放疗全流程管理及QA的初步应用经验

The primary experience of an entire QA workflow management in radiotherapy

目的 回顾复旦大学附属肿瘤医院放疗QA工作历史及发展,提供全流程管理和QA工作初步应用经验.方法 采用失效模式与效应分析和PDCA循环为工具,从2015年4月开始在放疗中心实施全流程QA工作,并采集了实施前后近6000例患者的数据进行对比.结果 实施全流程QA后可能出错概率由17%下降到09%.结论 放疗全流程QA有效提高放疗准确性和安全性.

Objective To retrospectively review the history and development of radiotherapy quality assurance （ QA） in the Affiliated Cancer Hospital of Fudan University, and to report the primary experience and evolvement of an entire QA workflow management. Methods The multidisciplinary QA team has implemented an entire QA workflow management process in the Radiotherapy Center using the failure modes and effects analysis （ FMEA） and plan-do-check-act （ PDCA） tool since April 2015. Treatment data of approximately 6000 patients before and after implementation were compared. Results The error rate was reduced from 17% to 09% after using the entire QA workflow management. Conclusions Entire QA workflow management effectively improves the accuracy and safety of radiotherapy.