Radiation Oncology

Anonymous Staff Feedback Tool

Purpose: The purpose of this form is to provide staff with an anonymous mechanism for reporting patient safety events or near misses, unsafe conditions, or other concerns. Feedback from this form is immediately sent to the Medical Director of Radiation Oncology for review and action, in the context of the Departmental Quality Improvement Committee, physician group, practice leadership team, and/or other appropriate bodies. Data from this tool may be input into RO-ILS in furtherance of our self-study goals. Aggregate data will be summarized at regular intervals during departmental section meetings.