Quality Management 2017
D EFINE
3. What to measure?
• Choice of relevant indicators, target and specifications.
= ‘Voice of the customer’
Part 1 :
• Examples :
(Pawlicki et al (2012))
Introduction to SPC
Process Target
Specification limits
Indicator
Measure
Complications for H&N patients
% of patients that need a feeding tube
10%
+5%
Part 2 :
Essential concepts to start with SPC
% of patients with quality of life assessments obtained
Overall attention to patient care Clinical process efficiency
-5%
95%
Time from simulation to first treatment % of replans or field changes during treatment % of points passing the 3%/3mm gamma index criteria for IMRT/VMAT plans
5 working days
+1 working day
Part 3 :
SPC in practice
Practice consistency
+5%
10%
Patient-specific QA
-95%
100%
Part 4
Conclusion
Patient-related
Clinical practice-related
‘Quality measures need to be objective, unambigous, clear and quantitative before they can be used effectively. ‘
03/10/17
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