“Do no harm”: Fortifying MDT collaboration in changing technological times

Kane, Bridget; Luz, Saturnino

doi:10.1016/j.ijmedinf.2013.03.003

Cited by 14 publications

(10 citation statements)

References 40 publications

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“…This is a timesaving procedure for all physicians involved. However, the benefit of a group discussion with other disciplines is lost in this way [ 21 ]. There are, however, differing views towards the benefit of meeting each other in person, ranging from preferring to participate in person, through video meeting, to preference for a private telephone call to the specialist.…”

Section: Discussionmentioning

confidence: 99%

Experiences of hospital-based multidisciplinary team meetings in oncology: An interview study among participating general practitioners

Pype

Mertens

Belche

et al. 2017

European Journal of General Practice

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Background: Cancer care has become complex, requiring healthcare professionals to collaborate to provide high-quality care. Multidisciplinary oncological team (MDT) meetings in the hospital have been implemented to coordinate individual cancer patients’ care. General practitioners (GPs) are invited to join, but their participation is minimal.Objectives: Aim of this study is to explore participating GPs’ perceptions of their current role and to understand their preferences towards effective role execution during MDT meetings.Methods: In May to June 2014, semi-structured interviews (n = 16) were conducted involving GPs with MDT experience in Belgium. The analysis was done according to qualitative content analysis principles.Results: Attendance of an MDT meeting is perceived as part of the GP’s work, especially for complex patient care situations. Interprofessional collaborative relationships and the GP’s perceived benefit to the MDT meeting discussions are important motivators to participate. Enhanced continuity of information flow and optimized organizational time management were practical aspects triggering the GP’s intention to participate. GPs valued the communication with the patient before and after the meeting as an integral part of the MDT dynamics.Conclusion: GPs perceive attendance of the MDT meeting as an integral part of their job. Suggestions are made to enhance the efficiency of the meetings.

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Section: Discussionmentioning

confidence: 99%

Experiences of hospital-based multidisciplinary team meetings in oncology: An interview study among participating general practitioners

Pype

Mertens

Belche

et al. 2017

European Journal of General Practice

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“…Buy-in from the MDIT has, at every stage and continues to be, imperative. The heterogeneity of skills and knowledge offered by this team brought different perspectives to each task, improving effectiveness and patient safety and fuelling creative solutions [25][26][27]. It also ensured TCP content validity.…”

Section: Discussionmentioning

confidence: 99%

RTT-led IGRT for cervix cancer; training, implementation and validation

Alexander

Hopkins

Lalondrelle

et al. 2019

Technical Innovations & Patient Support in Radiation Oncolo

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Introduction: IGRT in cervical cancer treatment delivery is complex due to significant target and organs at risk (OAR) motion. Implementing image assessment of soft-tissue target and OAR position to improve accuracy is recommended. We report the development and refinement of a training and competency programme (TCP), leading to on-line Radiation Therapist (RTT) led soft-tissue assessment, evaluated by a prospective audit. Methods and materials: The TCP comprised didactic lectures and practical sessions, supported by a comprehensive workbook. The content was decided by a team comprised of Clinical Oncologists, RTTs, and Physicists. On completion of training, RTT soft-tissue review proficiency (after bony anatomy registration) was assessed against a clinician gold-standard from a database of 20 cervical cancer CBCT images. Reviews were graded pass or fail based on PTV coverage assessment and decision taken in concordance with the gold-standard. Parity was set at !80% agreement. The initial TCP (stage one) focussed on offline verification and decision making. Sixteen RTTs completed this stage, four achieved !80%. This was not sufficient to support clinical implementation. The TCP was redesigned, more stringent review guidelines and greater anatomy teaching was added. TCP stage two focussed on online verification and decision making supported by a decision flowchart. Twenty-one RTTs completed this TCP, all achieved !80%. This supported clinical implementation of RTT-led soft-tissue review under prospective audit conditions. The prospective audit was conducted between March 2017 and August 2017. Daily online review was performed by two trained RTTs. Online review and decision making proficiency was evaluated by a clinician. Results: Thirteen patients were included in the audit. Daily online RTT-led IGRT was achieved for all 343 fractions. Two-hundred CBCT images were reviewed offline by the clinician; the mean number of reviews per patient was 15. 192/200 (96%) RTT image reviews were in agreement with clinician review, presenting excellent concordance. Discussion and conclusion: Multidisciplinary involvement in training development, redesign of the TCP and inclusion of summative competency assessment were important factors to support RTT skill development. Consequently, RTT-led cervical cancer soft-tissue IGRT was clinically implemented in the hospital.

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“…Other studies of videoconferencing within health informatics cover a broad spectrum of clinical applications, being concerned with communication between healthcare professionals and patients (18,19), communication between two or more healthcare professionals (20)(21)(22)(23)(24)(25), and communication for the purpose of education and training of healthcare professionals (17,26,27). Demeris et al (18) describe the use of videoconferencing for remote dermatology consultations.…”

Section: Videoconferencing In Healthcarementioning

confidence: 99%