<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1561-3194</journal-id>
<journal-title><![CDATA[Revista de Ciencias Médicas de Pinar del Río]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Ciencias Médicas]]></abbrev-journal-title>
<issn>1561-3194</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1561-31942018000600078</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Estudio del riesgo en radioterapia superficial con SENSUS SRT-100TM usando FMEA y código SECURE MR-FMEA]]></article-title>
<article-title xml:lang="en"><![CDATA[Study of risks in superficial radiotherapy with SENSUS SRT-100TM using FMEA and code SECURE MR-FMEA]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nazco Torres]]></surname>
<given-names><![CDATA[Julio Nazco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres Valle]]></surname>
<given-names><![CDATA[Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Labrador Díaz]]></surname>
<given-names><![CDATA[Juan Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jiménez Ortega]]></surname>
<given-names><![CDATA[Ulises]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castro Crespo]]></surname>
<given-names><![CDATA[Diosdado]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Pinar del Río Centro de Atención al Paciente Oncológico ]]></institution>
<addr-line><![CDATA[Pinar del Río ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de La Habana Instituto Superior de Tecnologías y Ciencias Aplicadas ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>22</volume>
<numero>6</numero>
<fpage>78</fpage>
<lpage>90</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-31942018000600078&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-31942018000600078&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-31942018000600078&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: atendiendo a la alta incidencia de cáncer cutáneo, donde son utilizados tratamientos con radiaciones ionizantes, específicamente con equipo SENSUS SRT-100TM en el Centro de Atención al Paciente Oncológico de Pinar del Río y dada la necesidad de mejorar la prevención de incidentes y accidentes relacionados con la práctica, se ha empleado un enfoque avanzado de análisis de riesgo similar al propuestos por la Asociación Americana de Físicos Médicos a través del uso del software SECURE MR-FMEA.  Objetivo: desarrollar un estudio de riesgo para radioterapia superficial con SENSUS SRT 100TM que identifique los modos y causas de fallos asociados al tratamiento, que posibiliten el empleo de aplicaciones que optimicen la seguridad y calidad de la práctica.  Métodos: se utilizó el método prospectivo de análisis de modos y efectos de fallos a tratamientos superficiales con SENSUS SRT-100TM mediante aplicaciones desarrolladas en el código SECURE MR-FMEA.  Resultados: se diseñó el mapa del proceso con sus subprocesos y etapas respectivas por un equipo multidisciplinario formado en el Centro de Atención al Paciente Oncológico pinareño, propiciando la comprensión global de la actividad y determinación del perfil de riesgo y árboles de fallos de interés (apoyado en prestaciones del programa SECURE MR-FMEA) creándose así, medidas de defensa y desarrollándose actividades que disminuyeron el riesgo tras reevaluación efectuada.  Conclusiones: el estudio de riesgo realizado en radioterapia superficial posibilitó fortalecer la seguridad y calidad de los tratamientos administrados en el Centro de Atención al Paciente Oncológico de Pinar del Río, además de facilitar futuras evaluaciones.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  in view of the high incidence of skin cancer, where treatments with ionizing radiation are used, particularly with SENSUS SRT-100TM equipment at Oncology Patient Care Center of Pinar del Río, and the known need to improve the prevention of incidents and accidents related to this practice, an advanced risk-analysis approach, similar to that proposed by the American Association of Physicists in Medicine, was applied using the SECURE MR-FMEA code.  Objective:  to develop a risk study for superficial radiotherapy with SENSUS SRT 100TM that identifies the modes and causes of failures associated with the treatment, which allow the use of applications that optimize the safety and quality of the practice.  Methods:  the prospective method of failure modes and effect analysis, regarding superficial treatments with SENSUS SRT-100TM through the applications developed by means of the SECURE MR-FMEA code.  Results:  the process map was designed with its sub-processes and respective stages by a multidisciplinary team created at Oncology Patient Care Center in Pinar del Río, assisting the global comprehension of the activity and determining the risk profile and specific failure trees (supported by the benefits of the SECURE MR-FMEA program), to create defense measures and developing activities that decreased the risk after the application of the reassessment.  Conclusions:  the risk study carried out in superficial radiotherapy made possible to strengthen the safety and quality of the treatments delivered at the Oncology Patient Care Center of Pinar del Río, allowing the future assessments.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[DISEÑO DE PROGRAMAS INFORMÁTICOS]]></kwd>
<kwd lng="es"><![CDATA[CALIDAD DE VIDA]]></kwd>
<kwd lng="es"><![CDATA[RIESGO]]></kwd>
<kwd lng="es"><![CDATA[RADIOTERAPIA]]></kwd>
<kwd lng="en"><![CDATA[SOFTWARE DESIGN]]></kwd>
<kwd lng="en"><![CDATA[QUALITY OF LIFE]]></kwd>
<kwd lng="en"><![CDATA[RISK]]></kwd>
<kwd lng="en"><![CDATA[RADIOTHERAPY.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mohan]]></surname>
