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- W2890559178 abstract "Palliative Clinical Specialist Radiation Therapists (pCSRTs) have a unique opportunity to enhance quality of cancer care through evaluation of current practice and the introduction of innovative strategies to improve services, resulting in a high degree of both patient and provider satisfaction. Six members of the pCSRT Community of Practice in Ontario met monthly through scheduled teleconference visits to identify quality initiatives and activities that enhance quality of care at their respective cancer centres. Additional quality impacts were identified in the Clinical Specialist Radiation Therapist Project Summative Report May 2016 which included an accumulation of metrics and data collected by all CSRT’s in Ontario. The group identified the following common quality themes; continuity of care, service satisfaction, concordance, safety and leadership. Many of the pCSRTs are involved with a patient’s care from the start of their cancer journey at new patient consultation, and provide care during and after their radiation treatments through review and follow-up appointments. This offers other health care providers, patients and their caregivers with a consistent point-of-contact, coordinator of care, and continuity of care. Through a 2-step patient survey (n=269; pre n = 116, post n = 153), the role demonstrated higher cumulative patient satisfaction scores in all cases. Patient’s rated their experience with the CSRT on average to be 4.8 (1= poor; 5 = excellent). Frontline stakeholders found the role to bring value to the team, patient, and organization, with the majority (83%, n=29) in agreement that the CSRT is valuable in the health care system. Quality of care has been demonstrated through target delineation/field placement concordance projects between Radiation Oncologists and pCSRTs. Evidence reveals brain metastases concordance at 100%, bone metastases at 95.7% (target delineation) and 94% (field placement), discrepancies were not clinically significant. Symptom management concordance measured; prescription (87%), medication changes (96.7%) and side effects (100%). Safety quality assurance initiatives like palliative peer view and patient grid mapping. Leadership roles provide quality of care through research and knowledge translation. PCSRTs have demonstrated improvements in quality of care through areas of continuity of care, service satisfaction, concordance, safety and leadership. Satisfaction surveys collected, indicate positive patient and service satisfaction results. PCSRTs perform quality target delineation and symptom management skills and knowledge equivalent to the radiation oncologist. They are leaders in radiation safety initiatives, models of care, services, teaching, knowledge translation and program evaluation." @default.
- W2890559178 created "2018-09-27" @default.
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- W2890559178 date "2018-09-01" @default.
- W2890559178 modified "2023-09-25" @default.
- W2890559178 title "The Impact of Palliative Clinical Specialist Radiation Therapists on Quality of Care in Ontario" @default.
- W2890559178 doi "https://doi.org/10.1016/j.jmir.2018.06.025" @default.
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