae9f-3f0c-4300-8577-320060b91dca Prevention 0.2 3a472f0a-3fe3-4839-8775-61f420741622 d6aeb53d-f906-46cf-a866-9914394e2a50 47a6de2f-1405-4be2-add7-6a8cca4f8ffd Barrier 1 b802979a-c4a1-445d-9c9d-c5fe1b344972 d6aeb53d-f906-46cf-a866-9914394e2a50 f270da21-61d6-41a3-ab4c-6ee94fbada20 Prevention 0.002 55536e94-a206-4867-a470-cf8501b7acdd d6aeb53d-f906-46cf-a866-9914394e2a50 6f858dc1-8b5f-4015-9ca3-4ff5e56d64ea Barrier 0.05 40ebb85f-19ff-4069-86ae-ebdcb22c50ee d6aeb53d-f906-46cf-a866-9914394e2a50 lack of attention due to stress and heavy workload 2022-11-15T15:00:22.7980051 2022-11-15T15:00:22.7980053 400 0 0 true true true 0 0 0 13 ee504c75-729c-406b-80cb-422eb0aca5c4 f491b6c5-3167-4eef-9a27-6c5940df911a Medical indication for treatment is not checked 5 8 10 5 10 f57ea140-ec3a-409d-b592-09f4bdd026f3 2022-11-15T15:00:22.7798983 2023-02-27T09:40:06.2198885 4be3cbc6-e361-4f7b-b7db-ea6efa167861 ee504c75-729c-406b-80cb-422eb0aca5c4 23a4f876-a8f7-42a4-8947-21f257f3ee16 Prevention 0.002 7d14e1d4-d825-43f8-8c97-0e06d060f550 ee504c75-729c-406b-80cb-422eb0aca5c4 ce115d62-09aa-4768-b54d-1b5b92099e4a Barrier 1 e641cc48-5c96-432d-a259-ce62f3787a3b ee504c75-729c-406b-80cb-422eb0aca5c4 1e6ec7ad-ff96-42ca-93a8-bd26b5962f29 Prevention 0.2 319611f8-dc31-4597-a284-7e498e15c911 ee504c75-729c-406b-80cb-422eb0aca5c4 Lack of attention due to stress and sense of urgency 2022-11-15T15:00:22.7799007 2022-11-15T15:00:22.7799009 400 0 0 true false true 0 0 0 4 f578b276-c3d9-42ac-b414-e681a46a9912 f491b6c5-3167-4eef-9a27-6c5940df911a Plan parameters are not checked 4 10 10 4 10 641fc40e-df31-47e0-8c9f-397d1d9a0e80 2022-11-15T15:00:22.7939593 2023-02-27T14:51:42.3986577 a424e3ca-67d2-4db8-9814-7baf73769a96 f578b276-c3d9-42ac-b414-e681a46a9912 72ad014c-a04a-46d0-898e-d2d1367b7c20 Barrier 1 c1536a45-4a9c-4ffc-a3b4-3d940ca4cd4d f578b276-c3d9-42ac-b414-e681a46a9912 06731a84-5c97-4acf-92a8-1fe0c87320cf Barrier 0.2 f3738ed5-7bf0-4f5f-9389-e0724a46884b f578b276-c3d9-42ac-b414-e681a46a9912 42891fcf-295d-4fff-9f44-0fd2ef94c96c Prevention 0.001 9f46e962-0f81-4794-b11b-8407ab5d1d09 f578b276-c3d9-42ac-b414-e681a46a9912 Lack of attention due to stress and heavy workload 2022-11-15T15:00:22.7939618 2022-11-15T15:00:22.793962 400 0 0 true true false 0 0 0 11 fa271874-64fe-4410-9a91-09a32a5c72a4 2b15022f-f548-49ed-aa40-864b7f999056 Completion of interrupted fractions 30 1 4 0001-01-01T00:00:00 2022-11-15T15:49:53.5904813 f4864f5e-ce7b-4fd9-b98e-605fbc4d523c fa271874-64fe-4410-9a91-09a32a5c72a4 Dose deviation after fraction completion which cannot be adapted to the current anatomy 8 8 10 8 10 f57ea140-ec3a-409d-b592-09f4bdd026f3 2022-11-15T15:00:22.9108009 2023-02-27T14:47:18.0338031 7b64be37-170d-46db-8127-6403dc009ac0 f4864f5e-ce7b-4fd9-b98e-605fbc4d523c 78af5ee4-b8ea-4cfc-b8c5-143408edfc80 Barrier 1 849d3b08-0fca-4705-b9f6-65f5692f50a0 f4864f5e-ce7b-4fd9-b98e-605fbc4d523c 714909be-5da8-4270-936b-804420b18a12 Prevention 0.02 aa591cdc-d271-4794-8a2b-b6f3f36143c4 f4864f5e-ce7b-4fd9-b98e-605fbc4d523c 5c720c98-3504-4cb4-b6fe-d1003dbf8267 Barrier 0.2 e617bdc1-9906-47fc-8c56-e73242e48797 f4864f5e-ce7b-4fd9-b98e-605fbc4d523c Limits of delivery system 2022-11-15T15:00:22.9108035 2022-11-15T15:00:22.9108037 640 0 0 true true false 0 0 0 1 