Angers C, Renaud J, MacPherson M, Clark B
The Ottawa Hospital Cancer Centre, Ottawa, ON.
Med Phys. 2008 Jul;35(7Part3):3413. doi: 10.1118/1.2965977.
Patient treatment preparation is a multi-step process requiring inputs from a range of disciplines and technologies. Our centre generates just over 4500 treatment plans annually and operates from two main campuses. A large, split program presents unique challenges during treatment preparation and has provided the impetus for a completely electronic treatment process. Throughout 2006 and 2007, we migrated our external beam treatment planning to the Computerized Medical Systems (CMS) product line. Utilizing a thin-client architecture, CMS supports distributed (multi-site) planning. Coincident with the treatment planning upgrade, IMPAC Multi-Access was configured to provide a paperless and filmless treatment record and electronic patient workflow. Standardized treatment objectives were also implemented in the form of site-group approved care plans. Details of the pretreatment process and the CMS / IMPAC implementation will be presented as well as a workflow time analysis. To date, treatment preparation times have been reduced by 25% (2.5 days) as a result of workflow improvements, representing a clear benefit to both staff and patients.
患者治疗准备是一个多步骤过程,需要一系列学科和技术的投入。我们中心每年生成4500多个治疗计划,在两个主要校区开展业务。一个大型的、分散的项目在治疗准备过程中带来了独特的挑战,并推动了完全电子化治疗流程的发展。在2006年和2007年期间,我们将外照射治疗计划迁移到了计算机化医疗系统(CMS)产品线。利用瘦客户机架构,CMS支持分布式(多站点)规划。与治疗计划升级同时进行的是,IMPAC多接入系统被配置为提供无纸化和无胶片化的治疗记录以及电子患者工作流程。标准化治疗目标也以科室组批准的护理计划的形式实施。将介绍预处理过程和CMS/IMPAC实施的细节以及工作流程时间分析。迄今为止,由于工作流程的改进,治疗准备时间减少了25%(2.5天),这对工作人员和患者都带来了明显的益处。