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All sourcesNASA NTRSDOE OSTI
DOE OSTI2020

Systematic Crosstalk Mitigation for Superconducting Qubits via Frequency-Aware Compilation

One of the key challenges in current Noisy Intermediate-Scale Quantum (NISQ) computers is to control a quantum system with high-fidelity quantum gates. There are many reasons a quantum gate can go wrong - for superconducting transmon qubits in particular, one major source of gate error is the unwanted crosstalk between neighboring qubits due to a phenomenon called frequency crowding. We motivate a systematic approach for understanding and mitigating the crosstalk noise when executing near-term quantum programs on superconducting NISQ computers. Here, we present a general software solution to alleviate frequency crowding by systematically tuning qubit frequencies according to input programs, trading parallelism for higher gate fidelity when necessary. The net result is that our work dramatically improves the crosstalk resilience of tunable-qubit, fixed-coupler hardware, matching or surpassing other more complex architectural designs such as tunable-coupler systems. On NISQ benchmarks, we improve worst-case program success rate by 13.3x on average, compared to existing traditional serialization strategies.

Computer architecture↗
DOE OSTI2012

PANCHROMATIC ESTIMATION OF STAR FORMATION RATES IN BzK GALAXIES AT 1 < z < 3

We determine star formation rates (SFRs) in a sample of color-selected, star-forming (sBzK) galaxies (K{sub AB} < 21.8) in the Extended Chandra Deep Field-South. To identify and avoid active galactic nuclei, we use X-ray, IRAC color, and IR/radio flux ratio selection methods. Photometric redshift-binned, average flux densities are measured with stacking analyses in Spitzer-MIPS IR, BLAST and APEX/LABOCA submillimeter, VLA and GMRT radio, and Chandra X-ray data. We include averages of aperture fluxes in MUSYC UBVRIz'JHK images to determine UV-through-radio spectral energy distributions. We determine the total IR luminosities and compare SFR calibrations from FIR, 24 {mu}m, UV, radio, and X-ray wavebands. We find consistency with our best estimator, SFR{sub IR+UV}, to within errors for the preferred radio SFR calibration. Our results imply that 24 {mu}m only and X-ray SFR estimates should be applied to high-redshift galaxies with caution. Average IR luminosities are consistent with luminous infrared galaxies. We find SFR{sub IR+UV} for our stacked sBzKs at median redshifts 1.4, 1.8, and 2.2 to be 55 {+-} 6 (random error), 74 {+-} 8, and 154 {+-} 17 M{sub Sun} yr{sup -1}, respectively, with additional systematic uncertainty of a factor of {approx}2.

79 ASTRONOMY AND ASTROPHYSICS↗
DOE OSTI2015

Precision cosmology with time delay lenses: High resolution imaging requirements

Lens time delays are a powerful probe of cosmology, provided that the gravitational potential of the main deflector can be modeled with sufficient precision. Recent work has shown that this can be achieved by detailed modeling of the host galaxies of lensed quasars, which appear as ``Einstein Rings'' in high resolution images. The distortion of these arcs and counter-arcs, as measured over a large number of pixels, provides tight constraints on the difference between the gravitational potential between the quasar image positions, and thus on cosmology in combination with the measured time delay. We carry out a systematic exploration of the high resolution imaging required to exploit the thousands of lensed quasars that will be discovered by current and upcoming surveys with the next decade. Specifically, we simulate realistic lens systems as imaged by the Hubble Space Telescope (HST), James Webb Space Telescope (JWST), and ground based adaptive optics images taken with Keck or the Thirty Meter Telescope (TMT). We compare the performance of these pointed observations with that of images taken by the Euclid (VIS), Wide-Field Infrared Survey Telescope (WFIRST) and Large Synoptic Survey Telescope (LSST) surveys. We use as our metric the precision with which the slope γ' of the total mass density profile ρ tot ∝ r–γ' for the main deflector can be measured. Ideally, we require that the statistical error on γ' be less than 0.02, such that it is subdominant to other sources of random and systematic uncertainties. We find that survey data will likely have sufficient depth and resolution to meet the target only for the brighter gravitational lens systems, comparable to those discovered by the SDSS survey. For fainter systems, that will be discovered by current and future surveys, targeted follow-up will be required. Furthermore, the exposure time required with upcoming facilitites such as JWST, the Keck Next Generation Adaptive Optics System, and TMT, will only be of order a few minutes per system, thus making the follow-up of hundreds of systems a practical and efficient cosmological probe.

