School of Health Professions, The University of Texas MD Anderson Cancer Center, Houston, TX 77030-4009, USA.
Department of Radiation Oncology, Banner MD Anderson Cancer Center, Mesa, AZ 85234, USA.
Med Dosim. 2020;45(4):393-399. doi: 10.1016/j.meddos.2020.07.004. Epub 2020 Aug 15.
The purpose of this study was to develop and implement a custom-designed electronic workflow management tool created by Medlever, Inc, in order to improve efficiency, leverage interoperability and maximize overall labor resources. Administrators and clinicians from five Banner MD Anderson Cancer Center, Department of Radiation Oncology clinics utilized Medlever, Inc. to track and analyze clinical workflow. Real-time data were collected for the duration of 3 months. Time and process data were compared month-to-month from each of the five Banner MD Anderson facilities. The data were quantified based on efficiency scores, where efficiency score was defined by measured timelines for work completion, which was defined by average measured times to complete clinical process steps. The overall average efficiency score for the clinical process steps were as follows: simulation - 66%, define target volume - 69%, creating a treatment plan - 71%, plan review - 76%, finalizing plan - 81%, physics review - 73%, IMRT QA - 72%, approving treatment plan - 69%, and therapy chart check - 66%. The combined average efficiency scores for facility A through E were approximately 72%, 77%, 82%, 66%, and 60%, respectively. Overall, the average sum of all clinical efficiency scores for the radiation oncology service line for all five facilities was approximately 73%. The results set the base line for efficiency and can be evaluated in future studies. In conclusion, a workflow management tool is an effective system to provide results for real-time data tracking, opportunities of improved efficiency, and evidence-based approaches to workflow decision making.
本研究旨在开发和实施 Medlever, Inc. 设计的定制电子工作流程管理工具，以提高效率、利用互操作性并最大限度地利用整体劳动力资源。来自 Banner MD Anderson Cancer Center 五个放射肿瘤学诊所的管理员和临床医生使用 Medlever, Inc. 来跟踪和分析临床工作流程。在三个月的时间里收集实时数据。从五个 Banner MD Anderson 设施中的每个设施逐月比较时间和流程数据。根据效率得分量化数据，效率得分由完成工作的测量时间线定义，这由完成临床流程步骤的平均测量时间定义。临床流程步骤的总体平均效率得分如下：模拟-66%，定义靶区-69%，制定治疗计划-71%，计划审查-76%，最终计划-81%，物理审查-73%，IMRT QA-72%，批准治疗计划-69%，以及治疗图表检查-66%。设施 A 至 E 的综合平均效率得分分别约为 72%、77%、82%、66%和 60%。总体而言，所有五个设施的放射肿瘤学服务线的所有临床效率得分的平均总和约为 73%。结果为效率设定了基准，可以在未来的研究中进行评估。总之，工作流程管理工具是提供实时数据跟踪结果、提高效率机会以及基于证据的工作流程决策方法的有效系统。
