Eliminating inconsistencies in simulation and treatment planning orders in radiation therapy

International Journal of Radiation Oncology, Biology, Physics
Lakshmi SantanamSasa Mutic

Abstract

To identify deficiencies with simulation and treatment planning orders and to develop corrective measures to improve safety and quality. At Washington University, the DMAIIC formalism is used for process management, whereby the process is understood as comprising Define, Measure, Analyze, Improve, Implement, and Control activities. Two complementary tools were used to provide quantitative assessments: failure modes and effects analysis and reported event data. The events were classified by the user according to severity. The event rates (ie, number of events divided by the number of opportunities to generate an event) related to simulation and treatment plan orders were determined. We analyzed event data from the period 2008-2009 to design an intelligent SIMulation and treatment PLanning Electronic (SIMPLE) order system. Before implementation of SIMPLE, event rates of 0.16 (420 of 2558) for a group of physicians that were subsequently used as a pilot group and 0.13 (787 of 6023) for all physicians were obtained. An interdisciplinary group evaluated and decided to replace the Microsoft Word-based form with a Web-based order system. This order system has mandatory fields and context-sensitive logic, an ability to create templates...Continue Reading

References

Mar 15, 2005·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·Tai Keung YeungErnst Lederer
Apr 28, 2009·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·Jesmin ShafiqLiam J Donaldson
Sep 29, 2009·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·Mary Boadu, Madan Mohan Rehani
Apr 20, 2010·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·Brenda G ClarkLaval Grimard
Jun 15, 2010·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·Jean-Pierre Bissonnette, Gaylene Medlam
Jul 1, 2011·Practical Radiation Oncology·Benedick A FraassUNKNOWN ASTRO Multidisciplinary Quality Assurance Subcommittee

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Citations

Nov 20, 2014·Practical Radiation Oncology·H Harold LiSasa Mutic
Nov 20, 2014·Practical Radiation Oncology·Lindsey A OlsenKevin L Moore
Dec 3, 2014·International Journal of Radiation Oncology, Biology, Physics·Douglas A RahnTodd Pawlicki
Mar 26, 2014·International Journal of Radiation Oncology, Biology, Physics·Camille E NoelLakshmi Santanam
Jan 1, 2015·Journal of Applied Clinical Medical Physics·Travis R DentonAaron C Spalding

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