Fogh Shannon E, Pope Christopher H, Rosenthal Seth A, Conway Patrick D, Hulick Peter R, Johnson Jennifer L, Mian Tariq A, Das Indra J, Lazar Ann, Thaker Nikhil G, Monzon Brian T
Department of Radiation Oncology, University of California San Francisco, San Francisco, CA.
Department of Radiation Oncology, CARTI, Little Rock, AR.
Pract Radiat Oncol. 2016 Sep-Oct;6(5):e171-e177. doi: 10.1016/j.prro.2016.01.010. Epub 2016 Jan 26.
The American College of Radiology (ACR) Radiation Oncology Practice Accreditation (ROPA) program has accredited more than 600 sites since 2006, including practices within academic, hospital-based, and freestanding settings. The purpose of this report is to evaluate and compare patterns of change in common deficiencies over time.
The ACR database was queried to analyze the common deficiencies noted by the ACR ROPA program between 2012 and 2014. Deficiencies were ranked and compared to the top 10 items that were reported in 2006.
Between 2012 and 2014, 272 new applications and 306 renewals were received. Timely verification of port films, documentation of physician peer review, inclusion of essential elements of a treatment prescription, evidence of a final physicist chart review, documentation of weekly treatment visits, and inclusion of key elements of brachytherapy documentation all improved when compared with 2000-2005. Deficiencies ranked higher on the current review compared with the previous analysis included documentation of a robust quality assurance program, missing elements from the history and physical documentation, and documentation of follow-up visits.
Our analysis of changes in patterns of deficiencies across radiation oncology practices reflects changes in our field such as the growing reliance on electronic records and imaging. Accreditation continues to play an integral role in establishing national standards and a nonpunitive, peer-reviewed method to evaluate a practice's compliance with national quality guidelines.
自2006年以来，美国放射学会（ACR）放射肿瘤学实践认证（ROPA）项目已对600多个机构进行了认证，包括学术机构、医院附属机构和独立机构内的实践。本报告的目的是评估和比较常见缺陷随时间的变化模式。
查询ACR数据库，分析2012年至2014年期间ACR ROPA项目指出的常见缺陷。对缺陷进行排名，并与2006年报告的前10项进行比较。
2012年至2014年期间，共收到272份新申请和306份续期申请。与2000 - 2005年相比，射野片的及时验证、医师同行评审的记录、治疗处方基本要素的纳入、物理师最终图谱审查的证据、每周治疗访视的记录以及近距离放射治疗记录关键要素的纳入均有所改善。与之前的分析相比，当前审查中排名较高的缺陷包括稳健质量保证计划的记录、病史和体格检查记录中缺失的要素以及随访记录。
我们对放射肿瘤学实践中缺陷模式变化的分析反映了我们这个领域的变化，如对电子记录和成像的日益依赖。认证在建立国家标准以及采用非惩罚性、同行评审方法评估实践是否符合国家质量指南方面继续发挥着不可或缺的作用。
