ESTRO 2025 - Abstract Book

S2350

Interdisciplinary – Other

ESTRO 2025

project. In 2023 Joint European Conference on Networks and Communications & 6G Summit (EuCNC/6G Summit) (pp. 629-634). IEEE. [2] Sarrade T, et al. CANTO-RT: One of the Largest Prospective Multicenter Cohort of Early Breast Cancer Patients Treated with Radiotherapy including Full DICOM RT Data. Cancers. 15.3 (2023): 751. [3] Hanley, J. A., & McNeil, B. J. (1982). The meaning and use of the area under a receiver operating characteristic (ROC) curve. Radiology , 143 (1), 29-36.

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Digital Poster Streamlining Radiation Oncology Referral-to-Consult Triage Process Catarina Lam 1 , Kaitlyn Rowsell 1 , John Waldron 1,2 , Benjamin Lok 1,2 , Derek Tsang 1,2 , Namrata Sharma 1 , Marcia Bowen 1 , Anna Santiago 3 , Colleen Dickie 1,2 1 RMP, University Health Network, Toronto, Canada. 2 Radiation Oncology, University of Toronto, Toronto, Canada. 3 Department of Biostatistics, University Health Network, Toronto, Canada Purpose/Objective Long wait times for radiotherapy treatment have been associated with negative impact on prognosis and survival for some cancer diagnoses 1,2 , and increased risk of psychosocial distress among patients. 3,4 The referral-to-consult process (RCP) wait times were improved by streamlining the “referral-to-consult” triage process for a large Canadian Radiation Medicine Program (RMP) using quality improvement (QI) tools to enable resource optimization and value creation for our healthcare teams and patients. P : RMP’s RCP was mapped with timestamp information extracted. Potential QI initiatives were identified and prioritized based on potential impact, feasibility and scalability. One QI initiative on one disease site was selected for pilot, on referrals that met predetermined inclusion and exclusion criteria. D : Referral Coordinators (RC) and Radiation Oncologists (RO) were trained in the pilot process. A ‘mock’ pilot to ensure their familiarity and feasibility of the change was run before implementation of the pilot. S : Metrics (i.e., timestamps for major steps, stakeholder satisfaction, safety incident rate) were assessed throughout the pilot period of 5 weeks. Adjustments to the change process were made if needed. A : If improvement was observed, the site could opt to adopt operationally. Otherwise, additional adjustments would be made, or process change abandoned. The next prioritized site was identified and PDSA repeated. Results Eliminating the RCP’s “RO triage” step was selected for pilot in Head & Neck (HN) site (Figure 1, steps 3 & 4) as it has the highest score on impact, feasibility and scalability. Material/Methods The Plan-Do-Study-Act (PDSA) framework was used to guide this study.