Although SAFRON was initially limited to incidents involving external beam treatments, the benefits of an international safety learning and reporting system apply to all radiotherapy modalities. In August 2017, the IAEA released an updated version of SAFRON to also address brachytherapy.
When submitting a new incident or searching for incidents, the user is asked to select a treatment modality and brachytherapy is one of the choices. Next, the user is asked to select a treatment method such as high dose rate remote afterloader, permanent manual brachytherapy or electronic brachytherapy. A separate list of process steps for brachytherapy was developed for SAFRON based on applicable portions of the consensus recommendations for incident learning database structures in the 2012 article by Ford et al1. The list of safety barriers used in SAFRON was updated to add several barriers that are important in brachytherapy treatments.