Impact of Quality Assurance Rounds in a Canadian Radiation Therapy Department

Lefresne, Shilo; Olivotto, Ivo A.; Joe, Harry; Blood, Paul; Olson, Robert

doi:10.1016/j.ijrobp.2012.10.015

Cited by 46 publications

(30 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…An Australian study, using the Royal Australian and New Zealand College of Radiologists (RANZCR) auditing tool, reported a similar correction rate of 3.8% [11]. Likewise, a Canadian study reported that 1% of its reviewed plans required modification [12]. In this study of 1247 cases, it was noted that tumour site, and fewer years of experience of the practising RO were the only variables associated with modifications [12].…”

mentioning

confidence: 57%

“…Likewise, a Canadian study reported that 1% of its reviewed plans required modification [12]. In this study of 1247 cases, it was noted that tumour site, and fewer years of experience of the practising RO were the only variables associated with modifications [12].…”

mentioning

confidence: 68%

“…1. Distribution of the 2223 peer-reviewed cases, classified as requiring no (A), minor (B), or major (C) modifications (according to [12]). these major alterations not instituted till after the fifth RT treatment.…”

Section: Resultsmentioning

confidence: 99%

“…Each case was reviewed, and categorized as requiring no (A), minor (B), or major (C) modifications as per Lefresne et al [12] (Fig. 1).…”

Section: Methodsmentioning

confidence: 99%

See 3 more Smart Citations

Predictors of breast radiotherapy plan modifications: Quality assurance rounds in a large cancer centre

Lymberiou

Galuszka

Lee

et al. 2015

Radiotherapy and Oncology

View full text Add to dashboard Cite

mentioning

confidence: 57%

mentioning

confidence: 68%

Section: Resultsmentioning

confidence: 99%

“…Each case was reviewed, and categorized as requiring no (A), minor (B), or major (C) modifications as per Lefresne et al [12] (Fig. 1).…”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Predictors of breast radiotherapy plan modifications: Quality assurance rounds in a large cancer centre

Lymberiou

Galuszka

Lee

et al. 2015

Radiotherapy and Oncology

View full text Add to dashboard Cite

“…As a result of these findings, a number of safety initiatives have been implemented both locally and nationally. For example, many institutions have adopted daily treatment “time outs,” checklists, and quality assurance rounds 2 , 3 , 4 , 5 , 6 . Larger hospital systems have provided an infrastructure for sharing and disseminating critical information related to patient safety, “near misses,” and treatment errors 3 , 4 .…”

Section: Introductionmentioning

confidence: 99%

A survey on table tolerances and couch overrides in radiotherapy

Chinsky

Patel

Panfil

et al. 2016

J Applied Clin Med Phys

View full text Add to dashboard Cite

The purpose of this study was to survey current departmental policies on treatment couch overrides and the values of table tolerances used clinically. A 25‐question electronic survey on couch overrides and tolerances was sent to full members of the American Association of Physicists in Medicine (AAPM). The first part of the survey asked participants if table overrides were allowed at their institution, who was allowed to perform these overrides, and if imaging was required with overrides. The second part of the survey asked individuals to provide table tolerance data for the following treatment sites: brain/head and neck (H&N), lung, breast, abdomen/pelvis and prostate. Each site was further divided into IMRT/VMAT and 3D conformal techniques. Spaces for free‐text were provided, allowing respondents to enter any table tolerance data they were unable to specify under the treatment sites listed. A total of 361 individuals responded, of which approximately half participated in the couch tolerances portion of the survey. Overall, 86% of respondents’ institutions allow couch tolerance overrides at treatment. Therapists were the most common staff members permitted to perform overrides, followed by physicists, dosimetrists, and physicians, respectively. Of the institutions allowing overrides, 34% reported overriding daily. More than half of the centers document the override and/or require a setup image to radiographically verify the treatment site. With respect to table tolerances, SRS/SBRT table tolerances were the tightest, while clinical setup table tolerances were the largest. There were minimal statistically significant differences between IMRT/VMAT and 3D conformal table tolerances. Our results demonstrated that table overrides are relatively common in radiotherapy despite being a potential safety concern. Institutions should review their override policy and table tolerance values in light of the practices of other institutions. Careful attention to these matters is crucial in ensuring the safe and accurate delivery of radiotherapy.PACS number(s): 87.55.N‐, 87.55.Qr, 87.55.T‐

show abstract

Three discipline collaborative radiation therapy (3DCRT) special debate: Peer review in radiation oncology is more effective today than 20 years ago

Ahmad

Santanam

Padilla

et al. 2020

J Applied Clin Med Phys

View full text Add to dashboard Cite

Radiation Oncology is a highly multidisciplinary medical specialty, drawing significantly from three scientific disciplinesmedicine, physics, and biology. As a result, discussion of controversies or changes in practice within radiation oncology must involve input from all three disciplines. For this reason, significant effort has been expended recently to foster collaborative multidisciplinary research in radiation oncology, with substantial demonstrated benefit. 1-3 In light of these results, we endeavor here to adopt this "team-science" approach to the traditional debates featured in this journal. This article is part of a series of special debates entitled "Three Discipline Collaborative Radiation Therapy (3DCRT)" in which each debate team includes a radiation oncologist, medical physicist, and radiobiologist. We hope that this format will not only be engaging for the readership but will also foster further collaboration in the science and clinical practice of radiation oncology. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

show abstract

Impact of Quality Assurance Rounds in a Canadian Radiation Therapy Department

Cited by 46 publications

References 9 publications

Predictors of breast radiotherapy plan modifications: Quality assurance rounds in a large cancer centre

Predictors of breast radiotherapy plan modifications: Quality assurance rounds in a large cancer centre

A survey on table tolerances and couch overrides in radiotherapy

Three discipline collaborative radiation therapy (3DCRT) special debate: Peer review in radiation oncology is more effective today than 20 years ago

Contact Info

Product

Resources

About