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A quality improvement programme in radiotherapy using workflow audits.

R P Abratt1, M Rautenbach, Y Govender

  • 1Head of Clinical Governance, Icon Oncology, South Africa; and Emeritus Professor of Radiation Oncology, Faculty of Health Sciences, University of Cape Town, South Africa. raymond.abratt@uct.ac.za.

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Summary
This summary is machine-generated.

A radiotherapy (RT) workflow audit improved process scores to over 90% across facilities. Users found the audit valuable for clinical service and professional standards, confirming its effectiveness in quality improvement.

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Area of Science:

  • Healthcare Quality Improvement
  • Radiotherapy Workflow Auditing
  • Clinical Process Measurement

Background:

  • Healthcare quality evaluation relies on structure, process, and outcome measures.
  • Advancements in data recording enhance process measurement, including clinical data completeness and task performance.
  • Radiotherapy (RT) workflow audits are crucial for assessing and improving clinical processes.

Purpose of the Study:

  • To report the outcomes of a radiotherapy workflow audit.
  • To evaluate user experience through a subsequent online survey.

Main Methods:

  • A radiotherapy workflow audit was conducted biannually across 28 facilities with 32 linear accelerators.
  • Electronic patient records were reviewed to assess 64 documented task items.
  • An anonymous online survey assessed user experience, perceived value, and future use of the audit.

Main Results:

  • RT workflow audit scores improved from 60% in 2016 to over 90% by 2018.
  • 77% of survey responders found audit task items appropriate; 78% reported receiving feedback.
  • 58% found the audit valuable for service delivery, and 77% reported unit changes.

Conclusions:

  • The RT workflow audit enhances accreditation by incorporating process measures.
  • Audit users reported favorable process evaluations and value for clinical service and professional standards.
  • The audit is effective in developing quality improvement programs.