ESTRO 36 Abstract Book

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S1002 ESTRO 36 2017
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years. Time of patient preparation for treatment
(Immobilization, Ct-scan, Contouring, QA) decrease from
5 (days) to 4 (days).
Conclusion
Advance role of the RTT significant increasing their
academic competency, affect on the quality control in the
process of radiotherapy. New role of RTT, allow to
increase patient safety, higher standards of the treatment
and advance decisions making based on the image
registration corresponding with number of re-plan.
Further developing of the role should open more advance
scope of practice of modern RTT.
Electronic Poster: RTT track: Risk management/quality
management
EP-1860 A process and human factors engineering
paradigm for radiation oncology
K.C. Chan1, W.Y. Lee1
1 Hong Kong Sanatorium & Hospital, Department of
Radiotherapy, Hong Kong, Hong Kong SAR China
Purpose or Objective
The ever-advancing Radiation Oncology has become a
technologically based speciality. The automation-based
advances in radiotherapy bring new challenges to patients
and the department in terms of safety and quality. The
knowledge of process and human factors engineering was
incorporated in the implementation of Radiation Oncology
Information System (ROIS) and its integration with the
Hospital Information System (HIS) at the department. It
aimed to enhance radiotherapy planning and treatment
efficiency, quality and safety. Since HIS is the central
patient data source of the department, this project also
aimed at integrating the two systems to maintain patient
record integrity.
Material and Methods
Before clinical implementation, a project team was
formed in preparation for the implementation of ROIS and
its integration with HIS. The end-to-end radiotherapy
process was reviewed. A dedicated testing database
environment was built to assess usability requirements.
Main requirements, risk areas and contingency measures
were identified. Application training was given to all
stakeholders in the department so as to cultivate
understanding of MOSAIQ and ensure familiarity with the
use. Integration of ROIS with HIS required analysis of
computer information flow. The method of
communication and the type of data sent between each
component were examined (Figure 1).
Figure 1. Diagram of information flow between different
components within the department.
Results
Machine interfacing was completed in August 2014. Since
then, our department started treating patients with
MOSAIQ as the ROIS. The implementation incorporated key
concepts of process engineering. Efficiency, quality and
safety could be improved by streamlining processes,
removing ambiguity, improving communication and
standardizing workflow. The knowledge of human factors
engineering, namely automation, forced function,
simplification and standardization, was applied to design
the new working procedures for safe and effective human
use. The implementation of MOSAIQ made process
improvement possible by setting code capture mandatory
at certain stages within the radiotherapy process. The
codes captured set the foundation for clinical data
acquisition and statistics purpose. The ROIS was
successfully integrated with HIS, which automated patient
registration (Figure 2) and charging process.
Figure 2. Flowchart showing how auto-registration is done
via HL7.
Conclusion
To conclude, the enhanced efficiency and quality after
implementation of ROIS showed the potential to reduce
errors and improve safety. The integration with HIS
centralized patient data into a single user interface
accessible across multiple locations. Patient record
integrity could be further improved.
EP-1861 Patient Satisfaction with Radiotherapy
Services at Institute of Oncology in Ljubljana (Slovenia)
V. Zager Marciuš1, M. Križan1, A. Oklješa Lukič1, I. Oblak1
1Institute of Oncology- Ljubljana, Radiotherapy
Department, Ljubljana, Slovenia
Purpose or Objective
Purpose/Objective: The objective of the research was to
determine the degree of patients' satisfaction with
radiotherapy services at the Institute of Oncology in
Ljubljana and to obtain feedback on the quality of
performance of various professional profiles and
healthcare.
Material and Methods
Material/methods: The research makes use of the
descriptive method, reviewing and analyzing scientific
literature. Using a cross-section one-day study, we
assessed the satisfaction of patients with various
professional profiles (receptionists, nurses, radiology
engineers, doctors, radiotherapy oncologists) and with
healthcare in general. The instrument used to obtain the
study data was a questionnaire utilizing Likert’s five-point
scale of satisfaction. The questionnaire was first tested on
a small group of patients. The surveying, which was
implemented over the course of one day, was conducted
in November 2015. The study a total of 282 involved
patients out of the 359 planned, which adds up to a 78.6
% overall response rate. For the analysis and evaluation of
the data obtained, two computer programs were used,
namely Microsoft Excel 2010 and IBM SPSS Statistics 22.
The study was approved by the Commission for Ethics and
Professional Assessment of Clinical Study Protocols at the
Institute of Oncology in Ljubljana.
Results
Results: Out of the 282 participants in the study, 51.4 %
were male and 48.6 % female. 80.9 % of the patients
participating in the survey were over 50 years old. The
older and less educated patients were generally more
satisfied with both the medical staff and the services
provided. The questions in the questionnaire were divided
into three segments: work, provision of information, and
kindness. The patients were most satisfied with the work
of radiology engineers and the kindness of doctors,
radiotherapy oncologists, and nurses. The patients who
knew their doctor by name gave higher ratings for their