Quality Management 2017

5 x why in Radiotherapy

1. Problem: First Time Right for start treatment is low resulting in increased workload and delay for the patient 2. Information: in 30% still adjustments in treatment plan just before start treatment 3. Possible causes: extended disease, no plan approval, other imaging protocol, or just LATE; 1. 5 x why: 1. why late adjustments >> checkpoints late in relation to start 2. why checkpoints late >> no flow, push into the process, 3. why push, no pull >> fixed startdate 4. why fixed startdate >> to have an endpoint 5. why? >> to be in time for the patient

-Now are we??

Continuous Improvement

Methods

Incident Registration Discussion