79 ASTRONOMY AND ASTROPHYSICS↗
DOE OSTI2022

Systematic Evaluation of Counterpoise Correction in Density Functional Theory

A widespread belief persists that the Boys–Bernardi function counterpoise (CP) procedure “overcorrects” supramolecular interaction energies for the effects of basis-set superposition error. To the extent that this is true for correlated wave function methods, it is usually an artifact of low-quality basis sets. The question has not been considered systematically in the context of density functional theory, however, where basis-set convergence is generally less problematic. We present a systematic assessment of the CP procedure for a representative set of functionals and basis sets, considering both benchmark data sets of small dimers and larger supramolecular complexes. The latter include layered composite polymers with ~150 atoms and ligand–protein models with ~300 atoms. Provided that CP correction is used, we find that intermolecular interaction energies of nearly complete-basis quality can be obtained using only double-ζ basis sets. Furthermore, this is less expensive as compared to triple-ζ basis sets without CP correction. CP-corrected interaction energies are less sensitive to the presence of diffuse basis functions as compared to uncorrected energies, which is important because diffuse functions are expensive and often numerically problematic for large systems. Our results upend the conventional wisdom that CP “overcorrects” for basis-set incompleteness. In small basis sets, CP correction is mandatory in order to demonstrate that the results do not rest on error cancellation.

74 ATOMIC AND MOLECULAR PHYSICS↗
DOE OSTI2018

Final Report: Advanced Detector Technologies for Precision Measurement of Inflation, Dark Energy, and Neutrino Masses with the Cosmic Microwave Background

Precision measurements of the Cosmic Microwave Background (CMB) provide unparalleled op- portunities to probe the conditions in the early universe and thereby explore particle physics and gravity at the highest energies yet; measure the number of neutrino species and the sum of the neutrino masses with sensitivity beyond what is achievable with planned terrestrial experiments; improve our knowledge of dark energy; and search for other forms of new physics. The P-5 panel recognized the importance and potential of future CMB observations and recommended the DOE fund a stage four CMB experiment (CMB-S4) under all budget scenarios with construction commencing near the end of this decade. The objective of this proposal is to develop and demonstrate new technologies in time to maximize the science return of CMB-S4. The proposed technologies include: (i) broad band metamaterial antireflection coatings on relevant lenses with negligible absorptive and reflective losses; (ii) filters that reduce out of band optical loading with near perfect in band transmission; (iii) broad-band continuously spinning metamaterial half wave plates that boost the sensitivity to inflationary gravitational waves on large angular scales and mitigate systematics with minimal penalty to the instantaneous sensitivity; and (iv) broad band detectors that will enable excellent foreground discrimination while simultaneously maximizing the sensitivity to the signals from inflation and neutrinos. Together these technologies can realize significant improvements in instrumental sensitivity and control of systematic effects. This improvement in raw sensitivity could be used to reduce costs without sacrificing science by deploying a smaller number of more sensitive detectors, or to improve the sensitivity of CMB-S4 to physics parameters including reducing the error bar on r by the inverse of the mapping speed improvement. Beyond raw sensitivity these technologies address key systematics including polarization mixing and galactic foregrounds and enable CMB-S4 to test the shape of the polarization power spectrum out to larger angular scales further boosting measurements of inflation. In this report we detail the progress that has been made in these technical areas. This includes: (i) a demonstration of 4:1 bandwidth AR coating technology and a detailed understanding of the production challenges, (ii) prototype filters that incorporate absorptive and reflective components into silicon, (iii) a prototype broad band HWP fabricated from metamaterial silicon, and (iv) detector designs spanning 20-350 GHz with an understanding of the difficulties associated with bandwidths greater than one octave.

72 PHYSICS OF ELEMENTARY PARTICLES AND FIELDS↗
DOE OSTI2014

On bias of kinetic temperature measurements in complex plasmas

The kinetic temperature in complex plasmas is often measured using particle tracking velocimetry. Here, we introduce a criterion which minimizes the probability of faulty tracking of particles with normally distributed random displacements in consecutive frames. Faulty particle tracking results in a measurement bias of the deduced velocity distribution function and hence the deduced kinetic temperature. For particles with a normal velocity distribution function, mistracking biases the obtained velocity distribution function towards small velocities at the expense of large velocities, i.e., the inferred velocity distribution is more peaked and its tail is less pronounced. The kinetic temperature is therefore systematically underestimated in measurements. We give a prescription to mitigate this type of error.

