Clinical practice workflow in Radiation Oncology should be highly standardized

Halvorsen, Per H.; Gupta, Nilendu; Rong, Yi

doi:10.1002/acm2.12555

Cited by 13 publications

(12 citation statements)

References 12 publications

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“…To achieve the first point it is necessary to limit the extent of non‐value‐adding activities and to appoint a person in charge of each sub process to improve throughput [ 6 ]. In addition, radiotherapy is a modality of treatment that needs several steps and where clinical practice workflows should be highly standardized [ 7 ]. So, we can state that the time reduction we achieved in the contouring process has primarily been a consequence of the acquired experience in automatic contouring and the use of templates (for structure creation and beam configuration).…”

Section: Discussionmentioning

confidence: 99%

Saving time in the radiotherapy procedures for COVID-19 pneumonia treatment. A single-institution experience

et al. 2021

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Background The use of low dose radiotherapy (LD-RT) for the treatment of COVID-19 pneumonia is supported by biological rationale for its immunomodulatory effect. Some institutions have started to treat these patients showing encouraging results. To shorten procedure times is crucial for the comfort of symptomatic patients receiving respiratory support and to optimize institutional facilities. Patients and methods At our institution, LD-RT is offered to hospitalized patients with COVID-19 pneumonia and signs of early cytokine-released syndrome on behalf of a multicenter study. We designed a coordinated process flow starting from the patient transfer to the simulation CT-scan (first-step), to the end of the LD-RT treatment (last step). The times spent on each step of the process flow were evaluated. Results Mean age of treated patients was 83 (72–91) years-old. The timing parameters of the first 10 consecutive patients were analyzed. Except for the first (dummy run), patients were managed from the first to the last step in a median of 38 min (25–58, SD 10.67). The most time-consuming sub-process was the contouring of the treatment volumes and dosimetry. Conclusions LD-RT is not only an encouraging option for COVID-19 pneumonia patients, but a convenient and feasible procedure if performed in a coordinated way by reducing procedure times.

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Section: Discussionmentioning

confidence: 99%

Saving time in the radiotherapy procedures for COVID-19 pneumonia treatment. A single-institution experience

et al. 2021

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“…While understanding our management systems, performing QA programs, establishing standardization procedures, and participating in voluntary internal/external audits are the preventive measures. 11,13,[17][18][19][20][21][22][23][24][25] The proactive risk assessment, reactive risk analysis, review of reported adverse events, and establishing reporting and learning systems are other important measures adopted in managing errors as described. 14,[26][27][28] Error reporting and learning systems form the backbone of most modern RT centers and associations to constantly learn and improve the safety and quality of patient care and are described further in detail here.…”

Section: Context Key Objectivementioning

confidence: 99%

Quality and Safety With Technological Advancements in Radiotherapy: An Overview and Journey Narrative From a Low- and Middle-Income Country Institution

Manjali

Krishnatry

Palta

et al. 2022

JCO Global Oncology

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PURPOSE To present an overview of quality and safety in radiotherapy from the context of low- and middle-income countries on the basis of a recently conducted annual meeting of our institution and our experience of implementing an error management system at our center. METHODS The minutes of recently concluded annual Evidence-Based Medicine (EBM-2021) meeting on the basis of technology in radiation oncology were reviewed. The session on quality and safety, which had international experts as speakers, was reviewed. Along with this, we reviewed the literature for preventive and reactive measures proposed to manage errors including error reporting and learning systems (ILSs). Concise summary for the same was prepared for this article. RESULTS We also reviewed the journey of development of our institutional ILS and present here a summary of achievements, challenges, and future vision. CONCLUSION Preventive and reactive measures must be followed to achieve high-quality and safe radiotherapy. Despite resource constraints, a successful ILS program can be developed in a low- and middle-income country center by first understanding the patterns of error and developing one that suits the working ecosystem.

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“…The clear position from the participants was that use of the strap should be at professional discretion. Standardisation is a strong feature of radiotherapy, 23 however universal application of the strap has created tension with the application of EBP through decision-making informed by professional experience. The two patient groups perceived to derive most benefit from the strap were those with dementia/cognitive impairment followed by paediatric patients.…”

Section: Perception Of Purpose(s)mentioning

confidence: 99%

Evaluating Canadian Radiation Therapists and UK Therapeutic Radiographers’ Experiences and Opinions of a Safety Strap to Secure Patients during Radiotherapy

Judge

Feuz

Evans

et al. 2020

Journal of Medical Imaging and Radiation Sciences

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Clinical practice workflow in Radiation Oncology should be highly standardized

Cited by 13 publications

References 12 publications

Saving time in the radiotherapy procedures for COVID-19 pneumonia treatment. A single-institution experience

Saving time in the radiotherapy procedures for COVID-19 pneumonia treatment. A single-institution experience

Quality and Safety With Technological Advancements in Radiotherapy: An Overview and Journey Narrative From a Low- and Middle-Income Country Institution

Evaluating Canadian Radiation Therapists and UK Therapeutic Radiographers’ Experiences and Opinions of a Safety Strap to Secure Patients during Radiotherapy

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