<given-names><![CDATA[SV]]></given-names>
</name>
<name>
<surname><![CDATA[Chang]]></surname>
<given-names><![CDATA[AL.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Advanced basal cell carcinoma: epidemiology and therapeutic innovations.]]></article-title>
<source><![CDATA[Curr Dermatol Rep]]></source>
<year>2014</year>
<volume>3</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="book">
<source><![CDATA[Anuario estadístico de salud 2017]]></source>
<year>2018</year>
<publisher-loc><![CDATA[Dirección de registros médicos y estadísticos de salud ]]></publisher-loc>
<publisher-name><![CDATA[Ministerio de Salud Pública]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pérez-Bernal]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Epidemiología de las lesiones malignas epiteliales.]]></article-title>
<source><![CDATA[Univ. Méd. Pinar.]]></source>
<year>2014</year>
<volume>11</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[McGregor]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Minni]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Herold]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Superficial Radiation Therapy for the Treatment of Nonmelanoma Skin Cancers.]]></article-title>
<source><![CDATA[J Clin Aesthet Dedrmatol.]]></source>
<year>2015</year>
<volume>8</volume>
<numero>12</numero>
<issue>12</issue>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="book">
<source><![CDATA[European Comission. "General guidelines on risk management in external beam radiotherapy". EC report Radiation Protection (RP)-181]]></source>
<year>2015</year>
<publisher-name><![CDATA[ACCIRAD Project]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="book">
<source><![CDATA[IAEA. Bonn Call for Action]]></source>
<year>2012</year>
<publisher-name><![CDATA[WHO]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Huq]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The report of Task Group 100 of the AAPM: Application of risk analysis methods to radiation therapy quality management]]></article-title>
<source><![CDATA[Med. Phys]]></source>
<year>2016</year>
<volume>43</volume>
<numero>7</numero>
<issue>7</issue>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ibanez-Rosello]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Bautista-Ballesteros]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Baneque]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Failure Mode and effect analysis of skin electronic brachytherapy using Esteya Unit.]]></article-title>
<source><![CDATA[Journal of Contemporay Brachytherapy]]></source>
<year>2016</year>
<volume>8</volume>
<numero>6</numero>
<issue>6</issue>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sayler]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Eldredge-Hindy]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Dinome]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Clinical implementation and failure modes and effects analysis of HDR skin brachytherapy using Valencia and Leipzig surface applicators]]></article-title>
<source><![CDATA[Brachytherapy]]></source>
<year>2015</year>
<volume>14</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Teixeira]]></surname>
<given-names><![CDATA[FC]]></given-names>
</name>
<name>
<surname><![CDATA[DE ALMEIDA]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[HUQ]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Failure mode and effects analysis based risk profile assessment for stereotactic radiosurgery programs at three cancer centers in Brazil]]></article-title>
<source><![CDATA[Med. Phys]]></source>
<year>2016</year>
<volume>43</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Yang]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Cao]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Young]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Validating FMEA output against incident learning data: A study in stereotactic body radiation therapy]]></article-title>
<source><![CDATA[Med Phys]]></source>
<year>2015</year>
<volume>42</volume>
<numero>6</numero>
<issue>6</issue>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Torres]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Montes de Oca]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Nuevo algoritmo para análisis de riesgo en radioterapia]]></article-title>
<source><![CDATA[Nucleus]]></source>
<year>2015</year>
<numero>58</numero>
<issue>58</issue>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Torres]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Evaluación de riesgo de la práctica de radioterapia con rayos X de kilovoltaje]]></article-title>
<source><![CDATA[Nucleus]]></source>
<year>2017</year>
<numero>61</numero>
<issue>61</issue>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ashley]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Armitage]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Neary]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Hollingsworth]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA["A Practical Guide to Failure Mode and Effects Analysis in Health Care: Making the Most of the Team and Its Meetings"]]></article-title>
<source><![CDATA[The Joint Commission Journal on Quality and Patient Safety]]></source>
<year>2010</year>
<volume>36</volume>
<numero>8</numero>
<issue>8</issue>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="book">
<collab>World Health Organization</collab>
<source><![CDATA[Radiotherapy Risk Profile-Technical Manual]]></source>
<year>2008</year>
<publisher-loc><![CDATA[WHO ]]></publisher-loc>
<publisher-name><![CDATA[Geneva]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