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗
DOE OSTI2012

TESTING FOR A LARGE LOCAL VOID BY INVESTIGATING THE NEAR-INFRARED GALAXY LUMINOSITY FUNCTION

Recent cosmological modeling efforts have shown that a local underdensity on scales of a few hundred Mpc (out to z {approx} 0.1) could produce the apparent acceleration of the expansion of the universe observed via Type Ia supernovae. Several studies of galaxy counts in the near-infrared (NIR) have found that the local universe appears underdense by {approx}25%-50% compared with regions a few hundred Mpc distant. Galaxy counts at low redshifts sample primarily L {approx} L* galaxies. Thus, if the local universe is underdense, then the normalization of the NIR galaxy luminosity function (LF) at z > 0.1 should be higher than that measured for z < 0.1. Here we present a highly complete (>90%) spectroscopic sample of 1436 galaxies selected in the H band (1.6 {mu}m) to study the normalization of the NIR LF at 0.1 < z < 0.3 and address the question of whether or not we reside in a large local underdensity. Our survey sample consists of all galaxies brighter than 18th magnitude in the H band drawn from six widely separated fields at high Galactic latitudes, which cover a total of {approx}2 deg{sup 2} on the sky. We find that for the combination of our six fields, the product {phi}*L* at 0.1 < z < 0.3 is {approx}30% higher than that measured at lower redshifts. While our statistical errors in this measurement are on the {approx}10% level, we find the systematics due to cosmic variance may be larger still. We investigate the effects of cosmic variance on our measurement using the COSMOS cone mock catalogs from the Millennium Simulation and recent empirical estimates of cosmic variance. We find that our survey is subject to systematic uncertainties due to cosmic variance at the 15% level (1{sigma}), representing an improvement by a factor of {approx}2 over previous studies in this redshift range. We conclude that observations cannot yet rule out the possibility that the local universe is underdense at z < 0.1. The fields studied in this work have a large amount of publicly available ancillary data and we make available the images and catalogs used here.

79 ASTRONOMY AND ASTROPHYSICS↗
DOE OSTI2024

Classical and quantum computing of shear viscosity for ( 2 + 1 ) D SU(2) gauge theory

We perform a nonperturbative calculation of the shear viscosity for ( 2 + 1 )-dimensional SU(2) gauge theory by using the lattice Hamiltonian formulation. The retarded Green’s function of the stress-energy tensor is calculated from real time evolution via exact diagonalization of the lattice Hamiltonian with a local Hilbert space truncation, and the shear viscosity is obtained via the Kubo formula. When taking the continuum limit, we account for the renormalization group flow of the coupling but no additional operator renormalization. We find the ratio of the shear viscosity and the entropy density η s is consistent with a well-known holographic result 1 4 π at several temperatures on a 4 × 4 honeycomb lattice with the local electric representation truncated at j max = 1 2 . We also find the ratio of the spectral function and frequency ρ x y ( ω ) ω exhibits a peak structure when the frequency is small. Both the exact diagonalization method and simple matrix product state classical simulation method beyond j max = 1 2 on bigger lattices require exponentially growing resources. So we develop a quantum computing method to calculate the retarded Green’s function and analyze various systematics of the calculation including j max truncation and finite size effects, Trotter errors and the thermal state preparation efficiency. Our thermal state preparation method still requires resources that grow exponentially with the lattice size, but with a very small prefactor at high temperature. We test our quantum circuit on both the Quantinuum emulator and the IBM simulator for a small lattice and obtain results consistent with the classical computing ones. Published by the American Physical Society 2024

72 PHYSICS OF ELEMENTARY PARTICLES AND FIELDS↗
DOE OSTI2015

Erratum: Measurement of the electron charge asymmetry in $\boldsymbol{p\bar{p}\rightarrow W+X \rightarrow e\nu +X}$ decays in $\boldsymbol{p\bar{p}}$ collisions at $\boldsymbol{\sqrt{s}=1.96}$ TeV

The recent paper on the charge asymmetry for electrons from W boson decay has an error in the Tables VII to XI that show the correlation coefficients of systematic uncertainties. Furthermore, the correlation matrix elements shown in the original publication were the square roots of the calculated values.

