A Simplified Suggested Methodology for Quality Improvement in Radiation Oncology Facility

A Simplified Suggested Methodology for Quality Improvement in Radiation Oncology Facility

Radiation oncology is a very quality conscious area of healthcare. Radiotherapy-related errors are not uncommon; moreover, many errors are likely to go undetected. Radiotherapy error can lead to the wrong,ineffective, or lack of delivery of a required radiation dose to the the target tissue. Quality assurance in radiation therapy includes procedures that ensure a consistent and safe fulfillment of dose prescription to thetarget volume, with a minimal dose to normal tissues and a minimal exposure to the personnel handlingthe equipment. In radiation therapy, a comprehensive quality assurance program is necessary because ofthe importance of accuracy in dose delivery. It reduces the likelihood of accidents and errors by increasingthe probability of early detection of the errors that occur. Quality assurance in radiotherapy is concernedwith all aspects of radiotherapy process and should involve all groups of staff in a cooperative approach,since quality activities are interdependent. The key component is a multidisciplinary approach that involves a radiation oncologist, a medical physicist, and radiation therapy technologists. This team ensuresquality assurance that involves 3Ms, i.e., machines, methodology, and manpower.

___

  • 1. Abbasi AN. Establishment and Maintenance of Quality of Site-Specific Multidisciplinary Tumor Boards in Pakistan. J Coll Physicians Surg Pak 2016;26(10):805–7.
  • 2. Valentini V, Glimelius B, Frascino V. Quality assurance and quality control for radiotherapy/medical oncology in Europe: guideline development and implementation. Eur J Surg Oncol 2013;39(9):938–44.
  • 3. Pham N, Asper J, Bonnen M, Mok H, Wagner T, Ludwig M, et al. Pre-treatment peer-review: enhancing value through increased efficiency and effectiveness of radiation oncology peer review. Journal of Radiation Oncology 2018;7(1):97–102.
  • 4. Lefresne S, Olivotto IA, Joe H, Blood PA, Olson RA. Impact of quality assurance rounds in a Canadian radiation therapy department. Int J Radiat Oncol Biol Phys 2013;85(3):e117–21.
  • 5. Nadeem Abbasi A, Muhammad W, Hussain A. Implementation of quality medical physics training in a lowmiddle income country - sharing experience from a tertiary care JCIA-accredited university hospital. J Appl Clin Med Phys 2016;17(6):454–6.
  • 6. Rosenblatt E, Fidarova E, Ghosh S, Zubizarreta E, Unterkirhere O, Semikoz N, et al. Quality of radiotherapy services in post-Soviet countries: An IAEA survey. Radiother Oncol 2018;127(2):171–7.
  • 7. Harris J, Green JS, Sevdalis N, Taylor C. Using peer observers to assess the quality of cancer multidisciplinary team meetings: a qualitative proof of concept study. J Multidiscip Healthc 2014;7:355–63.