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- W2556151722 abstract "Radiation therapy (RT) is effective in reducing pain associated with bone metastases. For patients requiring CT-based radiation planning, wait time for a CT simulation appointment following the new patient evaluation often delays the start of treatment, postponing potential benefits conferred by palliative RT. The purpose of this study was to develop a protocol designed to reduce the time from new patient evaluation to the time of CT simulation to less than three business days. This study included patients evaluated at our institution with a diagnosis of bone metastasis receiving three-dimensional conformal radiation therapy (3DCRT). For patients meeting inclusion criteria, a protocol was developed in which the treating radiation oncologist utilized pre-specified text to request the 3DCRT treatment in the patient’s electronic medical record that subsequently alerted staff to the patient’s eligibility for the study. Staff then worked to schedule the CT simulation within three business days from the new patient evaluation. The protocol was implemented beginning July 2014. To determine the percent of patients treated with 3DCRT and simulated within three days, patients meeting inclusion criteria were identified through review of our institutional radiation oncology patient information management system. Prior to initiation of the quality improvement protocol, from January to April 2014, 50% of patients treated with 3DCRT for bone metastasis met the goal of CT simulation occurring within three days of new patient evaluation. In the first three months following institution of the quality improvement protocol, the percentage of patients meeting the goal increased to 64%. After instituting a quality improvement protocol at our institution, a significant reduction in the percentage of patients waiting longer than three business days from the time of new patient consult to the time of CT simulation for treatment of bone metastasis with 3DCRT was noted. The new protocol harnessed existing medical records systems and authorization processes. Future work should examine the impact of reduced CT simulation wait time on time to radiation initiation and on patient satisfaction and pain relief." @default.
- W2556151722 created "2016-11-30" @default.
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- W2556151722 date "2015-11-01" @default.
- W2556151722 modified "2023-10-17" @default.
- W2556151722 title "A Quality Improvement Study on Reducing Time From New Patient Evaluation for Bone Metastasis to Time of CT Simulation" @default.
- W2556151722 doi "https://doi.org/10.1016/j.ijrobp.2015.07.1473" @default.
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