ESTRO 2024 - Abstract Book

S5882

RTT - Service evaluation, quality assurance and risk management

ESTRO 2024

of major incidents, excluding the latter two cases, no errors were reported, demonstrating a risk of failure of 0.0% (0.0-3.5%). In terms of minor incidents, they were reported in 33.3% of patients (24.4-43.2%): 30.5% (21.9-40.2%) of cases (32 patients/105) were due to the absence of positiong photo on simulation document; 1.9% (0.2-6.7%) absence of patients’ photo (2 patients out 105); 1.9% (0.2-6.7%) absence of plan document (2 patients out 105). A statistical significant difference was demonstrated between year of treatment: 18 minor incidents during period A, 10 in period B and 7 in period C (p 0.023)

Conclusion:

Implementation of the VCP in RO department improved workflow efficiency, reducing the risk of major and minor incidents.

Keywords: Quality assurance, visual care path, radiotherapy

721

Digital Poster

Stereotactic radiotherapy in a networked, rural centre: A five-year review.

Kit Shaun Lau, Emma Dyce, David Fox

GenesisCare, Albury, Albury, Australia

Purpose/Objective:

GenesisCare Albury is a comprehensive radiotherapy department located on the New South Wales-Victorian border of Australia, servicing a large geographical area of approximately 80,000 square kilometres (roughly the size of Scotland) and close to 300,000 people. Melbourne is the closest metropolitan city that provides SRT and SBRT, previously requiring patients to travel 300 km to receive treatment. Studies have shown increased mortality rates for cancer patients in rural areas, partly due to rural patients settling for a lesser treatment to avoid traveling to metropolitan cities [1,2]. Literature indicates stereotactic treatment results in reduced toxicities and improved local control compared to conventional fractionation [3]. Conventional treatments are available for rural communities in Australia, often by small, single linac centres that struggle to provide comprehensive care for stereotactic patients. Barriers to implementing stereotactic radiotherapy in rural centres include staff experience, low patient workloads, lack of technology, poor local support, and poor access to ongoing education activities. This causes a gap for rural cancer patients who may have a better outcome with SRT and SBRT but are unable to receive it locally. In 2018, the GenesisCare Albury site implemented a stereotactic program, to bridge the care gap for local patients. This paper reviews the implementation of the program in a rural centre, taking a state-based network approach for a private radiotherapy company.