00dfc303-a816-4624-b264-96d30bea0675 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 1 2022-11-15T15:00:22.7789776 2022-11-15T15:00:22.7789789 02a70d82-5cbe-416a-beb7-63a29a4275c9 2b15022f-f548-49ed-aa40-864b7f999056 Active false Added 0.1 2022-11-15T15:00:22.8812364 2022-11-15T15:00:22.8812378 03ed1f0c-843a-47de-9b35-9535d9fc81be 2b15022f-f548-49ed-aa40-864b7f999056 Potential false Added 0.1 2022-11-15T15:00:22.872735 2023-02-27T13:02:35.4494864 05219a2e-3ffb-4bc7-844d-4bc98df765be 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.01 2022-11-15T15:00:22.8573588 2022-11-15T15:00:22.85736 0539ddf0-27a9-4c17-9ec0-0af4cf93b787 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 1 2022-11-15T15:00:22.8637171 2022-11-15T15:00:22.8637184 05b91045-a17e-4aa3-81ae-96322a5fe0df 2b15022f-f548-49ed-aa40-864b7f999056 Potential false Added 0.1 2022-11-15T15:00:22.777948 2023-02-27T09:58:56.898784 05c072ff-cf9f-4a94-be55-527e5561e816 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.002 2022-11-15T15:00:22.8909006 2023-02-27T14:37:49.413095 05dca79f-a135-4f91-8224-2b0307bc1c12 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.01 2022-11-15T15:00:22.8255853 2022-11-15T15:00:22.8255865 06731a84-5c97-4acf-92a8-1fe0c87320cf 2b15022f-f548-49ed-aa40-864b7f999056 Potential false Added 0.2 2022-11-15T15:00:22.7960511 2023-02-27T10:14:48.3872779 07b9c5b7-3c0d-40e6-87e5-0d8dfc039215 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.01 2022-11-15T15:00:22.8945437 2023-02-27T14:38:01.3601915 07d39fcb-c097-4aee-a181-5a5977cee80e 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 1 2022-11-15T15:00:22.8110761 2022-11-15T15:00:22.8110773 0916dd0e-345c-41cd-8273-1ea3d60a0b70 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.01 2022-11-15T15:00:22.8437627 2023-02-27T11:05:50.8391931 0ec97cae-2272-4ca1-93e2-c79d948da899 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.002 2022-11-15T15:00:22.9093047 2023-02-27T14:44:36.4435673 0fe90b07-cf92-4d9f-9926-a0ea2bcd2698 2b15022f-f548-49ed-aa40-864b7f999056 Potential false Added 0.2 2022-11-15T15:00:22.8054205 2023-02-27T10:22:36.110509 11b5fc7b-2400-4f61-ad29-c82bb3c7a6c1 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 1 2022-11-15T15:00:22.8460574 2022-11-15T15:00:22.8460588 12cadc99-0619-4627-8a8f-aa435af5cecf 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.01 2022-11-15T15:00:22.8732355 2023-02-27T13:02:24.1677566 1310fda5-0d3b-459f-8b04-497cab1e59ff 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.002 2022-11-15T15:00:22.8963696 2023-02-27T13:44:09.3961255 13f98aef-f257-4d33-870a-16fa782dfe00 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 1 2022-11-15T15:00:22.8532679 2022-11-15T15:00:22.8532692 13fc355d-2586-4d0f-a21b-cd420beda8a2 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 1 2022-11-15T15:00:22.8288103 2022-11-15T15:00:22.8288115 1447a01d-5fbc-483d-9b35-32aa395ccba3 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 1 2022-11-15T15:00:22.884937 2022-11-15T15:00:22.8849384 15caa5fd-8567-44f0-9fec-a16e35daa37c 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 1 2022-11-15T15:00:22.8360578 2022-11-15T15:00:22.836059 1601d0d8-7dad-4710-b4fb-9b2042a147d2 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 1 