72 PHYSICS OF ELEMENTARY PARTICLES AND FIELDS↗
DOE OSTI2016

ACCURATE POLARIZATION CALIBRATION AT 800 MHz WITH THE GREEN BANK TELESCOPE

Polarization leakage of foreground synchrotron emission is a critical issue in H i intensity mapping experiments. While the sought-after H i emission is unpolarized, polarized foregrounds such as Galactic and extragalactic synchrotron radiation, if coupled with instrumental impurity, can mimic or overwhelm the H i signals. In this paper, we present the methodology for polarization calibration at 700–900 MHz, applied on data obtained from the Green Bank Telescope (GBT). We use astrophysical sources, both polarized and unpolarized sources including quasars and pulsars, as calibrators to characterize the polarization leakage and control systematic effects in our GBT H i intensity mapping project. The resulting fractional errors on polarization measurements on boresight are well controlled to within 0.6%–0.8% of their total intensity. The polarized beam patterns are measured by performing spider scans across both polarized quasars and pulsars. A dominant Stokes I to V leakage feature and secondary features of Stokes I to Q and I to U leakages in the 700–900 MHz frequency range are identified. These characterizations are important for separating foreground polarization leakage from the H i 21 cm signal.

79 ASTRONOMY AND ASTROPHYSICS↗
DOE OSTI2016

Predicting biomass of hyperdiverse and structurally complex central Amazonian forests - a virtual approach using extensive field data

Notice on corrigendum: This paper has a corresponding corrigendum published. Please read the corrigendum first. Old-growth forests are subject to substantial changes in structure and species composition due to the intensification of human activities, gradual climate change and extreme weather events. Trees store ca. 90 % of the total aboveground biomass (AGB) in tropical forests and precise tree biomass estimation models are crucial for management and conservation. In the central Amazon, predicting AGB at large spatial scales is a challenging task due to the heterogeneity of successional stages, high tree species diversity and inherent variations in tree allometry and architecture. We parameterized generic AGB estimation models applicable across species and a wide range of structural and compositional variation related to species sorting into height layers as well as frequent natural disturbances. We used 727 trees (diameter at breast height ≥ 5 cm) from 101 genera and at least 135 species harvested in a contiguous forest near Manaus, Brazil. Sampling from this data set we assembled six scenarios designed to span existing gradients in floristic composition and size distribution in order to select models that best predict AGB at the landscape level across successional gradients. We found that good individual tree model fits do not necessarily translate into reliable predictions of AGB at the landscape level. When predicting AGB (dry mass) over scenarios using our different models and an available pantropical model, we observed systematic biases ranging from -31 % (pantropical) to +39 %, with root-mean-square error (RMSE) values of up to 130 Mg ha -1 (pantropical). Our first and second best models had both low mean biases (0.8 and 3.9 %, respectively) and RMSE (9.4 and 18.6 Mg ha -1 ) when applied over scenarios. Predicting biomass correctly at the landscape level in hyperdiverse and structurally complex tropical forests, especially allowing good performance at the margins of data availability for model construction/calibration, requires the inclusion of predictors that express inherent variations in species architecture. The model of interest should comprise the floristic composition and size-distribution variability of the target forest, implying that even generic global or pantropical biomass estimation models can lead to strong biases. Reliable biomass assessments for the Amazon basin (i.e., secondary forests) still depend on the collection of allometric data at the local/regional scale and forest inventories including species-specific attributes, which are often unavailable or estimated imprecisely in most regions.

54 ENVIRONMENTAL SCIENCES↗
DOE OSTI2016

Corrigendum to "Predicting biomass of hyperdiverse and structurally complex central Amazonian forests — a virtual approach using extensive field data" Published in Biogeosciences, 13, 1553-1570, 2016

Old-growth forests are subject to substantial changes in structure and species composition due to the intensification of human activities, gradual climate change and extreme weather events. Trees store ca. 90% of the total aboveground biomass (AGB) in tropical forests and precise tree biomass estimation models are crucial for management and conservation. In the central Amazon, predicting AGB at large spatial scales is a challenging task due to the heterogeneity of successional stages, high tree species diversity and inherent variations in tree allometry and architecture. We parameterized generic AGB estimation models applicable across species and a wide range of structural and compositional variation related to species sorting into height layers as well as frequent natural disturbances. We used 727 trees (diameter at breast height ≥5 cm) from 101 genera and at least 135 species harvested in a contiguous forest near Manaus, Brazil. Sampling from this data set we assembled six scenarios designed to span existing gradients in floristic composition and size distribution in order to select models that best predict AGB at the landscape level across successional gradients. We found that good individual tree model fits do not necessarily translate into reliable predictions of AGB at the landscape level. We observed systematic biases ranging from -31% (pantropical) to +39 %, with root-mean-square error (RMSE) values of up to 130-Mg ha -1 (pantropical), when predicting AGB (dry mass) over scenarios using our different models and an available pantropical model. Our first and second best models had both low mean biases (0.8 and 3.9 %, respectively) and RMSE (9.4 and 18.6 Mg ha -1 ) when applied over scenarios. Predicting biomass correctly at the landscape level in hyperdiverse and structurally complex tropical forests, especially allowing good performance at the margins of data availability for model construction/calibration, requires the inclusion of predictors that express inherent variations in species architecture. Furthermore, the model of interest should comprise the floristic composition and size-distribution variability of the target forest, implying that even generic global or pantropical biomass estimation models can lead to strong biases. Reliable biomass assessments for the Amazon basin (i.e., secondary forests) still depend on the collection of allometric data at the local/regional scale and forest inventories including species-specific attributes, which are often unavailable or estimated imprecisely in most regions.

