# Learning in radiation oncology: 12‐month experience with a new incident learning system

## TL;DR

A new incident learning system called LIRON was introduced in radiation oncology and showed positive effects on reporting and safety culture after 12 months.

## Contribution

The study demonstrates the positive impact of implementing a new electronic incident learning system (LIRON) in a local health district.

## Key findings

- LIRON increased ILS participation from 49% to 71% after 12 months.
- Staff reported fewer barriers to reporting and greater confidence in learning from the system.
- Survey results showed improved perceptions of safety culture and encouragement to report incidents.

## Abstract

Safety and quality improvement are essential to clinical practice in radiation therapy as planning and treatment increase in complexity and sophistication. An incident learning system (ILS) is a safety and quality improvement tool that can aid risk mitigation to improve patient safety and quality of care. The aim of this study was to quantify the impact of implementing a new e‐ILS, Learning In Radiation ONcology (LIRON), on reporting and safety culture within a local health district (LHD).

The ILS (LIRON) was implemented in 2020 with the intent of tracking actual incidents, near misses and procedural non‐compliances for analysis of root causes and contributing factors. A survey was conducted after 12 months of LIRON use, and distributed to radiation oncologists, radiation therapists and radiation oncology medical physicists within the LHD. Results were compared with the responses to a pre‐ILS implementation survey, to review changes in staff perceptions of safety culture, barriers to reporting and ILS understanding.

Survey response rates were similar at baseline and at the 12‐month follow‐up, 64% and 63%, respectively. Findings showed increased ILS participation (49–71%), increased perception of no barriers to reporting (34–43%) and increased encouragement to report (37–43%). Greater confidence in the department's ability to learn from the ILS was evident (24–46%).

Initial findings of LIRON implementation show positive impact but warrant further long‐term review for greater understanding of its impact on staff perceptions, safety culture and improving departmental processes.

Introduction of an incident learning incident (ILS) was shown to have had a positive impact on reporting and safety culture within a local health district (LHD). Survey findings correlate with existing literature that ILSs are effective tools for improving patient safety and departmental safety facilitating quality improvement.