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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