54 ENVIRONMENTAL SCIENCES↗
DOE OSTI2017

Dark Energy Survey Year 1 Results: Multi-Probe Methodology and Simulated Likelihood Analyses

We present the methodology for and detail the implementation of the Dark Energy Survey (DES) 3x2pt DES Year 1 (Y1) analysis, which combines configuration-space two-point statistics from three different cosmological probes: cosmic shear, galaxy-galaxy lensing, and galaxy clustering, using data from the first year of DES observations. We have developed two independent modeling pipelines and describe the code validation process. We derive expressions for analytical real-space multi-probe covariances, and describe their validation with numerical simulations. We stress-test the inference pipelines in simulated likelihood analyses that vary 6-7 cosmology parameters plus 20 nuisance parameters and precisely resemble the analysis to be presented in the DES 3x2pt analysis paper, using a variety of simulated input data vectors with varying assumptions. We find that any disagreement between pipelines leads to changes in assigned likelihood $\Delta \chi^2 \le 0.045$ with respect to the statistical error of the DES Y1 data vector. We also find that angular binning and survey mask do not impact our analytic covariance at a significant level. We determine lower bounds on scales used for analysis of galaxy clustering (8 Mpc$~h^{-1}$) and galaxy-galaxy lensing (12 Mpc$~h^{-1}$) such that the impact of modeling uncertainties in the non-linear regime is well below statistical errors, and show that our analysis choices are robust against a variety of systematics. These tests demonstrate that we have a robust analysis pipeline that yields unbiased cosmological parameter inferences for the flagship 3x2pt DES Y1 analysis. We emphasize that the level of independent code development and subsequent code comparison as demonstrated in this paper is necessary to produce credible constraints from increasingly complex multi-probe analyses of current data.

79 ASTRONOMY AND ASTROPHYSICS↗
DOE OSTI2020

A High-resolution Regional Wave Resource Characterization For The U.S. West Coast

Objectives/Scope: Wave resource characterization is a critical step for wave energy converter deployment in the coastal ocean and relies on long-term, high-resolution wave datasets. This study presents a detailed modeling study of the wave resource along the U.S. West Coast (Washington, Oregon, and California), a coastal region that was identified with high wave energy potential in earlier studies. Methods, Procedures, Process: The wave hindcast covers a 32-year period from 1979 to 2010 and is based on a multi-resolution, unstructured-grid SWAN model framework. Model configuration closely follows and meets the requirements recommended by the International Electrotechnical Commission Technical Specification (IEC TS) for wave energy resource assessment and characterization (Class 2 - feasibility study). The model domain covers the entire U.S. Exclusive Economic Zone (EEZ) in the West Coast and has a spatial resolution varying from ~300 m in the nearshore region (20 km from the shoreline) to ~2500 m within the EEZ and ~5000 m at the open boundary, which extends beyond the EEZ. The model was forced by hourly 2-D wave spectra produced by a two-way nested WaveWatch III model, which covers the global ocean domain and the broader U.S. West Coast region domain with spatial resolutions of 0.5 degree and 10 arc-minutes, respectively. Both wave models are forced by hourly, 0.5-degree wind forcing obtained from NCEP’s Climate Forecast System Reanalysis (CFSR) product. Results, Observations, Conclusions: The standard model output for the SWAN model includes 3-hourly output for the six IEC wave resource parameters (e.g., omnidirectional wave power) at each grid point and hourly 2-D spectra at more than 50 NDBC buoys. Extensive model validation was achieved by comparing the six model-predicted IEC parameters with those derived from field observations at representative NDBC buoys. The error statistics indicated the model’s satisfactory performance. Further analyses were conducted to systematically evaluate the temporal and spatial distributions of wave energy potential and wave climate along the U.S. West Coast. Results suggest that Washington and Oregon coasts have similar nearshore wave resource, which is significantly higher than resources in Southern California. Strong seasonal variations are also observed, e.g., high wave energy tends to occur in the winter months. In summary, this study produced the first high-resolution, comprehensive dataset on wave energy distribution along the U.S. West Coast. Novel/Additive Information: The results are being used by the National Renewable Energy Laboratory to update the MHK Atlas, which was originally derived from NOAA’s 4-arc-minute WaveWatch III model output. In addition, the monthly averaged wave energy climatology dataset can be readily shared to support a variety of research and application efforts within the EEZ of the U.S. West Coast.

