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Radiation Oncology Safety Information System
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About ROSIS

ROSIS, an acronym for Radiation Oncology Safety Information System, is a patient safety tool specific to radiation oncology. It was established in 2001 under the auspices of the professional body "European Society of Therapeutic Radiology and Oncology" (ESTRO), and has successfully established an international voluntary incident and near incident reporting system, a supporting website and an annual teaching course on Patient Safety in Radiation Oncology.

The establishment of ROSIS was visionary and timely - worldwide, organisations began to appreciate the burden caused by iatrogrenic injury. The potential of incident reporting systems to detect, monitor, and reduce the occurrence of incidents was recognised. Despite this, authorities doubted that anyone would voluntarily report incidents to an international system. Slightly ahead of its time, ROSIS succeeded in capturing the imagination and support of individuals and received reports on incidents in RO. More recently, countries are beginning to require individual hospitals to put reporting systems in place, and countries are beginning to collect reports on a national basis. ROSIS is still a leader in terms of having developed a discipline-specific, international, reporting system.

The main aims of ROSIS are to:

  • Establish an international reporting system in radiation oncology, and
  • Use this system to reduce the occurrence of incidents in radiation oncology by:
    • Enabling the clinics to share reports on incidents with other clinics as well as with other stakeholders such as scientific and professional bodies
    • Collecting and analysing information on the occurrence, detection, severity and correction of radiotherapy related incidents
    • Disseminating these results and generally promoting awareness of incidents and a safety culture in radiation oncology.

A team of four professionals - Dr Ola Holmberg, A/Prof Mary Coffey, A/Prof Tommy Knoos and Dr Joanne Cunningham - form the executive of ROSIS. This team has developed an open structured system for reporting radiotherapy incidents and near incidents in an effort to raise awareness of the potential for harm in radiation therapy, to facilitate learning from the experience of others, and thereby to minimise the probability and severity of possible future incidents.

In 2001, the European Society for Therapeutic Radiology and Oncology (ESTRO) agreed to fund the development of ROSIS through the following umbrella-project: "EUROPEAN COMMISSION Directorate General Health and Consumer Protection - Europe Against Cancer Programme ESQUIRE II Project: Education, Science and QUality Assurance for Radiotherapy Grant Agreements Number S12.300039 (2000CVG2-021) & SPC 2002480."

During the development-phase of ROSIS in ESTRO, the Steering Committee of ROSIS consisted of the group above plus additional ESTRO members, for whose participation we are extremely grateful.



The ROSIS Group would like to thank Graham Woods for his assistance in developing this website and the dynamic reporting forms and feedback.

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