Implementing web-based ping-pong-type e-communication to enhance staff satisfaction, multidisciplinary cooperation, and clinical effectiveness

Yeh, Pei-Han; Hung, Shih‐Kai; Lee, Moon‐Sing; Chiou, Wen‐Yen; Lai, Chun‐Liang; Tsai, Wei-Ta; Hsieh, Hsiao-Yun; Shih, Yi-Ting; Huang, Liwen; Lin, Yi-An; Lin, Po-Hao; Lin, Yung-Hsiang; Liu, Dai-Wei; Hsu, Feng-Chun; Tsai, Shiang-Jiun; Liu, Jia-Chi; Chung, En-Seu; Lin, Hon‐Yi

doi:10.1097/md.0000000000005236

Cited by 6 publications

(8 citation statements)

References 41 publications

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“…Technology, such as telecommunication, facilitates teamwork as it creates the opportunity to involve and interact with professionals from a distance [271][272][273]. Technology also creates opportunities to exchange information through information platforms [276,277]. Most studies found positive results for teamwork.…”

Section: Facilitating Toolsmentioning

confidence: 99%

Interventions to improve team effectiveness within health care: a systematic review of the past decade

2020

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Background: A high variety of team interventions aims to improve team performance outcomes. In 2008, we conducted a systematic review to provide an overview of the scientific studies focused on these interventions. However, over the past decade, the literature on team interventions has rapidly evolved. An updated overview is therefore required, and it will focus on all possible team interventions without restrictions to a type of intervention, setting, or research design. Objectives: To review the literature from the past decade on interventions with the goal of improving team effectiveness within healthcare organizations and identify the "evidence base" levels of the research. Methods: Seven major databases were systematically searched for relevant articles published between 2008 and July 2018. Of the original search yield of 6025 studies, 297 studies met the inclusion criteria according to three independent authors and were subsequently included for analysis. The Grading of Recommendations, Assessment, Development, and Evaluation Scale was used to assess the level of empirical evidence. Results: Three types of interventions were distinguished: (1) Training, which is subdivided into training that is based on predefined principles (i.e. CRM: crew resource management and TeamSTEPPS: Team Strategies and Tools to Enhance Performance and Patient Safety), on a specific method (i.e. simulation), or on general team training. (2) Tools covers tools that structure (i.e. SBAR: Situation, Background, Assessment, and Recommendation, (de)briefing checklists, and rounds), facilitate (through communication technology), or trigger (through monitoring and feedback) teamwork. (3) Organizational (re)design is about (re)designing structures to stimulate team processes and team functioning. (4) A programme is a combination of the previous types. The majority of studies evaluated a training focused on the (acute) hospital care setting. Most of the evaluated interventions focused on improving non-technical skills and provided evidence of improvements. Conclusion: Over the last decade, the number of studies on team interventions has increased exponentially. At the same time, research tends to focus on certain interventions, settings, and/or outcomes. Principle-based training (i.e. CRM and TeamSTEPPS) and simulation-based training seem to provide the greatest opportunities for reaching the improvement goals in team functioning.

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Section: Facilitating Toolsmentioning

confidence: 99%

Interventions to improve team effectiveness within health care: a systematic review of the past decade

2020

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“…A neurosurgeon and two radiation oncologists doubly reviewed all data. Patients' medical profiles and radiation parameters were retrieved from hardcopy medical charts, the Hospital Information System, and our in-house RT database, the Integrated Radiotherapy Oncology Information Platform (26,27). Documented baseline data included patient characteristics, tumor-specific profiles, and radiation parameters (e.g., irradiation dosimetry, cochlear dose, and tumor volume).…”

Section: Subjects and Populationsmentioning

confidence: 99%

“…After salvage microsurgery, the patient's symptoms improved gradually, free from medications for fourteen years. Left 25 [50] 13 [26] 12 [24] Symptoms for SRS, n [%] 0.75 Tinnitus 23 [46] 16 [32] 7 [14] Dizziness 24 [48] 11 [22] 13 [26] Hearing impairment 22 [44] 10 [20] 12 [24] Imbalance 8 [16] 5 [10] 3 [6] Trigeminal neuralgia 4…”

Section: Tcrmentioning

confidence: 99%

Outcome of reduced-dose stereotactic radiosurgery for patients with vestibular schwannoma

