16 The Use of MRI-Based Contour in Assessing the Impact of Hydrogel Spacer on Rectal Dosimetry in Prostate Stereotactic Radiotherapyстатья из журнала
Аннотация: departments.Each department has a Radiation Treatment Quality Assurance Committee (RTQAC), reporting to the Provincial RTQAC, and subsequently into the provincial quality framework.Here we report on 10 months experience utilizing the NSIR-RT taxonomy within a provincial quality framework. Materials and Methods:The 2017 NSIR-RT Minimal Data Set was populated as a stand-alone form within the RL Solutions incident reporting platform.Statistics were generated through the RL Solutions analytics tools based on: acute medical severity, dosimetric harm, problem type, and volume stratified by "technique" and "body regions treated".Following multidisciplinary review by the departmental incident reporting and learning team, incident analyses were completed, recommendations were captured using a provincial action items template, and shared learning was provided through case study presentations, workshops and new policy teaching sessions.Results: Excluding the category of "other," the top three problem types were: "radiation therapy scheduling," "patient position, setup point or shift" and "treatment accessories" related incidents.Acute medical severity coding triggered concise incident analyses which included: timelines, contributing factors and provincial and/or multidisciplinary recommendations.Combining volume trends based on "technique" and "body region treated" allowed for the rapid identification of incidents attributed to a change in treatment indications, resulting in a cascade of differing problem types, which led to policy and process revision and standardization.Four provincial and/or multidisciplinary shared learning events were created in response to incident reporting and learning. Conclusions:We established a provincially integrated system for incident reporting and shared learning across departments.In the first 10 months of incident reporting using the NSIR-RT taxonomy, we have been able to successfully identify areas of interrelated process change, policy revision and standardization, requiring collaborative departmental action.
Год издания: 2019
Издательство: Elsevier BV
Источник: Radiotherapy and Oncology
Ключевые слова: Advanced Radiotherapy Techniques, Prostate Cancer Diagnosis and Treatment, Radiomics and Machine Learning in Medical Imaging
Открытый доступ: hybrid
Том: 139
Страницы: S10–S10