Wang, Taiping↗
DOE OSTI2013

Computer–Based Procedures for Nuclear Power Plant Field Workers: Preliminary Results from Two Evaluation Studies

The Idaho National Laboratory and participants from the U.S. nuclear industry are collaborating on a research effort aimed to augment the existing guidance on computer-based procedure (CBP) design with specific guidance on how to design CBP user interfaces such that they support procedure execution in ways that exceed the capabilities of paper-based procedures (PBPs) without introducing new errors. Researchers are employing an iterative process where the human factors issues and interface design principles related to CBP usage are systematically addressed and evaluated in realistic settings. This paper describes the process of developing a CBP prototype and the two studies conducted to evaluate the prototype. The results indicate that CBPs may improve performance by reducing errors, but may increase the time it takes to complete procedural tasks.

99 GENERAL AND MISCELLANEOUS↗
DOE OSTI2021

Light nuclei with semilocal momentum-space regularized chiral interactions up to third order

In this work, we present a systematic investigation of few-nucleon systems and light nuclei using the current Low Energy Nuclear Physics International Collaboration interactions comprising semilocal momentum-space regularized two- and three-nucleon forces up to third chiral order (N 2 LO). Following our earlier study utilizing the coordinate-space regularized interactions, the two low-energy constants entering the three-body force are determined from the triton binding energy and the differential cross-section minimum in elastic nucleon-deuteron scattering. Predictions are made for selected observables in elastic nucleon-deuteron scattering and in the deuteron breakup reactions, for properties of the A = 3 and A = 4 nuclei, and for spectra of p-shell nuclei up to A = 16. A comprehensive error analysis is performed including an estimation of correlated truncation uncertainties for nuclear spectra. The obtained predictions are generally found to agree with experimental data within errors. Similarly to the coordinate-space regularized chiral interactions at the same order, a systematic overbinding of heavier nuclei is observed, which sets in for A~10 and increases with A.

73 NUCLEAR PHYSICS AND RADIATION PHYSICS↗
DOE OSTI2012

Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system

Purpose: A series of examples are presented in which potential errors in the delivery of radiation therapy were prevented through use of incident learning. These examples underscore the value of reporting near miss incidents. Methods: Using a departmental incident learning system, eight incidents were noted over a two-year period in which fields were treated 'out-of-sequence,' that is, fields from a boost phase were treated, while the patient was still in the initial phase of treatment. As a result, an error-prevention policy was instituted in which radiation treatment fields are 'hidden' within the oncology information system (OIS) when they are not in current use. In this way, fields are only available to be treated in the intended sequence and, importantly, old fields cannot be activated at the linear accelerator control console. Results: No out-of-sequence treatments have been reported in more than two years since the policy change. Furthermore, at least three near-miss incidents were detected and corrected as a result of the policy change. In the first two, the policy operated as intended to directly prevent an error in field scheduling. In the third near-miss, the policy operated 'off target' to prevent a type of error scenario that it was not directly intended to prevent. In this incident, an incorrect digitally reconstructed radiograph (DRR) was scheduled in the OIS for a patient receiving lung cancer treatment. The incorrect DRR had an isocenter which was misplaced by approximately two centimeters. The error was a result of a field from an old plan being scheduled instead of the intended new plan. As a result of the policy described above, the DRR field could not be activated for treatment however and the error was discovered and corrected. Other quality control barriers in place would have been unlikely to have detected this error. Conclusions: In these examples, a policy was adopted based on incident learning, which prevented several errors, at least one of which was potentially severe. These examples underscore the need for a rigorous, systematic incident learning process within each clinic. The experiences reported in this technical note demonstrate the value of near-miss incident reporting to improve patient safety.

60 APPLIED LIFE SCIENCES↗