ESTRO 36 Abstract Book

S1002 ESTRO 36 2017 _______________________________________________________________________________________________

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. EP-1860 A process and human factors engineering paradigm for radiation oncology K.C. Chan 1 , W.Y. Lee 1 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). Electronic Poster: RTT track: Risk management/quality management

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 Marciuš 1 , M. Križan 1 , A. Oklješa Lukič 1 , I. Oblak 1 1 Institute 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

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