🚨 ACTIVATE CRITICAL DECISION SUPPORT

Emergency Response for Unexpected Critical Situations

📊 Relevant Context from QMS

Recent Similar Incidents:
Wrong vertebra treated

Patient underwent VSIM and treatment on 05/04/2026. Imaging including CBCT was acquired and reviewe…

Status: Open • 1 week, 2 days ago
RO-ILS Case Study 02: Adaptive Planning Quality Assurance Failure

Physics resident reviewing quality assurance repeat CT (QACT) failed to notice small bowel movement…

Status: Open • 1 year ago
RO-ILS Case Study 01: Error in Scheduling Patient Treatment

Treatment to two different sites with different fractionation schemes resulting in different end da…

Status: Open • 1 year ago
Wrong Patient Treatment - Prostate Cancer Radiation Therapy

Patient received radiation treatment with another patient's treatment plan for one fraction. The in…

Status: In progress • 1 year ago
AI Contouring Gap in Critical Structures - Radiation Therapy

AI contouring software produced a gap between the spinal cord and brainstem during radiation therap…

Status: In progress • 1 year ago

🎯 Critical Decision Activation Guidelines

  • Cognitive Diversity: The system will help assemble a multidisciplinary team
  • Psychological Safety: Structured environment for open communication
  • SBAR Framework: Situation → Background → Assessment → Recommendation
  • AI Context: Historical data and patterns will be provided for context
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