ESTRO 36 Abstract Book

S1016 ESTRO 36 _______________________________________________________________________________________________

the planning and adjustment of the project. In this way the RTTs felt an ownership of the project while the new tasks were considered meaningful too. Future areas for improvement involve the patients’ perspectives of the consultations and the need assessment preparation tool.

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).

EP-1859 RTTs challenge’s in re-plan decision D. Radola 1 1 Greater Poland Cancer Centre, Radiotherapy Department II, Poznan, Poland

Purpose or Objective Important role of imaging, and verification on medical accelerator depend on RTT team. From the past three years, our Oncology Center develop advance scope of practice dedicated to RTT depend on the level of the education, allowed to managed and build strong team. The priority is quality of the treatment. The main aim of this work is to present changes in responsibility in daily practice of the RTT allowed to improve the quality of treatment, by fast detection of possible residual errors in radiotherapy. Material and Methods Radiation Technology’ tasks included: patient positioning, portal verification, irradiation delivery. The scope of licentiates’ responsibilities (equivalent of bachelor’s degree –) was extended to include QA dosimetric procedures and the preparation of accelerators. The existing duties of RTT with magister’s degree (equivalent of master’s degree) were extended and supplemented with new competences. These included the supervision of the work on the accelerator, decisions on replanning, assistance to the radiation therapist in preparing patients for treatment, (immobilisation, iCT, organ at risk contouring, verification of ready treatment plans on the simulator). Results In 2011/12 number of re-plan was (481) and (523) which correspond with 10% of all treating patient in our Center. In 2013 we start developing idea of advance scope of practice of our RTT. Next two years of experience in Immobilization, treatment preparation, and contouring indicate increasing number of quality control. Number of re-plan in 2014/ 2015 was (581) (566) which corresponding with 11.5% and it was higher by 1,5% according to first two 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.

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.

Electronic Poster: RTT track: Risk management/quality management

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

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