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Title: SU-F-T-96: A New Paradigm of Weekly Chart Checking for Radiation Therapy Clinics

Abstract

Purpose: To put forth an innovative clinical paradigm for weekly chart checking so that treatment status is periodically checked accurately and efficiently. This study also aims to help optimize the chart checking clinical workflow in a busy radiation therapy clinic. Methods: It is mandated by the Texas Administrative code to check patient charts of radiation therapy once a week or every five fractions, however it varies drastically among institutions in terms of when and how it is done. Some do it every day, but a lot of efforts are wasted on opening ineligible charts; some do it on a fixed day but the distribution of intervals between subsequent checks is not optimal. To establish an optimal chart checking procedure, a new paradigm was developed to achieve 1) charts are checked more accurately and more efficiently; 2) charts are checked on optimal days without any miss; 3) workload is evened out throughout a week when multiple physicists are involved. All active charts will be accessed by querying the R&V system. Priority is assigned to each chart based on the number of days before the next due date followed by sorting and workload distribution steps. New charts are also taken into accountmore » when distributing the workload so it is reasonably even throughout the week. Results: Our clinical workflow became more streamlined and smooth. In addition, charts get checked in a more timely fashion so that errors would get caught earlier should they occur. Conclusion: We developed a new weekly chart checking diagram. It helps physicists check charts in a timely manner, saves their time in busy clinics, and consequently reduces possible errors.« less

Authors:
; ; ;  [1]
  1. UT Southwestern Medical Center, Dallas, TX (United States)
Publication Date:
OSTI Identifier:
22642343
Resource Type:
Journal Article
Resource Relation:
Journal Name: Medical Physics; Journal Volume: 43; Journal Issue: 6; Other Information: (c) 2016 American Association of Physicists in Medicine; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
60 APPLIED LIFE SCIENCES; 61 RADIATION PROTECTION AND DOSIMETRY; ACCURACY; ERRORS; PATIENTS; PERIODICITY; RADIOTHERAPY

Citation Formats

Tan, J, Pompos, A, Jiang, S, and Yan, Y. SU-F-T-96: A New Paradigm of Weekly Chart Checking for Radiation Therapy Clinics. United States: N. p., 2016. Web. doi:10.1118/1.4956232.
Tan, J, Pompos, A, Jiang, S, & Yan, Y. SU-F-T-96: A New Paradigm of Weekly Chart Checking for Radiation Therapy Clinics. United States. doi:10.1118/1.4956232.
Tan, J, Pompos, A, Jiang, S, and Yan, Y. Wed . "SU-F-T-96: A New Paradigm of Weekly Chart Checking for Radiation Therapy Clinics". United States. doi:10.1118/1.4956232.
@article{osti_22642343,
title = {SU-F-T-96: A New Paradigm of Weekly Chart Checking for Radiation Therapy Clinics},
author = {Tan, J and Pompos, A and Jiang, S and Yan, Y},
abstractNote = {Purpose: To put forth an innovative clinical paradigm for weekly chart checking so that treatment status is periodically checked accurately and efficiently. This study also aims to help optimize the chart checking clinical workflow in a busy radiation therapy clinic. Methods: It is mandated by the Texas Administrative code to check patient charts of radiation therapy once a week or every five fractions, however it varies drastically among institutions in terms of when and how it is done. Some do it every day, but a lot of efforts are wasted on opening ineligible charts; some do it on a fixed day but the distribution of intervals between subsequent checks is not optimal. To establish an optimal chart checking procedure, a new paradigm was developed to achieve 1) charts are checked more accurately and more efficiently; 2) charts are checked on optimal days without any miss; 3) workload is evened out throughout a week when multiple physicists are involved. All active charts will be accessed by querying the R&V system. Priority is assigned to each chart based on the number of days before the next due date followed by sorting and workload distribution steps. New charts are also taken into account when distributing the workload so it is reasonably even throughout the week. Results: Our clinical workflow became more streamlined and smooth. In addition, charts get checked in a more timely fashion so that errors would get caught earlier should they occur. Conclusion: We developed a new weekly chart checking diagram. It helps physicists check charts in a timely manner, saves their time in busy clinics, and consequently reduces possible errors.},
doi = {10.1118/1.4956232},
journal = {Medical Physics},
number = 6,
volume = 43,
place = {United States},
year = {Wed Jun 15 00:00:00 EDT 2016},
month = {Wed Jun 15 00:00:00 EDT 2016}
}