2022-11-15T15:00:22.90412 2022-11-15T15:00:22.9041213 170209f0-980e-495d-9deb-b0b2ec775e49 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.01 2022-11-15T15:00:22.8356252 2022-11-15T15:00:22.8356265 1898e485-a3e4-4fb3-9cfc-8c4664b91771 2b15022f-f548-49ed-aa40-864b7f999056 Potential false Added 0.05 2022-11-15T15:00:22.8469266 2023-02-27T11:09:53.0605755 198e8e3c-c3d9-49c1-8940-72fedd404804 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.01 2022-11-15T15:00:22.8320035 2022-11-15T15:00:22.8320048 1c19fa97-faac-4ce4-838c-838eb24f2a23 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.01 2022-11-15T15:00:22.8678282 2022-11-15T15:00:22.8678293 1c75be65-1e15-4bf5-bb6c-3cd66148d6fc 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.01 2022-11-15T15:00:22.8156009 2022-11-15T15:00:22.8156021 1dee17d6-867f-4bf8-84a2-91fe5edf4554 2b15022f-f548-49ed-aa40-864b7f999056 Potential false Added 0.05 2022-11-15T15:00:22.7761806 2023-02-27T09:58:39.9792222 1e1ee786-47b4-44d9-804a-17fe00c234d1 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.002 2022-11-15T15:00:22.8184565 2023-02-27T10:39:45.118737 1e6ec7ad-ff96-42ca-93a8-bd26b5962f29 2b15022f-f548-49ed-aa40-864b7f999056 Potential false Added 0.2 2022-11-15T15:00:22.7816651 2023-02-27T09:59:45.4600876 1f6b8b73-b007-49fe-8978-d647c4140850 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 1 2022-11-15T15:00:22.8859029 2022-11-15T15:00:22.8859042 1fb61cf2-e1f2-4c84-ad92-ccbc7a0764c7 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.01 2022-11-15T15:00:22.8338165 2022-11-15T15:00:22.8338177 219e04ea-6935-4501-ba86-602387c3096f 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.002 2022-11-15T15:00:22.7925335 2023-02-27T10:13:02.9275478 21b9dfa2-14f0-4c8f-b3fc-0753201e5832 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.01 2022-11-15T15:00:22.8087637 2022-11-15T15:00:22.8087649 2347852c-c075-4566-9640-d60808aed897 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.0001 2022-11-15T15:00:22.8750483 2022-11-15T15:00:22.8750495 23a4f876-a8f7-42a4-8947-21f257f3ee16 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.002 2022-11-15T15:00:22.780324 2023-02-27T10:00:16.3635576 240a7d7e-ad94-4b19-8922-bb06d40125de 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.002 2022-11-15T15:00:22.7887383 2023-02-27T10:10:56.2253554 27bba5b7-22d4-43fe-8818-2c5bdb5f43f5 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.09750000000000067 2022-11-15T15:00:22.8613941 2022-11-15T15:00:22.8613955 2b35c86b-ab95-4efd-b41c-93579804df19 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 1 2022-11-15T15:00:22.8718902 2022-11-15T15:00:22.8718915 2d3dda47-fabe-47fa-86c0-8c576be87337 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.0015 2022-11-15T15:00:22.8301914 2023-02-27T10:53:06.4073441 2dfb2a02-5afd-456f-aec6-3de71cd4e4be 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 1 2022-11-15T15:00:22.8800971 2022-11-15T15:00:22.8800987 2e21b17c-9390-41ef-bc75-db07ea56a06b 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 1 2022-11-15T15:00:22.7930497 2022-11-15T15:00:22.7930511 2f0d8349-47b1-49e5-a6fe-82c796768e7a 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 1 2022-11-15T15:00:22.8139138 2022-11-15T15:00:22.813915 