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• W2935392001 abstract "Purpose: The Joint Commission has encouraged the healthcare industry to become High Reliability Organizations by Chasing Zero Harm in patient care. In radiation oncology, the time point of quality checks determines whether errors are prevented or only mitigated. Thus, to chase zero in radiation oncology, peer review has to be implemented prior to treatment initiation. A multidisciplinary group consensus peer review (GCPR) model is used pre-treatment at our institution and has been successful in our efforts to chase zero harm in patient care. Methods: With the GCPR model, policy-defined complex cases go through a treatment planning conference, which includes physicians, residents, physicists, and dosimetrists. Three major plan aspects are reviewed: target volumes, target and normal tissue dose coverage, and dose distributions. During the review, any team member can ask questions and afterwards a group consensus is taken regarding plan approval. Results: The GCPR model has been implemented through a commitment to peer review and creative conference scheduling. Automated analysis software is used to depict color-coded results for department approved target coverage and dose constraints. About 8% of plans required re-planning while about 23% required minor changes. The mean time for review of each plan was 8 min. Conclusions: Catching errors prior to treatment is the only way to chase zero in radiation oncology. Various types of errors may exist in treatment plans and our GCPR model succeeds in preventing many errors of all shapes and sizes in target definition, dose prescriptions, and treatment plans from ever reaching the patients." @default.
• W2935392001 created "2019-04-11" @default.
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• W2935392001 date "2019-04-24" @default.
• W2935392001 modified "2023-10-16" @default.
• W2935392001 title "Chasing Zero Harm in Radiation Oncology: Using Pre-treatment Peer Review" @default.
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• W2935392001 doi "https://doi.org/10.3389/fonc.2019.00302" @default.
• W2935392001 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/6491674" @default.
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