Originated in the Netherlands...
PRISMA-RT was initially established in 2008 in the Netherlands, as a cooperation of Dutch Radiotherapy organizations, and was co-initiated by Petra Reijnders from the MAASTRO clinic (Maastricht). By means of a national database system and with the PRISMA method, these Radiotherapy departments were able to collect (near) incident reports digitally, analyze incidents and report these analyses from individual databases to a central benchmark module. The primary objective was to improve processes and increase patient safety within radiotherapy by comparing the root causes of incidents. By adding context variables to the root causes and transferring these data from an individual to a national database, benchmarking at a national level became possible.