一个疾病网站的协会特定的图表圆形格式与同行评审反:前性研究反:一个前性研究
Peter M Zaki1, August C Anderson2, Matthew Greer2
1Department of Radiation Oncology, University of Washington, Seattle, Washington; Department of Radiation Medicine, Loma Linda University, Loma Linda, California.
在放射性瘤学中实施疾病特定部位图表循环可以增加同行评审反和计划变更,而不会影响居民教育. 这种格式受到医生的青,应该考虑多站点部门.
科学领域:
- 辐射瘤学 辐射瘤学
- 医学物理 医学物理
- 改善临床实践的改善
背景情况:
- 对放射治疗计划的同行评审对于质量保证至关重要.
- 目前对图表轮的实施在各机构之间有所不同.
- 专业协会建议对放射治疗进行同行评审.
研究的目的:
- 调查疾病特定部位图表轮和同行评审反频率之间的关联.
- 评估结构化图表圆形格式对辐射治疗计划修改的影响.
主要方法:
- 在一个学术辐射瘤学系进行了前性观察性研究.
- 从临床实践站点转移到疾病站点特定的图表回合.
- 使用多变量模型分析了同行评审反和参与者调查.
主要成果:
- 疾病所在地特定的图表回合显著增加了要求计划更改的频率 (5.2%对1.4%).
- 每个病例所花费的时间随着疾病特定格式的增加 (3.36分钟对2.09分钟).
- 没有观察到居民教学点的变化;89%的医生赞成新的格式.
结论:
- 过渡到疾病特定站点图表轮增强同行评审反和计划变化.
- 这种格式不会影响住院医生的教育,并且受到主治医生的青.
- 多站点辐射瘤科应考虑实施疾病特异性图表轮.
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