2f93a9e5-1ea2-4bfa-bb76-74b80408dafd 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.001 2022-11-15T15:00:22.8003508 2022-11-15T15:00:22.8003521 308e2c5a-4e6c-4834-a94f-4fab5a4fd47f 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.01 2022-11-15T15:00:22.8492575 2022-11-15T15:00:22.8492588 336ad2e3-6000-443f-a047-fa1e7314bb8b 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.0001 2022-11-15T15:00:22.8844805 2022-11-15T15:00:22.8844818 33a3b953-3591-47af-8c4d-8b1a9ec6727d 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 1 2022-11-15T15:00:22.8478686 2022-11-15T15:00:22.8478699 33fbcc02-6fa8-4d2a-8b76-2e959437b717 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 1 2022-11-15T15:00:22.789174 2022-11-15T15:00:22.7891753 349654ef-ff70-4d45-8788-b3de3a642ee7 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.02 2022-11-15T15:00:22.9055039 2023-02-27T13:55:18.6535645 34d25980-32f6-4190-80b0-2bcc14fcfc6a 2b15022f-f548-49ed-aa40-864b7f999056 Potential false Added 0.05 2022-11-15T15:00:22.8568738 2023-02-27T12:36:36.5092594 34f94780-9562-41e9-afb4-dda5d0d281bd 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 1 2022-11-15T15:00:22.8627765 2022-11-15T15:00:22.8627779 3580d961-f4f7-4b2a-8f1d-65b1367b96e1 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 1 2022-11-15T15:00:22.8877031 2022-11-15T15:00:22.8877044 35b59cfd-06a1-4f7d-b383-6e2669bab1e1 2b15022f-f548-49ed-aa40-864b7f999056 Potential false Added 0.2 2022-11-15T15:00:22.7882547 2023-02-27T10:07:52.1059756 361fcae9-3881-4388-aeb6-abad9f7fe49a 2b15022f-f548-49ed-aa40-864b7f999056 Potential false Added 0.2 2022-11-15T15:00:22.8505526 2023-02-27T12:54:39.990234 3654fef3-f843-453c-998e-e459aa89d5c3 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.001 2022-11-15T15:00:22.8854367 2022-11-15T15:00:22.8854379 38f60bc4-5dd1-438f-854a-a174a64a8536 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.01 2022-11-15T15:00:22.8510387 2023-02-27T11:14:02.8078912 392634d4-2281-40ab-97d5-7d3d904a12b9 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.02 2022-11-15T15:00:22.8424166 2023-02-27T11:04:42.9237765 39fecf69-a15b-4e16-bebf-11c536f4e64b 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.09750000000000067 2022-11-15T15:00:22.8397019 2022-11-15T15:00:22.8397034 3a35d4d8-088a-4000-ac7b-891516dd83d7 2b15022f-f548-49ed-aa40-864b7f999056 Potential false Added 0.3 2022-11-15T15:00:22.7684883 2023-02-27T09:49:22.9281738 3d5d982a-c1ec-49d6-aabc-98c7e0be059e 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.5 2022-11-15T15:00:22.824231 2023-02-27T10:48:05.3004556 3e2b3122-1e0d-41a8-85cf-853cc1c16736 2b15022f-f548-49ed-aa40-864b7f999056 Potential false Added 0.05 2022-11-15T15:00:22.8922172 2023-02-27T13:40:59.0933269 407693a1-7b6f-4104-9763-f9ae10878797 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 1 2022-11-15T15:00:22.8496943 2022-11-15T15:00:22.8496956 40e51b73-f509-4ede-b7ba-bcfa5121334e 2b15022f-f548-49ed-aa40-864b7f999056 Potential false Added 0.3 2022-11-15T15:00:22.8197969 2023-02-27T10:39:26.7052661 41d3e04c-d961-4676-875c-ce57790296c4 2b15022f-f548-49ed-aa40-864b7f999056 Potential false Added 0.3 2022-11-15T15:00:22.8541474 2023-02-27T11:16:31.6502526 4259da8d-be39-49e8-8524-22ea45459ece 