提高放射治疗中的患者安全:为放射治疗师实施定制电子检查清单
Andrea Lastrucci1,2, Marco Esposito3, Eva Serventi4
1University of Florence, Florence, Italy.
概括
一个电子检查清单标准化了放射治疗图表的审查,改善了错误检测和患者安全. 放射治疗师发现它有用,工作流的影响最小,支持其采用.
科学领域:
- 医学物理 医学物理
- 放射治疗技术 放射治疗技术
- 患者安全 患者安全
背景情况:
- 放射治疗工作流需要多学科的合作和严格的流程标准化,以有效治疗患者.
- 在第一个治疗分数之前查看图表是确保治疗准确性和患者安全的关键步骤.
研究的目的:
- 描述一种新型电子检查清单的临床实施,旨在标准化治疗前图表审查过程.
- 评估电子检查清单在识别和纠正错误方面的实用性,对工作流的影响和有效性.
主要方法:
- 根据AAPM工作组的建议,根据16个二进制项目的定制电子检查清单,并集成到记录和验证系统 (RVS) 中.
- 放射治疗师 (RTTs) 需要在第一个治疗部分之前完成并审查检查清单.
- 检查清单报告和匿名反调查被用来评估检查清单的实用性和影响.
主要成果:
- 在试验阶段 (2023年6月至11月),完成了285个检查清单,编制率高 (98%) 和审查率高 (94.4%).
- 检测到40个错误,主要是缺少签署的治疗计划和Beam's Eye View文档;90%的错误在开始治疗之前得到了纠正.
- RTT的反表明,检查清单很有用,对工作负载的影响最小,并得到了实施的支持.
结论:
- 电子检查清单显著改善了错误的检测和纠正,提高了放射治疗中的患者安全.
- RTTs的积极接待和最小的工作流程中断支持将检查清单整合为放射治疗部门的标准实践.
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