Dunscombe Peter, Brown Derek, Donaldson Holly, Greener Anne, O'Neill Michael, Sutlief Steven, Woodward Michael, Yorke Ellen, Ford Eric
Department of Oncology, University of Calgary, Calgary, Alberta, Canada.
Radiation Medicine and Applied Sciences, University of California San Diego, La Jolla, California.
Pract Radiat Oncol. 2015 Mar-Apr;5(2):127-34. doi: 10.1016/j.prro.2014.10.012. Epub 2014 Nov 3.
It is challenging for the radiation oncology practitioner to manage and implement the plethora of recently generated recommendations on quality and safety improvement. The online Safety Profile Assessment (SPA) tool uses an easy-to-use question-and-answer format to assess safety/quality within a clinic, provide a way to benchmark against peers, and facilitate improvement. This report describes the design and development of the SPA and experience from the first year of use.
Performance indicators for the SPA were derived from 4 foundations: the Agency for Healthcare Research and Quality, a review of 7 recent authoritative documents specific to radiation oncology, a recent American Association of Physicists in Medicine report on incident learning, and the American College of Radiology-American Society for Radiation Oncology accreditation system as of 2011. After pilot testing, the free-access tool was launched through the American Association of Physicists in Medicine website (http://spa.aapm.org) in July 2013. Questionnaire data were collected to assess the experience of users.
The SPA tool consists of 92 indicators designed to probe safety and quality. A clinic's performance is benchmarked against all other responses in the database, and aided by a downloadable log, quality/safety improvement strategies can be developed and tracked over time. At the time this paper was written, 279 individuals had registered, and 107 had completed the SPA. On average, the SPA required 1.3 hours to complete. The majority of respondents to the questionnaire (56%) completed the SPA with a multidisciplinary group of 4 people on average. Respondents noted that the SPA was easy or very easy to use (70%) and that they would definitely or very probably complete it again (63%).
SPA provides a straightforward means of gauging a clinic's performance in key safety-critical areas and has been evaluated favorably by the first cohort of users. The tool has been qualified by the American Board of Radiology (ABR) as meeting the criteria for Practice Quality Improvement requirements of the ABR Maintenance of Certification Program.
放射肿瘤学从业者要管理和实施近期大量发布的关于质量与安全改进的建议颇具挑战性。在线安全概况评估（SPA）工具采用易于使用的问答形式，以评估诊所内的安全/质量状况，提供与同行进行基准对比的方法，并促进改进。本报告描述了SPA的设计与开发以及第一年的使用经验。
SPA的性能指标源自4个基础：医疗保健研究与质量局、对7份近期放射肿瘤学权威文件的综述、美国医学物理学会近期关于事件学习的报告以及截至2011年的美国放射学会 - 美国放射肿瘤学会认证系统。经过试点测试后，该免费访问工具于2013年7月通过美国医学物理学会网站（http://spa.aapm.org）推出。收集问卷数据以评估用户体验。
SPA工具由92项旨在探究安全与质量的指标组成。诊所的表现会与数据库中的所有其他回复进行基准对比，并借助可下载的日志，随着时间的推移制定并跟踪质量/安全改进策略。在撰写本文时，已有279人注册，107人完成了SPA。平均而言，完成SPA需要1.3小时。问卷的大多数受访者（56%）平均与一个4人的多学科团队一起完成了SPA。受访者指出SPA易于或非常易于使用（70%），并且他们肯定或很可能会再次完成它（63%）。
SPA提供了一种衡量诊所在关键安全领域表现的直接方法，并且首批用户对其评价良好。该工具已获得美国放射学会（ABR）的认可，符合ABR继续认证计划实践质量改进要求的标准。
