The Implementation and Assessment of a Quality and Safety Culture Education Program in a Large Radiation Oncology Department

Abstract

3.0] Z minor modifications of PTV, OARs, WD, or a prescription/CP mismatch, and C [2.0] Z incomplete contours, significant contour modifications, prescription changes, or laterality modifications). All grades were prospectively recorded on an electronic whiteboard. As were cleared for planning, Bs were cleared for planning once remediated, and Cs were re-presented at CR upon remediation. Information was pooled to determine physician performance by assigning a grade point average (GPA). Results: Two thousand seven hundred thirty-nine treatment plans from 2358 patients were reviewed using the PES from September 2013 to February 2015. Thirteen physicians were evaluated and an average of 7 cases were reviewed per day; 33% (nZ684) of plans required modifications before treatment planning commenced. The breakdown of grades was 67% As, 22% Bs and 11% Cs.Purpose/Objective(s): Patients contact their radiation oncologists afterhours regarding a variety of questions and concerns; however, the provider on-call is often not the patient's primary radiation oncologist. This introduces the opportunity for breakdowns in communication and medical errors. Little is known about the volume of, reasons for, and response to night and weekend patient telephone calls. This study analyzed after-hours Volume 93 Number 3S Supplement 2015 Poster Viewing Session E497

Relationship of patient safety culture with factors influencing working environment such as working hours, the number of night shifts, and the number of days off among healthcare workers in Japan: a cross-sectional study

“…3 Nerima General Hospital, Tokyo, Japan. 4 Institute of Healthcare Quality Improvement, Tokyo, Japan. 5 Hitachinaka General Hospital, Ibaraki, Japan.…”

“…Patient safety culture is a product of individual and group values, attitudes, perceptions, competencies, and behavior patterns that determines the commitment as well as the style and proficiency of an organization's health and safety management [2]. Patient safety education and training [3,4] as well as utilization of Team Strategies and Tools to Enhance Performance and Patient Safety [5] and root cause analysis [6] are useful for improving patient safety culture. We have reported that long working hours of nurses may deteriorate their patient safety culture [7], and two studies in China and a study in Korea have also reported same results [8][9][10].…”

Incident learning in radiation oncology: A review

“…For example, the qualitative observational study of Anderson et al found that ILS was viewed by staff as having a positive effect on patient safety. In radiation oncology, the use of ILS has been linked with the changes in safety culture . As the field matures, more outcomes‐based studies will hopefully become available.…”

“…In the late 1990s, reports began to appear of institutional experience with incident learning . This literature has continued to grow, and as of 2017, there are over 50 studies in the radiation oncology literature about ILS or using ILS data …”

Parallel perspectives for building sustainable safety initiatives

“…At least one study has shown this quantitatively, that is, when staff get more feedback engagement grows. 8 Other studies in our literature have measured culture changes over time [9][10][11] and shown that they can be sustainable. 12 One key to building engagement is to make safety and quality improvement a daily activity or near daily activity.…”