Department of Radiation Oncology, Virginia Commonwealth University, Richmond, Virginia; Radiation Oncology Service, Hunter Holmes McGuire Veterans Affairs Medical Center, Richmond, Virginia; National Radiation Oncology Program, US Veterans Healthcare Administration, Richmond, Virginia.
Department of Radiation Oncology, Virginia Commonwealth University, Richmond, Virginia; Radiation Oncology Service, Hunter Holmes McGuire Veterans Affairs Medical Center, Richmond, Virginia.
J Am Coll Radiol. 2018 Dec;15(12):1732-1737. doi: 10.1016/j.jacr.2018.06.029. Epub 2018 Aug 9.
Approximately 20,000 US veterans receive radiation oncology services at a Veterans Healthcare Administration (VHA) medical facility each year. They currently have access to advanced technologies, which include image-guided intensity-modulated radiotherapy, stereotactic radiosurgery, and stereotactic body radiation therapy. Although this provides access to cancer therapies that are modern, safe, and efficient, the technical complexities of these treatments and clinical decision making that goes into the patient selection and prescriptions demand quality assurances at each VHA practice. To meet the challenges of this need, the VHA established a partnership in 2008 with the ACR's Radiation Oncology Practice Accreditation Program (ACR-ROPA). This report summarizes the experience of this ongoing partnership and demonstrates the combined impact of the VHA's mandate for ACR-ROPA accreditation and internal monitoring of all identified corrective actions at each of its radiation oncology practices.
每年约有 20,000 名美国退伍军人在退伍军人医疗保健管理局 (VHA) 医疗设施接受放射肿瘤学服务。他们目前可以使用先进的技术，包括图像引导强度调制放疗、立体定向放射外科和立体定向体部放射治疗。尽管这为接受现代、安全和有效的癌症治疗提供了机会，但这些治疗的技术复杂性以及患者选择和处方的临床决策需要在每个 VHA 实践中进行质量保证。为了应对这一需求的挑战，VHA 于 2008 年与 ACR 的放射肿瘤学实践认证计划 (ACR-ROPA) 建立了合作伙伴关系。本报告总结了这一持续合作的经验，并展示了 VHA 对 ACR-ROPA 认证的授权以及对其每个放射肿瘤学实践中所有确定的纠正措施进行内部监测的综合影响。
