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5 x why in Radiotherapy
1. Problem:
First Time Right for start treatment is low resulting in increased workload and
delay for the patient
2. Information: in 30% still adjustments in treatment plan just before start
treatment
3. Possible causes: extended disease, no plan approval, other imaging protocol,
or just LATE;
1.
5 x why: 1. why late adjustments >> checkpoints late in relation to start
2. why checkpoints late >> no flow, push into the process,
3. why push, no pull >> fixed startdate
4. why fixed startdate >> to have an endpoint
5. why? >> to be in time for the patient
-Now are we??
Continuous Improvement
Methods
Incident Registration Discussion