The field of radiation oncology is fueled largely by the desire to try to incorporate better, more advanced technologies to increase the probability of curing cancer for patients. Safety initiatives at KU continue to work on providing guidance as to how the practitioner might make patients safer in the face of the complex process by which radiation therapy, an essential treatment used in the management of many patients with cancer, is prepared and delivered. A rigorous program of equipment testing, treatment monitoring and independent review ensures the safety of patients receiving radiation therapy at KU. Radiation oncologists, technicians, physicists and equipment specialists perform safety checks at every step of the treatment process - from the day radiation machines are installed to the planning and delivery of each treatment. These independent checks ensure that radiation treatments are customized for each patient and that any unintended exposure to radiation is minimized. They provide an opportunity to review every patient's treatment plan and make modifications as necessary. Additionally, tools such as Six Sigma, failure mode and effect analysis and LEAN are utilized to systematically evaluate our safety processes with a focus on transparency, efficiency and consistency. A non-punitive safety reporting system encourages any employee of KU to report errors or near misses. All such reports are reviewed by the KU Radiation Oncology executive quality council.