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.002 2022-11-15T15:00:22.8238094 2023-02-27T10:46:06.9012478 42891fcf-295d-4fff-9f44-0fd2ef94c96c 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.001 2022-11-15T15:00:22.7944342 2023-02-27T10:14:12.7219587 438f05c0-4567-4a1e-951c-909f273e8189 2b15022f-f548-49ed-aa40-864b7f999056 Potential false Added 0.2 2022-11-15T15:00:22.8250816 2023-02-27T10:46:35.3565337 43ea853f-20c6-416d-96dd-a1357cd78e43 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.01 2022-11-15T15:00:22.8165799 2022-11-15T15:00:22.8165812 4551b1f0-b2de-4c71-bacb-30e798ba4dee 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 1 2022-11-15T15:00:22.8682772 2022-11-15T15:00:22.8682785 47a6de2f-1405-4be2-add7-6a8cca4f8ffd 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 1 2022-11-15T15:00:22.7989418 2022-11-15T15:00:22.798943 499517da-63af-48ae-a5b4-b78d21fc4234 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.002 2022-11-15T15:00:22.8041044 2023-02-27T10:22:29.6198191 4a5b3413-7b0a-414a-bb7c-37aebaf79b7d 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.01 2022-11-15T15:00:22.8373932 2022-11-15T15:00:22.8373945 4ad68bba-d687-4dac-a752-71d39d9dd0a3 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.001 2022-11-15T15:00:22.9036803 2022-11-15T15:00:22.9036815 4b1bcd06-6307-4aba-962b-9b75d3cb3c20 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 1 2022-11-15T15:00:22.8378485 2022-11-15T15:00:22.8378499 4ba507f5-3322-4b3d-a7cb-fad5202ccd09 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 1 2022-11-15T15:00:22.8821826 2022-11-15T15:00:22.8821839 4d736d6a-d0a3-4a77-85e0-3b00968749f8 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 1 2022-11-15T15:00:22.8082576 2022-11-15T15:00:22.8082589 506d3044-3822-4f62-a175-de78cde1b53e 2b15022f-f548-49ed-aa40-864b7f999056 Potential 60000 9000 The effectiveness of this safety measure is limited by: >False commissioning of secondary dose engine; >Erroneous data transfer to secondary dose engine; >Inconsistent setting of parameters in secondary dose engine and TPS. >Patient specific QA not performed for all plans; false Added 0.2 2022-11-15T15:00:22.8763767 2023-02-27T13:29:06.8900491 519a8c67-1c1e-4706-b709-853843a18abf 2b15022f-f548-49ed-aa40-864b7f999056 Potential false Added 0.1 2022-11-15T15:00:22.7707676 2023-02-27T09:51:28.4833896 51f6ae9f-3f0c-4300-8577-320060b91dca 2b15022f-f548-49ed-aa40-864b7f999056 Potential false Added 0.2 2022-11-15T15:00:22.790074 2023-02-27T10:17:01.5926463 5228404a-a2dc-4d05-956f-8ae447250164 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 1 2022-11-15T15:00:22.7863005 2022-11-15T15:00:22.7863016 52da9b2a-393d-4477-a3f7-7ce5b3b5f3bc 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 1 2022-11-15T15:00:22.8550607 2022-11-15T15:00:22.855062 580109b8-c79a-4a74-9b17-d572b4ccd93d 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 0.001 2022-11-15T15:00:22.8283782 2023-02-27T10:51:11.0591915 58b05818-1488-4e94-a978-fa947b33caa7 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 1 2022-11-15T15:00:22.8342618 2022-11-15T15:00:22.834263 5baaedb5-7830-4186-bec7-42fc6332d100 2b15022f-f548-49ed-aa40-864b7f999056 Active false Initial 1 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