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Area of Science:

  • Medical Physics
  • Radiation Oncology
  • Human Factors Engineering

Background:

  • Routine quality assurance (QA) tasks in radiation oncology require meticulous attention to detail.
  • Enhancing safety mindfulness, a proactive mindset, is crucial for preventing errors during QA procedures.
  • Traditional paper-based checklists may not fully support preemptive safety measures.

Purpose of the Study:

  • To propose innovative design principles for electronic checklists.
  • To enhance safety mindfulness during routine QA tasks.
  • To evaluate preliminary results of a novel electronic checklist with dosimetrists and physicists.

Main Methods:

  • A multidisciplinary team designed and developed an electronic checklist.
  • The electronic checklist's utility was compared against paper-based checklists.
  • Subjective workload, error detection, completion time, and documented concerns were measured.

Main Results:

  • Electronic checklist use decreased scenario completion time (P < .01).
  • It increased the documentation of patient safety and plan quality concerns (P = .04).
  • No significant impact was observed on error recognition or perceived workload.

Conclusions:

  • Proposed electronic checklist design principles may enhance QA efficiency and safety mindfulness.
  • Further long-term research is necessary to validate the impact on patient safety.