Analyse transverse de risques en radiothérapie : modélisation et évaluation des barrières et des facteurs techniques, humains et organisationnels à l’aide de Réseaux bayésiens

Abstract : Radiotherapy is an uncontested resource in the arsenal of cancer treatment. This technique implies risks for both patients and radiotherapy professionals, which requires it to be carried out in a controlled and monitored environment. However, because of the multiplicity of actors, the complexity of the healthcare organization set up around the patient and the complexity of medical devices, in recent years some incidents and accidents in treatment process appeared, with sometimes tragic consequences. To reduce or eliminate these events, it is essential to address the problem of radiation therapy in terms of risk analysis of socio-technical systems, by including technical / human / organizational complexity in a "transverse" view. The main contribution of this work consists in an approach based on models that assess a priori, for a given radiotherapy process, an indicator of the security provided to patients during their radiotherapy treatment
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Alexandre Reitz. Analyse transverse de risques en radiothérapie : modélisation et évaluation des barrières et des facteurs techniques, humains et organisationnels à l’aide de Réseaux bayésiens. Autre. Université de Lorraine, 2014. Français. ⟨NNT : 2014LORR0242⟩. ⟨tel-01751258⟩

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