Chew¹,

Lee²,

Chen³

et al. 2022

Ther Radiol Oncol

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Background: Stereotactic radiosurgery (SRS) is a minimally invasive intervention for vestibular schwannoma (VS) patients. Post-SRS neurological complications are found to be highly correlated with radiation dose. Herein, we presented the outcome of VS patients treated with SRS with a reduced marginal dose. Methods:We included VS patients treated with Linear Accelerator (LINAC)-based single-fraction SRS from June 2002 to June 2020. A neurosurgeon and two radiation oncologists retrospectively reviewed all data. Patients were divided into two groups according to the prescribed marginal dose: the standard-dose group (≥12 Gy) and the low-dose group (<12 Gy). The prescribed irradiation dose covered at least 95% of the planning target volume (PTV). Outcome evaluations included tumor control rate (TCR) which was defined as the absence of symptoms and evidence of tumor growth requiring salvage treatment, radiological response, and treatment-related toxicity.Results: Fifty patients were included for the analysis, including 26 females and 24 males. The median age was 58 years (20-82 years). The median maximal tumor diameter and volume were 18.30 mm (5.0-34.0 mm) and 0.9 cm 3 (0.1-15.1 cm 3 ). Median marginal doses in the standard-and low-dose groups were 12 Gy (12-15 Gy; n=22) and 9 Gy (8-11 Gy; n=28). The median duration of follow-up was 62 months (3-170 months).TCR for the overall, standard-dose, and low-dose groups were 98%, 100%, and 96.4%, respectively (P=0.389). The rates of radiological tumor shrinkage, stability, and growth were 63.7%, 36.3%, and 0% in the standard-dose group; and, 46.4%, 50.0%, and 3.6% in the low-dose group (P=0.465). The rates of clinical improvement, stability, and deterioration were 48% (n=24), 40% (n=20), and 2% (n=1), respectively.Five patients (10%) developed post-SRS grade 1-2 toxicity. Of these, two patients (one standard-and one low-dose) required ventriculoperitoneal (VP) shunting for hydrocephalus. There was no trigeminal and facial neuropathy.Conclusions: LINAC-based SRS with a marginal dose of 9 Gy demonstrated similar tumor control and treatment-related toxicities compared with a standard dose. Further prospective trials with a large population are warranted to verify our results.

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“…Informed written consent was waived by the IRB because the study was a retrospective data analysis. We retrospectively retrieved and analyzed data from medical records and our prospective departmental database, i.e., our Integrated RT Oncology Information Platform [ 16 17 ].…”

Section: Aterials and M Ethodsmentioning

confidence: 99%

Effectiveness of individual audio-visual coaching, respiratory modulated stereotactic body radiotherapy for localized hepatocellular carcinoma

Lin¹,

Lee

Chiou

et al. 2021

Tzu Chi Medical Journal

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Objectives: Recently, Stereotactic Body Radiotherapy (SBRT) has been suggested for managing hepatocellular carcinoma (HCC) curatively. Thus, we conducted this clinical study to evaluate retrospectively the effect of individualized audio-visual (AV) coaching, respiratory modulated SBRT. Materials and Methods: Between 2014 and 2018, 29 patients with inoperable Barcelona Clinic Liver Cancer (BCLC) stage 0-B HCC received AV coaching, respiratory-modulated SBRT. We constructed a task-oriented multidisciplinary team to establish a standard operation process of respiratory modulation procedures and developed our AV coaching devices. In the training period, a goodness-of-fit test was applied individually. SBRT was delivered with a total dose of 40–54 Gy in 5–6 fractions individually. Freedom from local progression (FFLP) and overall survival (OS) were estimated using SPSS (version 17, SPSS Inc., Chicago, IL, USA) life tables. Results: The patient characteristics were as follows: 32.7 ± 16 mm in maximum tumor diameter (range 11–94); BCLC stage 0: 3.4%, BCLC A: 48.3%, BCLC B: 48.3%; Child-Pugh classification A: 86.2%, Child-Pugh classification B: 13.8%, and a median of 2 prior liver-directed treatments (range 0–7). One-, 2-, and 3-year rates of FFLP of SBRT were 96.6%, 96.6%, and 96.6%, respectively. One-, 2-, and 3-year rates of OS were 81.5%, 72.4%, and 67.2%, respectively. No adverse event (AE) occurred in 41.4% of patients, 48.3% developed grade (G) 1–2 AE, 10.3% had G3 AE and none had G4-5 AE. Conclusion: Respiration-modulated SBRT is a promising noninvasive treatment option for patients with inoperable and localized HCC. Our data show that SBRT provides comparable tumor control to historical curative options like surgery and radiofrequency ablation of localized tumors. Thus, we are conducting a further prospective clinical trial with the intent to demarcate the clinical effectiveness of SBRT in a larger population of patients with HCC.

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Implementing web-based ping-pong-type e-communication to enhance staff satisfaction, multidisciplinary cooperation, and clinical effectiveness

Cited by 6 publications

References 41 publications

Interventions to improve team effectiveness within health care: a systematic review of the past decade

Interventions to improve team effectiveness within health care: a systematic review of the past decade

Outcome of reduced-dose stereotactic radiosurgery for patients with vestibular schwannoma

Effectiveness of individual audio-visual coaching, respiratory modulated stereotactic body radiotherapy for localized hepatocellular carcinoma

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