Reduce Patient Treatment wait time in a Proton Beam Facility – A Gatekeeper Approach.
Patient wait time can negatively impact treatment quality in a proton therapy center, where multiple treatment rooms share one proton beam. Wait time increases patient discomfort that can lead to patient motion, dissatisfaction, and longer treatment delay. This study was to develop a patient call-ba...
| Published in: | Journal of Medical Systems Vol. 45; no. 8; pp. 1 - 10 |
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| Main Authors: | , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Springer Nature
Aug2021
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=151837887&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151837887 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01485598 4N0 jtl: Journal of Medical Systems issn: 01485598 maglogo: N pubinfo: dt: Aug2021 vid: 45 iid: 8 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 151837887 151837887 151837887 10.1007/s10916-021-01756-1 151837887 ppf: 1 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Reduce Patient Treatment wait time in a Proton Beam Facility – A Gatekeeper Approach. aug: au: Huang, Yu-Li Deisher, Amanda J. Herman, Michael G. Kruse, Jon J. Mahajan, Anita affil: Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, 55905, Rochester, MN, USA sug: subj: Waiting Lists Quality Improvement Treatment Outcomes Adverse Effects Proton Therapy Human Simulations Software Comparative Studies Professional-Client Relations ab: Patient wait time can negatively impact treatment quality in a proton therapy center, where multiple treatment rooms share one proton beam. Wait time increases patient discomfort that can lead to patient motion, dissatisfaction, and longer treatment delay. This study was to develop a patient call-back model that reduced patient wait while efficiently utilizing the proton beam. A "Gatekeeper" logic allowing therapists to adjust the time of a patient's call-back to the treatment room was developed. It uses a two-pronged approach to minimize overlap of long treatment and the possibility of excessive wait in the queue to receive the proton beam. The goal was to reduce the maximum wait time to less than eight minutes per field for a four-room facility. The effectiveness of this logic was evaluated through simulation, and five scenarios were compared. Four scenarios implementing various levels of gatekeeper logic were compared with the original scenario without the logic. The best performing model provided a reduction of the maximum field wait by 26% and met the predefined goal. Adjusting call-back extended the treatment day length by an average of 6 min and a maximum of 12 min in total. The use of this gatekeeper logic significantly reduces patient field wait with minimal impact on treatment day length for a four-room proton facility. A sample interface that adopts this logic for therapists to make informed decision on patient call-back time is demonstrated. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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