Combining automatic plan integrity check (APIC) with standard plan document and checklist method to reduce errors in treatment planning.

Journal of Applied Clinical Medical Physics
Ping XiaNaichang Yu

Abstract

To report our experience of combining three approaches of an automatic plan integrity check (APIC), a standard plan documentation, and checklist methods to minimize errors in the treatment planning process. We developed APIC program and standardized plan documentation via scripting in the treatment planning system, with an enforce function of APIC usage. We used a checklist method to check for communication errors in patient charts (referred to as chart errors). Any errors in the plans and charts (referred to as the planning errors) discovered during the initial chart check by the therapists were reported to our institutional Workflow Enhancement (WE) system. Clinical Implementation of these three methods is a progressive process while the APIC was the major progress among the three methods. Thus, we chose to compared the total number of planning errors before (including data from 2013 to 2014) and after (including data from 2015 to 2018) APIC implementation. We assigned the severity of these errors into five categories: serious (S), near miss with safety net (NM), clinical interruption (CLI), minor impediment (MI), and bookkeeping (BK). The Mann-Whitney U test was used for statistical analysis. A total of 253 planning error fo...Continue Reading

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Citations

Dec 20, 2020·Medical Physics·Reshma MunbodhHitten P Zaveri

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Software Mentioned

APIC
Pinnacle
RO
Python
Automatic Plan Integrity Check ( APIC )
Perl
Auto
R
Lock
EMT

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