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Le terme d'évènement recouvre un large éventail de situations concrètes en oncologie radiothérapie, de l'effet secondaire particulièrement intense en lien avec l'irradiation à la possibilité d'une erreur technique ou humaine. Si les démarches qualité font désormais partie intégrante du fonctionnement des services d'oncologie radiothérapie pour l'analyse et la prévention de ces évènements, leur survenue au cours d'une irradiation conserve un impact significatif sur les personnes soignées et leur vécu du parcours de soin, mais aussi sur les professionnels de santé. Ces impacts pratiques, émotionnels et symboliques sont d'autant plus importants quand l'évènement survient dans les suites d'une erreur. La démarche éthique comprend alors trois temps essentiels : reconnaître l'évènement en tant que tel, informer les personnes impliquées de l'évènement et enfin créer les conditions favorables au maintien du soin. Chacune de ses étapes est marquée d'enjeux et de questionnements spécifiques nécessitant une approche éthique complexe amenant à considérer constamment la conciliation de perceptives parfois divergentes entre personnes soignées et professionnels de santé. La survenue d'un évènement peut aussi déboucher sur une authentique crise de confiance aux multiples dimensions que les professionnels de santé auront aussi à accompagner. Enfin, la survenue d'un évènement interroge notre responsabilité vis-à-vis des personnes que nous prenons en soin, mais aussi notre idéal de maîtrise. Critiquer notre culture de la performance, repenser profondément notre approche de l'évènement et de l'erreur pour y voir aussi une opportunité d'évolution positive sont autant de pistes à déployer au sein de nos unités de soin. The term "event" covers a wide range of concrete situations in radiation oncology, from particularly intense radiation-related side effects to the possibility of technical or human error. Although quality procedures are an integral part of radiotherapy oncology department operations ensuring the analysis and prevention of such events, their occurrence during radiation treatment still has a significant impact on patients and their experience of the treatment process, as well as on health professionals. These practical, emotional and symbolic impacts are all the greater when the event occurs in the aftermath of an error. The ethical approach therefore comprises three essential stages: recognizing the event as such, informing those involved of the event and, finally, creating conditions for the continuation of care. Each of these stages is marked by specific issues and questions, requiring a complex ethical approach that constantly involves reconciling the possible divergent perceptions of patients and health professionals. The occurrence of an event can also lead to a genuine crisis of confidence with multiple dimensions, which health professionals will also have to face and to support. Finally, the occurrence of an event calls into question not only our responsibility towards patients, but also our ideal of control. We need to criticize our culture of performance, rethink our approach to events and errors, and see them also as opportunities for positive change. [ABSTRACT FROM AUTHOR]

The term "event" covers a wide range of concrete situations in radiation oncology, from particularly intense radiation-related side effects to the possibility of technical or human error. Although quality procedures are an integral part of radiotherapy oncology department operations ensuring the analysis and prevention of such events, their occurrence during radiation treatment still has a significant impact on patients and their experience of the treatment process, as well as on health professionals. These practical, emotional and symbolic impacts are all the greater when the event occurs in the aftermath of an error. The ethical approach therefore comprises three essential stages: recognizing the event as such, informing those involved of the event and, finally, creating conditions for the continuation of care. Each of these stages is marked by specific issues and questions, requiring a complex ethical approach that constantly involves reconciling the possible divergent perceptions of patients and health professionals. The occurrence of an event can also lead to a genuine crisis of confidence with multiple dimensions, which health professionals will also have to face and to support. Finally, the occurrence of an event calls into question not only our responsibility towards patients, but also our ideal of control. We need to criticize our culture of performance, rethink our approach to events and errors, and see them also as opportunities for positive change., (Copyright © 2024 Société française de radiothérapie oncologique (SFRO). Published by Elsevier Masson SAS. All rights reserved.)

The term incidentaloma, created in 1982, has spread throughout medical literature. However, there does not seem to be a precise definition to describe what an incidentaloma is. In the initial uses, the word incidentaloma systematically designated a mass that was detected during an imaging examination prescribed for diagnostic purposes unrelated to the reason for carrying out the examination. Naming this mass "incidentaloma" did not give any precision on its nature as it can be located in many anatomical zones, secreting or not, benign or malignant, etc. Today, the term "incidentaloma" carries a much broader dimension which seems to cover the notion of incidental discovery, whether radiological, biological or genetic. The evolution of the term "incidentaloma" demonstrates its heuristic nature. It is a sign of a change in modern medicine which hesitates between a patient clinic and a data clinic. Fortuitous discoveries are a phenomenon known and anticipated by radiologists. Thus, these discoveries are no longer fortuitous, or even unexpected, but secondary to the use of health technology., (© 2020 médecine/sciences – Inserm.)